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May 30, 2007
Protecting What Is Mine
Steven has had a bout with several colds over the past couple months. The last one hung around about a week. He suffered from the snotty nose and slight cough syndrome and then it was gone almost as quick as it came.
Monday he seemed to have a very low grade fever but it left as mysteriously as it came. I figured with church revival and being around so many people he would either pick up another cold or catch one of the millions of viruses kids pass around all the time.
Last night he ran a long fever around 102. I figured he might possibly have an ear infection from all the snot that had clogged up his head last week so I called and took him in as a sick patient today. The doctor's hours where full but the nurse practitioner could see him at 10am.
I did something I didn't think I would ever be put to the test to do.
I walked out the doctor's office not heeding the doctor's nor the nurse practitioner's advice and feeling like I was doing my best to protect Steven's best interest.
He was checked from head to toe.
Couldn't find anything at all wrong that might cause a fever.
But then again kids are prone to ailments and fevers come and go. It is the body's way of killing off the bad germs to run a fever. So why we think a fever is a bad thing a fever is really good for us.
So, unable to find anything wrong she asked:
Is he eating? Yes, very well.
Is he drinking? Yes, he is drinking plenty.
Is he showing any other signs of not feeling well? Just a little grumpy like we all are when we are sick.
The nurse practitioner then tells me she is ordering him to be catheterized to get a urine sample to rule out a urinary tract infection, a chest x-ray even though there is nothing that indicates he needs one, and a battery of blood tests.
After I came to my senses I asked, "Don't you think that is a bit extreme?"
She went out and said she would consult with the doctor. She wasn't nice about it either.
After waiting 30 minutes the doctor came in and said she would order the same tests and added a skull x-ray to look at his sinus.
If all of that came back clear she would have to say it is a just a virus and would run its course in a few days.
The more I thought about it the angrier I got.
Why not wait 2 or 3 days and see if he is improving and then if not start with the battery of invasive proceedures to rule out things one by one?
Why immediately hit him with so many invasive procedures when clearly she thought it might end up being just a common virus to start with?
The lab and the x-ray are a part of the over-all practice. They are each a separate insurance billing.
I loved this pediatrician like no other I have ever had.
Today I lost all faith in her.
I think she is looking for reasons to bill medical insurance under the guise of treating little toddlers like 70 year olds with a past history of poor health.
I walked out.
The lab said I was the third one in a row with the exact same orders this morning. Even she was very puzzled and looked a bit upset about it.
I called Steve.
We discussed all she said.
I brought my son home.
We will not be returning to that office.
I will carefully watch him over the next few days. If he shows any sign of not getting better I will seek medical attention as she ordered.
For now I think they see $$$$$ instead of little kids who do NOT need a tube pushed up their tiny penis, needles stuck in their arms, and radiation bombarding their chest and their skull.
I am so angry at her for wanting to take the most invasive procedures available instead starting at the beginning.
In twenty years of raising children I have never seen a minor fever and no other presenting problems be treated in this fashion.
I am completely disillusioned.
Posted by Angie at May 30, 2007 04:21 PM
Comments
I usually just lurk here, but felt I had to add my two cents to this post.
This is one of the most outrageous things I have ever heard. I can't even imagine that a pediatrician would put a child through tests like that without more severity to the situation.
I agree wholeheartedly with your decision to leave that practice and would have done the same thing with my daughter. Makes me wish I could think of something more for you to do to get the point across to them besides just leaving the practice.
Good luck and hope Steven is feeling better very soon!
Posted by: Dawn from NC at May 30, 2007 05:49 PM
That IS extreme!
I'm glad to know that we aren't the only ones disgusted with outrageous diagnoses and bizarre tests!
We fired our pediatrician 2 weeks ago for similar reasons.
Good call, Mom. Best of luck finding a new, reasonable, thorough doctor. Preferably one that your baby adores!
Posted by: renn at May 30, 2007 08:43 PM
An x-ray to diagnose a possible sinus infection?? The whole litany of tests just blew me away. Thank god you had the sense and the foritude to not go through with them.
