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Really troubling Ped visit--what should I do?

913 Views 15 Replies 14 Participants Last post by  naismama
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This is why I hate going to the pediatrician. Really. We don't vax and generally don't do well baby visits, but I wanted to have a ped just to answer questions and deal with the occasional things I don't know how to deal with.

Yesterday I took dd in because she had an accident this past weekend where she hit the bridge of her nose on a futon frame. I didn't think her nose was all that swollen (dh claimed to see swelling) but her eyes were especially puffy and her left eye watery. I called the ped and explained, and he wanted me to bring her in.

So I did, and they went through the weighing, temp, pulse-getting that dd HATES. It took the nurse a wrist, two fingers and a toe on my dd before she got a pulse. Then the doctor comes in with a woman I am assuming was an intern and asks me to tell him what happened. I explained to him about the fall and the watery eye and he mumbles something about pink eye.
I explained to him that the only part of her left eye that looks even mildly irritated is the site of her strabismus surgery 2 months ago. He says it is not unusual for only one side of the eye to be affected. Then he mentions that her eyes are puffy. I tell him that they are both often puffy and tell him that we have started on her dairy products over the last few months and that I worry that we may have done it too soon (I had suspected milk allergy) He immediately said "No, it's not that," and told the intern that he wanted to collect a urine sample for some scary sounding syndrome that he never tried to explain to me. All the while he is poking around dd's ears and body and she is clinging to me not wanting him anywhere near her. The Doctor turns to the intern and says gravely, "she has some anxiety issues."
: I told him that she does fine at the eye doctor and that she is probably just not comfortable with all the touching. By the time he is done, he is "positive" that dd has pink eye.
Against my better judgment, I agree to let them put a little bag on dd's vagina to collect urine although I was pretty confident dd would not pee in that bag. And she didn't. She started ripping it off and then I thought, "this is ridiculous" and I helped her take it off and pull her diaper up. Then she peed
Well the intern comes back and I tell her that dd would not pee in the bag and she's talking about "cathing" my baby, and I said no way. I asked her about the scary syndrome and she said that it is nephrotic syndrome. I know that has something to do with kidneys, and that terrified me so I looked up when I got home and I don't understand why the doctor would want to test my dd for something serious like that and not explain it to me. Is this just not good doctoring or is this what it means to go to the ped? I just feel so confused and I don't know whether to try to get the urine sample or find another ped who can deal with my dd's "anxiety issues" or what. The main reason I chose this guy is because he is cool with not vaxing and claims to be very ap (even though he told me that if I did not wean dd before giving birth In October she would be jealous of the baby and I would have a terrible time). Do I need to choose another ped or just get over it? DD has never really been sick but for a couple of colds, so I am not well versed in this whole taking the baby to the doctor thing. I just don't like that I still am upset over this visit, even after sleeping on it and talking to DH about it
Any advice?

TIA,
naismama
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I'm sorry that your ped treated you like that. I don't think that's just 'how it is' when you go to the ped, he sounds like he has particularly awful social skills. I would definitely try to find a new doctor - trust your dd, especially if she's not like that with the eye doctor.
If you don't regularly take your child to the doctor then her reactions were pretty normal. Getting fluid samples from a child is just all together difficult. My advise is, if your instincts are telling you you needed to see the doctor in the first place then you should probably follow through with it. Sometimes you do have to do what is in the best interest of the child even though it seems like a difficult thing. Not many children like the be poked and prodded. That doesn't mean it shouldn't be done. If your doctor is AP friendly and feels this is something that needs to be done, trust your doctor. Our pediatrician before me moves was the same way. Whatever you wanted was fine with him unless he felt strongly on an issue. He'd explain the pros and cons and allow us to make the decisions but would also stress what he would do with his own kids. Sometimes we like what we see when it comes to routine things but we all need to trust our initial instincts when it comes to difficult situations.

