A.C. asks from Los Angeles, CA on May 07, 2011
To Change or Not to change...Pediatrician
My DD is a little over 5 months old and I am considering changing her pediatrician. Not sure if these reasons justify the change:
The Dr. is a very sweet lady but I'm not sure how experienced she is. She seems like a very laid-back, see-what-happens kind of Dr. For the first month of my DD's life, we saw her every week because she had issues with jaundice and I was a super worried FTM. After the first month, we've seen her twice and both times she called my DD, "he". I corrected her each time. I just feel like she sees so many patients, she doesn't really remember us.
The office staff is not very friendly at all. In fact, I think they are quite rude. But this may be due to the fact that they seem understaffed and way too busy. Too busy to look you in the eye when you check in and put you in the system for the next appointment (I have to call back and be put on hold to get the next appointment date).
What bothered me the most this last time was that I was interested in an alternative vaccination schedule and talked to the Dr. about spacing them out more. She was totally cool with it and suggested that for DD's 4 month, she only get DTAP and Rotavirus. I agreed but when the nurse came in to give her the shot, I noticed that she brought the needle in already filled, with the cap on. I asked her for the lot numbers and when she gave them to me, I realized she gave DD the Polio and Hib vaccine in the same needle as DTAP. I asked her why she did that because the Dr. told me she was only going to get DTAP and Rotavirus and she said she didn't know that's what the Dr. said.
I'm just a little disappointed with the level of professionalism there. Do you think these are good enough reasons to change peds? And if so, how do I go about doing it? Do I find one first and then tell them I need my DD's medical records? And then do I tell them in person or just write them a letter? I know it's probably not as big a deal as I'm making it out to be, but I feel a little bad "breaking up" with DD's ped.
Also, we are in Burbank, CA if anyone has recommendations for a good pediatrician. =D
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A.S. answers from Boca Raton on May 07, 2011
First of all, way-to-go asking for the lot numbers on those vaccines, and then noticing the difference between what was discussed and what was presented. You sound very on top of things.
If it were me I'd be looking for a new place too. I might also consider a family practitioner (instead of a ped). If I had it to do over again I would not go to a ped with my children at all. And I'm someone who liked my peds personally (nice guys with all the "right" credentials) - I just think pediatric practice has become all about the quick visit with a rote vaccine schedule. If there are any problems hand out antibiotics.
I expect more than that now, and wish I had known better when I was a young mom like you.
Good luck.
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D.R. answers from Los Angeles on May 08, 2011
I agree with you. I would change (I liked that she was willing to space the vaccinations out, but, she has been careless otherwise). This area is too important to get carelesss mistakes.
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A.B. answers from Louisville on May 07, 2011
This is my philosophy on doctor's offices:
If the office staff is rude, mean, or look like they haven't had a decent night's sleep in five months (and act like it as well--a good indication that things aren't going well in the office, in other words), I will NOT stay with the doctor's office because it is an indicator about the state of the office, the nature of the doctor(s), and the type of people the doctors employ (assuming the doctor is okay). This may seem unfair, but I have noticed that if the staff isn't happy and customer friendly, I usually end up having serious trouble with either the doctors, the nurses, or someone else in the company (like billing). On the other hand, the offices with happy and professional office staffs always seem to run smoothly in other ways too: we don't have billing problems, the doctors and nurses are all good and very professional, etc.. Another point on this, you deal with the office staff almost as much as you deal with the doctor (if not more). Do you really want to put up with rudeness from them or the chance that they won't recognize a serious need if/when one arises?
As far as leaving, all you have to do is find a new doctor and have the new office send a record request to the new office. Believe me, this happens all the time and isn't anywhere near as meaningful to the doctor's office as it is to you. You don't have to offer ANY explanations whatsoever, and certainly don't have to feel bad about it.
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C.K. answers from San Antonio on May 07, 2011
While there are no perfect doctors, if you are not satisfied with your current pediatrician then certainly find a new one. Personally I think that the lack of communication in that doctor's office could lead to a very serious mistake. It is so simple to rely instructions about the shots, but yet it wasn't done. I would wonder about what other mistakes are being made.