Hope little Steven is on the mend.
Posted by: jenny at May 30, 2007 09:26 PM
Angie, I think you are completely on target here. I was lucky enough when my kids were little to have an experienced pediatrician who was state-of-the-art, but also had confidence in the body's natural ability to heal itself. He prescribed antibiotics reluctantly, and never ordered invasive tests under circumstances like that. He took my concerns seriously, but he would also tell me to calm down if he felt that I was over-reacting. (What? Me? Over-react?) The day that he retired was a bleak day in my life. Anyway, good on ya', as they say downunder. I'm sure that you did the right thing.
Posted by: Miz S at May 30, 2007 09:31 PM
You are most certainly right,Angie. Some docs do that for adults too, and I think it is called "Covering your butt". Most of them are running scared of malpractice suits, so they order every possible test to be done so they can say that checked every possibility. It is overkill.
Posted by: kenju at May 31, 2007 12:14 AM
You are most certainly right,Angie. Some docs do that for adults too, and I think it is called "Covering your butt". Most of them are running scared of malpractice suits, so they order every possible test to be done so they can say that checked every possibility. It is overkill.
Posted by: kenju at May 31, 2007 12:15 AM
What is wrong with these people? Our little TJ was perscribed antibiotics 3 times before he was 5 months old! That is ridiculous.
You made the absolute right choice. Was Steve as upset about this as you were?
I think a call to the AMA or some governing insurance board is in order.
Amazing.
~K!
Posted by: Kismet at May 31, 2007 04:00 AM
What is wrong with these people? Our little TJ was perscribed antibiotics 3 times before he was 5 months old! That is ridiculous.
You made the absolute right choice. Was Steve as upset about this as you were?
I think a call to the AMA or some governing insurance board is in order.
Amazing.
~K!
Posted by: Kismet at May 31, 2007 04:02 AM
I am not trying to take the doctor's side in this, but I know from doctor friends of the family that some patients WANT all that stuff and will not take no for an answer. They don't want to wait to find out if it's a virus; they want results NOW and they want to fix it NOW. And so, since the insurance usually will pay for it, a lot of doctors do order all that stuff unnecessarily.
Good for you for calling bullshit and walking out, though. Where would this world be if we moms didn't follow our guts? And maybe if more people do this, the docs will get the message and the tide will turn.
I hope Steven gets better soon!
Posted by: Badger at May 31, 2007 11:51 AM
Good for you Angie! So many doctors order tests just to "cover their butts" as one previous poster put it! Not all doctors are like that though, and I hope you find one that shares your concerns and your views. It can be done. I'm speaking as a doctor's wife. Even my DH thinks doctors order too many tests and he questions the ordering doctors about the necessity of it all. I'm sure they love us~!~
Feel better soon Steven!!!!
Posted by: eselmom at May 31, 2007 12:08 PM
I wish I'd had your guts and brains back when my son was little and suffered a multitude of ear infections. Did they even indicate what they would do had those tests come back positive? It is a sad day when when our healthcare is really in the hands of insurance companies and doctors who are paranoid. As an adult I just had the same situation with my doctor and a pharmacy.
My wishes are for Steven to have a full speedy recovery.
Posted by: Hope at May 31, 2007 12:57 PM
That's awful. Good for you for standing up for yourself.
It reminds me of when I was getting 30 year old breastfeeding advice from my old ped. Honestly, some of this stuff borders on malpractice. Making a child suffer to find out what is wrong when it's most likely nothing? Potentially sabotaging a mother's milk supply with poor advice? WTF?
Posted by: Leah at May 31, 2007 01:59 PM
Good luck finding a new doctor.
