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Discussion Starter · #1 ·
I'm not totally happy with our current ped. I'd like to find someone a little more holistic, but feel I have limitations b/c of ds' special needs. I am nervous about having to travel too far to the office, in case of urgent issues. And do admitting privileges matter? It seems that ALL the peds I've seen recommended in FYT only have admitting privileges for hospitals 30 min or more away. I don't want to have to travel to a far away community hospital if issues arise. Our current office has privileges at CHOP, since they're affiliated with the hospital. It's been handy to have the ped's office linked into the hospital's network of specialists. I'm not sure how important that is.<br><br>
So what do you do? Mamaverdi--I'm particularly interested in your answer, since I know you've done a lot of switching and finally found one you like.
 

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<img alt="" class="inlineimg" src="http://www.mothering.com/discussions/images/smilies/smile.gif" style="border:0px solid;" title="smile"> Baby is up and needs nap. I will answer after he falls asleep. Look at that medical home stuff though that I talked about before. And someone who will take patients who choose whatever they choose and knows about breastfeeding. Academy of breastfeeding medicine is a good place to ask for referrals too.<br><br>
Yes choose someone with priviledges at CHOP. But no I find someone in private practice to be the absoluate best choice.<br><br>
more later.... <img alt="" class="inlineimg" src="http://www.mothering.com/discussions/images/smilies/smile.gif" style="border:0px solid;" title="smile">
 

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Okay, what I really look for is a youngish guy in private practice who has about 10-20 years experience. Isn't going to have a baby and stop working. Isn't going to retire soon. Enough experience to know things. Young enough to know about newer medical issues. Young enough to try things that others wouldn't try. I choose someone in private practice because in this day and age it's a hard thing to do, and it means it's really important to them. I found someone who makes house calls, though likes to keep it a secret. Tells me how to reach him around his answering service. Is honest that other doctors have big egos.<br><br>
Yes we disagree on certain things, but for the most part we agree. AND he treats me with respect about my choices. He offers the flu vax, but he doesn't push it on me. He tries to keep my kids out of the hospital as much as possible.<br><br>
We interviewed him and he said well for medically complex kids I provide a medical home; do you know what that is?<br><br>
And he does.<br><br>
I would say look through the medical home info for your state. But also, I looked for someone in my ins info who was in private practice (after hours is a call-group) and lives close-in. Houston is a very spread out city, so close in living-officing doc is ideal because this means he is not driving across town to get to his family.<br><br>
Also when I mentioned donor milk to him he said, "You can get that? Wow. Where?" He didn't make the gross face.<br><br>
It's more a feel for them, but it's a lot of talking with them, researching them, and making a phone call (he answered the phone!) and then interviewing.<br><br>
Houston is great for heart issues! So if you want to move here, I'll give you the name of my guy. <img alt="" class="inlineimg" src="http://www.mothering.com/discussions/images/smilies/smile.gif" style="border:0px solid;" title="smile"><br><br>
Not so much for metabolic disease though. <img alt="" class="inlineimg" src="http://www.mothering.com/discussions/images/smilies/greensad.gif" style="border:0px solid;" title="greensad"><br><br>
Anything else?
 

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I like Nitara's ped because<br>
(a) he had a daughter with a g-tube and reflux<br>
(b) he has special needs himself<br>
(c) he truly listens to me and trusts what I am telling him
 

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We switched dd's pediatrician last year, and I am so glad that we did. We stayed in the same practice (a large, local practice) which caused some uncomfortable moments on occasion, but worth it. The old ped was obsessed with cataloging dd's issues at EVERY single visit -- even when it was obvious that we were just dealing with garden-variety stuff. Since the list of dd's medical problems is extensive, it felt a lot like interrogation and made me crazy with worry and overwhelmed. She also wasn't real open with us about things, and never stayed on top of the specialists reports.<br><br>
By contrast, our new ped (who fits mamaverdi's description nearly perfectly and is a dad himself <img alt="" class="inlineimg" src="http://www.mothering.com/discussions/images/smilies/thumb.gif" style="border:0px solid;" title="thumbs up"> ) is amazing. He checks in regularly on dd, maintains ongoing contact with her transplant team, is interested in learning more about dd's conditions, and is always honest with us. He has called in the evenings when we have been discharged from the hospital, just to make sure we were able to get all the meds. He calls within a day or so of receiving specialist reports to be sure we all understand what was done/said. And most importantly, he treats dd like a child. For me, this is the crucial piece. Her old ped. seemed to think that dd was some fabulously interesting case study -- and not much more <img alt="" class="inlineimg" src="http://www.mothering.com/discussions/images/smilies/irked.gif" style="border:0px solid;" title="irked">:<br><br>
As far as admitting privileges, I can only speak to our local issues. The ped has admitting privileges at our main hospital, the one with the trauma center and children's hospital. It is the ONLY hospital locally that I trust w/dd, so that was important for us.<br><br>
Best of luck in your search!
 