To change doctors all you have to do is find a new one. They can request your daughter's medical records be transferred over. You may have to sign a release, but that is all. I wouldn't tell the current pediatrician anything, unless you want to give a reason so they might make improvements.
And never feel bad for breaking up with a doctor. If any doctor does not provide the quality of care you feel you should be getting then find another doctor.
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D.B. answers from Boston on May 07, 2011
Yes, change. The combination of problems indicates an unprofessionally run office. A laid back doctor isn't a bad thing by itself, but if she doesn't know you by now and if the staff makes errors or has no time to do basic tasks like make an appointment (every time), then it's time to get out. Most pediatricians will give you a no-cost interview before you join the practice to see if you are a good fit. They won't be able to comment specifically on your current doctor, but they can address concerns about things like the vaccination schedule and staffing levels. Meantime, you can see if the personality is a good match.
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J.B. answers from Phoenix on May 07, 2011
You have every right to change your pedi. After all I went through three pedis with my first daughter until I found the best one. The first two did not know my daughter had torticollis and then the third diagnosed her immediately and then started her in therapy for it. So I always go with my gut feeling espeically since she is nb and you will need to go frequently in your first year. We have not moved to AZ and I have not found a good DR. So I just take them to a clinic when they need shots and if it something serious I fly to TX to go to our original pedi. I always go with my gut after all moms know these kinds of things. It is important that you have a DR you like and trust and feel comfortable with. I love that they always remember me and my children without looking at a chart. They also remember grandma and grandpa and always ask how they are or if I need them to take my kids to appts the whole staff remembers them. Now three children later thats my go to DR, So go with your gut and don't give up you will find a doctor that fits with what you find. Never lower your standards after all they are taking care of our most prized possessions.
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K.B. answers from Milwaukee on May 07, 2011
I would be changing doctors. It is NOT ok that the doc & nurse are not communicating and disregarding your wishes. You are paying for the service and well being of your child, you need to feel comfortable and confident in their services. It does sound like they are either poorly organized and/or under staffed, that is when mistakes do happen. Good for you being on top of things and asking questions.
You have valued reasons for changing. There is no need to tell them that you are looking for another doctor. Once you do find a new doctor you will need to get the your child's records, personally I would go and get them in your hand and take to your and doctor (you can have them send the records to the new place but I am not sure I would trust that it would be done in a timely fashion).
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K.C. answers from Dallas on May 07, 2011
Hi! You should love your pedi and be happy with her office. My 4 year old has had three now. The first was not concerned enough for this first time mom about a cyst on her head so she got a second at 4 months. I LOVED the second pedi but hated how hard it was to get in and how long I had to wait each time we were there so we switched again. Being too busy is a problem, I think, particularly when you have more kids because you don't want your well kid in that germ filled place any longer than they absolutely have to be!!
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M.S. answers from San Francisco on May 07, 2011
WOW, YES! change pediatricians, right now! I wouldn't stand for some doctor forgetting my child's sex, getting the vax mixed up and not listening to what I as the mama said about it. You are your child's advocate. Be proactive, interview other pediatricians in the area and switch asap. You don't want to be going to this doctor if you ever have an emergency visit. As far as records, find another pediatrician-then ask that your records be transfered over there or you could pick them up if you feel more comfortable. Most offices will charge a fee for this and per page-so be forwarned... Best wishes!
M
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R.M. answers from Topeka on May 07, 2011
Of course you can change pediatricians...go for it...look around ...make some calls and actually talk to the staff or the doctor him/herself. There are as many different philosophies out there as there are doctors. My adult daughters have all found pediatricians who agree with their minimal medication/ delayed or no vaccination philosophies. I would be especially upset with the vaccination that clearly went against your wishes. DId the Doctor simply forget...did the nurse fail to follow the doctors orders...or did the Doctor tell you one thing and then do another?
A doctor is working for YOU....it is the same idea as...say a restaurant that you have always gone to...if the cook suddenly changed and the food wasn't good anymore...would you keep going just because you always had gone there??? NO!!! You would look around for a restaurant that made you happy...same with a doctor!!! Good luck on the search
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