I have a similar story, but of the opposite problems. Three years ago, my three-year-old son was sick. I took him to the doctor twice, both times she said it was just something viral and would go away. The third time, she sent me home again empty handed. Two days after that doctor visit, I carried my son's limp body into the ER where he went thru a cat scan. They found nothing and wanted to send him home. At that point, my son could not even stand on his own. I took and stand and refused to leave that room until they found out what was wrong with him. I demanded they do a spinal tap on him (OUCH! I know, but I knew they'd get answers....mother's intuition, maybe?!?!) They did, and, guess what......He had meninigitis and spent the next 5 days in the hospital.
I guess sometimes a mother just have to go with her gut and make a stand. Good for you!
Posted by: Ang at May 31, 2007 03:45 PM
I hope Steven's feeling better. Having a sick kid is bad, but losing faith in a physician is horrible.
Posted by: Susie Sunshine at May 31, 2007 10:10 PM
I hope Steven's feeling better. Having a sick kid is bad, but losing faith in a physician is horrible.
Posted by: Susie Sunshine at May 31, 2007 10:11 PM
My 8 month old daughter got sent home from the emergency room Monday after a brief 104.8 degree spike with "just a virus." Had we insisted on at least a urine test, we would have learned then that she had pylonephritis, a severe bladder/kidney infection that can lead to permanent kidney damage. On Wednesday, she had to be hospitalized (though she may be released today or tomorrow). If there's a history of UTI in your family, I would recommend you at least consent to the urine test, but I agree that the rest seems a bit excessive for the circumstances.
Posted by: arlani at June 1, 2007 11:08 AM
3 that morning? Maybe there is something going around that they are not telling us. (Listen to how paranoid I am ...holy heck)
Feel better soon!
xo
Posted by: MommaK at June 1, 2007 03:06 PM
Good for you !!! As an adult I walked out of a doctors office when he told me I had to have a procedure ( or possibly die). Turns out I never needed the procedure in the 1st place . I later found out he had 2 kids in college. A money emergency perhaps ? I think mom always knows best and you will know if he needs anything.
I also hate the way medical folks act like we do not have 2 brain cells clanging around in our heads. I am not a doctor but I am not an idiot either. I am so proud of you !!!! The bee
Posted by: the bee at June 2, 2007 01:43 AM
Wow.. just wow... I can't believe it either.
Hope the little guy gets better soon.
Posted by: Jennifer at June 3, 2007 09:14 PM
Gah.
I'm glad you walked out.
Also, it seems to me there's gotta be an easier way of getting a urine sample from a baby boy. Seriously, the equipment's right out there. It goes off like clockwork if exposed to cool air. What's the problem?
Posted by: liz at June 3, 2007 11:39 PM
I was told the same thing, Angie. A friend of mine who is a pediatrician told me that the catheterization, blood test and x-ray are standard practice if they can't come up with a diagnosis. They even told me that if Gabe spiked a fever after vaccines that they would have to do all that, PLUS maybe a spinal tap. No way, Jose. I refused to take his temperature period, because there is no way I would let them do all that.
Good for you. I hope Steven is better soon.
Posted by: halloweenlover at June 6, 2007 03:33 PM
I was told the same thing, Angie. A friend of mine who is a pediatrician told me that the catheterization, blood test and x-ray are standard practice if they can't come up with a diagnosis. They even told me that if Gabe spiked a fever after vaccines that they would have to do all that, PLUS maybe a spinal tap. No way, Jose. I refused to take his temperature period, because there is no way I would let them do all that.
Good for you. I hope Steven is better soon.
Posted by: halloweenlover at June 6, 2007 03:34 PM
Just passing through...I had a similar experience with a ped 3 years ago and ended up leaving them for my family doctor. I now take all three of my children to my doctor. If you trust and love your dr. talk to them about it...you never know :)
Posted by: SueFromOhio(nowfromSC) at June 10, 2007 10:33 PM
Good lord. Good call on your part, that's just INSANE.
Posted by: Gerbil at June 11, 2007 08:38 PM
ANGIE! Where are you? Are you okay?
Posted by: Miz S at June 14, 2007 05:31 AM
Angie- I am also worried . Are you ok ?
Posted by: THE BEE at June 17, 2007 06:44 AM