I'd follow through just to be sure. There are many stories of people who don't generally do routine visits but when are prodded by their intuition to do so something will come up that really needed to be addressed.
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First of all, I'm so sorry you had such a difficult experience. I so know how you feel about the lingering anxiety and anger after the visit. I would definately try a new doctor, if he's not willing to explain things to you now, that's not going to change and you will just get frustrated again later.

I do agree that your daughters reaction is pretty normal. Having a stranger come in and start poking and prodding without taking the time to bond with your child should make her feel uncomfortable.

Congratulations on not letting them put in a catheter without an explaination. I still regret when my oldest daughter was quite sick and I didn't understand what all was going on and let them put her through that. She still talks about it. It was awful, the worst part is feeling guilty because after when I was able to research things out I realized that it was unnecessary. ARRGGGHHH.

Well, good luck, I had to go through three different peds before I found one that I actually liked. It's a hassle, but like you said, nice to have someone there that you can trust when something comes up.
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I agree it's wise to follow your instincts. I also agree that most kids don't like being poked and prodded by a doctor, although frankly, kids who go for regular WBV and are vaccinated tend to start screaming as soon as they hit the waiting room because they remember what happens there. So going to the doctor on a regular basis doesn't necessarily acclimate a child. In fact, I think it's probably not a bad thing for a child to not want a stranger to poke and prod them. I don't like it either!

All that said, it sounds like this doctor's beside manner is lacking. We also do not vax or do WBV. Besides a few visits just after she was born, I've taken 2yo dd to a doctor twice; once when she was sick (to make sure she didn't have an ear infection), and again a few weeks ago to establish care with a new (and highly recommended doc) so we would have a relationship with someone in case dd needed to go in. Many doctors operate the way you describe -- dictating to patients, making decisions for them, not supporting their wish to educate themselves and make their OWN decisions. But there are doctors out there who aren't like this. The family doc we just started seeing isn't 100% perfect (e.g., she advised weaning 2yo dd if I get pg because she said it's hard on my body to support two children ... which is true, but dd really only nurses once/day, so I'm willing to continue on as long as it works for both of us), but she does listen to me, respects the fact that I have a functioning brain and am not a zombie, and we're talking about MY body, and MY child, and in the end I get to decide.

I think the fact that he didn't share any information with you is deplorable, and an indicator of his style. I would keep looking, and find someone who will listen to you, explain things to you, and support you in your efforts to make the best choices for you and your child. I know he was recommended as supporting AP, which is nice, but it doesn't make him a nice doctor to deal with. If you haven't asked around in the "Finding Your Tribe" section for you area, try to get some recommendations from other MDC mamas who live near you. Specifically state that you're looking for someone who supports AP, non-vaxing, AND will communicate with and respect you.

Good luck. This is not always an easy quest ...
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I'm sorry it was such a bad visit. Ugh.

I would look for a new ped right away. Try posting in your tribal area. That is not the way DS's ped, or any of my doctors treat me. Actually, I don't let anyone treat me in a disrespectful manner - let alone pay for them to do so.

I'm all for interns - people need to learn and have experience treating patients before becoming doctors. But if at any time I have a problem with an intern or nurse I request to not have them there or that they be replaced. They are not my medical provider and I can choose if I want them there or not.

This isn't just the way doctors are - there are good ones out there and you may have to search.
on my chiro kick...

chiropractors aren't just for spine and head things. they are trained to work with the ENTIRE muscloskeletal system (ankles and wrists and noses) and many are also trained in more holistic styles to address colds, flu, chicken pox, gastrointestinal illness, etc. in many states, a Doctor of Chiropractic (DC) is also considered a primary care provider. see www.icpa4kids.org for some names if you can't find a local referral from friends/acquaintances for a chiro working with kids.
Quote:

Originally Posted by quirkylayne View Post

I'm all for interns - people need to learn and have experience treating patients before becoming doctors. But if at any time I have a problem with an intern or nurse I request to not have them there or that they be replaced. They are not my medical provider and I can choose if I want them there or not.
Actually, I liked the intern. She explained things better than the doctor did and was more understanding.
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OMG - get another ped!! or better yet forget a ped and find a naturopathic doc

or family practice md who will just see her on occasion to keep health records in case she ever has to go to the ER or something. that was so crazy of him to do so much w/o explaining things. You don't have to stand for that with him or anyone.

good luck!!
There was nothing "unusual" about your toddler acting all clingy during the exam.