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Discussion Starter · #6 ·
Thanks, ladies. Where ARE you finding these drs? By private practice I'm guessing you mean someone whose practice is just them alone? Oh and what do you all think about family drs vs peds? The dr who was nasty to us and missed a major heart issue was a FP. Are they generally less knowledgable?<br><br>
Ds's heart issues aren't really an issue anymore--so much so that the ped isn't going to bother apply for Synagis for this year b/c he probably won't qualify. Whoo hoo! Actually, he doesn't really have any major medical issues right now, other than monitoring of growth and adjusting his tube feeds accordingly. I know I probably won't find someone who will suggest herbs/nutrition for illnesses. But I'd like to find someone who doesn't deny any connection of eczema and food allergies, for instance. Who doesn't jump to antbx at the first sign of ear infection.<br><br>
Off to search my ins. Although, yesterday, our current practice wasn't coming up in the database.<img alt="" class="inlineimg" src="http://www.mothering.com/discussions/images/smilies/irked.gif" style="border:0px solid;" title="irked">:
 

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We are seeing a naturopathic family physician now (ND). I've only seen her twice but she <i>listens</i>. She seems to respect that I have some knowledge through research and takes what I say seriously, and she answers my questions and is gentle with DD who is extremely terrified of doctors. If we should need specialized care in the future, which is a possibility, I will certainly follow her recommendations as to who to see. She was willing to test my son for food allergies to alleviate my concerns and is putting me on vitamins for a problem I recently saw her about. It seems like NDs are getting more and more respect; my health insurance actually covers them. A referral from the insurance co. is actually how I found this doctor.<br><br>
We also see a DAN MD for consultations on DD's gut stuff but she is also holistic in her approach; she doesn't use prescription drugs for the most part without a strong case. I found her on the holistic pediatric association website but that site still seems to be primarily full of acupuncturists and chiropractors rather than primary care type doctors for most regions.
 

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<div>Originally Posted by <strong>mama-a-llama</strong> <a href="/community/forum/post/6479633"><img alt="View Post" class="inlineimg" src="/community/img/forum/go_quote.gif" style="border:0px solid;"></a></div>
<div style="font-style:italic;">Thanks, ladies. Where ARE you finding these drs? By private practice I'm guessing you mean someone whose practice is just them alone? Oh and what do you all think about family drs vs peds? The dr who was nasty to us and missed a major heart issue was a FP. Are they generally less knowledgable?</div>
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I posted on a local mamas group and described what I wanted in a doctor. He was highly recommended. He is also private practice, so I don't have to explain her history to different doctors like I did in the large practice she had before.
 

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I think peds are a better fit for kids who need ped specialists.<br><br>
And most FPs don't have priviledges in Children's hospitals. And I think Children's hospitals are the best place for children.
 

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I asked at LLL about ped recommendations and went with one that several people recommended. When he left the practice I switched to a different one and have been pretty happy with her.<br><br>
The practice we go to is a family practice group and the original doc we saw was a FP, but specialized in children. The woman we see now in the group is actually a board-certified pediatrician and I like that. I want a pediatrician, like MV said, who is young enough to be willing to look at new things, but old enough to have some experience. Someone who is fairly knowledgeable about breastfeeding and open about vax. Someone who has no problem with me asking a lot of questions. Now my choices were fairly limited because I wanted someone with privileges at our local, fairly small, community hospital. I wanted that so that if Charlotte goes to the ER we have an established relationship with a ped on staff there.<br><br>
Ours is not ideal, but I'm pretty happy with her. Ideally, the practice would follow a medical home model and be smaller, but the doctor is open to working with me and dicussing things with me so that makes me happy.
 
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