IMO, the doctor was being unprofessional, and certainly had a poor bedside manner. I wonder if he would have ignored YOU less if the intern hadn't been shadowing him- she had his attention instead of you. If this doctor is normally a good doctor, but had one "off" day, then I'd suggest going back but requesting no interns during your visit. However, if this doctor always has this awful an attitude, then I think it's time for a new doctor.

I'm not saying it's "bad" to have an intern there- just that sometimes having another person there changes the dynamics and can make communications worse. If you think that may have been the case this time around, then try without the intern. However, if you think the dr was just being disrespectful and it had nothing to do with the intern, then definitely find somebody who's gentler with DD.
: That would irritate me.

Ok, she got a bump on her nose. How does this relate to her KIDNEYS?

Find a new doc.
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ITA - find a new dr. He was completely disrespectful not only to you, but also to your dd.

My dr. is pretty old-school as far as things go, but he doesn't have a problem with our vax schedule and ALWAYS explains everything - and then asks for my opinion.
My 2 yo old ds has anxiety too- I started giving him some homeopathic remedies that have helped- I can't remember all of them off the top of my head (nak) but one is chamomile. You may want to explore this option as opposed to the crappy allopathic route..... and find a new ped
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I'm pretty mainstream-minded when it comes to peds, and I would absolutely, without a doubt switch pediatricians after that visit. Talk about creating problems that don't exist! Ugh.
Ick, all kind of issues going on here. Good for you for refusing the catheter.

I would either a) give the ped one more chance and express that you'd like things explained directly to *you*, or b) find a new ped. If you don't jive with someone, it doesn't matter how "good" they are, you're not going to get good care. Period. I would also let him know that characterizing your daughter as having "anxiety issues" is less helpful than *him* working hard to make it less stressful for your dd. Yeesh, anxiety issues? C'mon.

And ask lots of questions. And when you've asked all the questions you have, ask more. What do you think it might be? Why the kidneys? What else could it be? Why are you ruling out dairy so quickly? What are the signs of a food allergy? Have you seen something like this before? What are other symptoms that go with this? Also make sure to express, whether or not you're asked, what EXACTLY it is that made you worry, when it started, how it's progressed, etc. The dr's job is not only to diagnose, but to communicate that diagnosis to you.

So sorry you had this experience.
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Quote:

Originally Posted by Ruthla View Post

IMO, the doctor was being unprofessional, and certainly had a poor bedside manner. I wonder if he would have ignored YOU less if the intern hadn't been shadowing him- she had his attention instead of you. If this doctor is normally a good doctor, but had one "off" day, then I'd suggest going back but requesting no interns during your visit. However, if this doctor always has this awful an attitude, then I think it's time for a new doctor.

I'm not saying it's "bad" to have an intern there- just that sometimes having another person there changes the dynamics and can make communications worse. If you think that may have been the case this time around, then try without the intern. However, if you think the dr was just being disrespectful and it had nothing to do with the intern, then definitely find somebody who's gentler with DD.
Ruthla,
I think you are right about the intern being there. I totally felt as though the purpose of the visit was to teach her, not to diagnose my dd and give his attentions to us. I told my mom--a 26 year nurse and very mainstream--about the visit and her first reaction was "Sounds like he was showing out for the intern."

Thanks mamas so much for your support and advice. I am going to work on finding another ped. I'll try my tribal area, and I'll ask my midwife when I see her next week. Although, she did mention before that she loved this ped but cringed when I told her he had advised that I let my dd cry to get her off the breast because if I didn't she would be terribly jealous of the new baby and make things really difficult in our home. BTW, that was 4 months ago, and I am still nursing my dd
Oh, and her eye stopped watering the next day. She has nothing that even REMOTELY looks like pinkeye.
:

--naismama
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