Doctor insights on:
What do you suggest if my child wants to be a paediatrician, is there any advice to could give her?
Shadow a doctor: One of the best ways to learn about the profession is to shadow a doctor. You could ask your pediatrician for a reference or discuss options available through your child's school or a local medical society. Another idea is to volunteer for a community service organization that focuses on children with medical needs. Volunteerism is an important part of the aspiring medical students application. ...Read more
My six month old has never been a great eater. She still will only eat 2-4 oz at a time. We are waiting to see a paediatrician. I'm very worried.
My 3yr old has been chronically tired so I took her 2 a paediatrician. He found nothing. Ijust noticed her capillary refil time is very long 9 seconds?
Odd statement: I would expect a kid with a 9 second capillary refill time to be near death. Perhaps your definition of the maneuver is quite different than mine. I doubt that would be the case in a kid who is functional at any level. If you are concerned the doc has missed something find another and get a second opinion. ...Read more
My 5yr old child having unexplained fever in the fast 1week (102deg), not continuously once in a while. My paediatrician not able find the cause. Any test?
My baby is 10 wks & on omeprazole, it is not agreeing with her, paediatrician has switched her to ranitidine, should we reduce omeprazole slowly 1st?
Not usually: Typically I will just switch them without a weaning process, but of course that is a the description of the prescribing physician. ...Read more
My two year old keeps putting his hand in his napkin, I have confirmed with a paediatrician it is not worms, what else could it be?
He may like to: If you can't see any irritation, rash, sores or other issues he may be fine. Some kids like to stick their hands a number of places. They have no social conscience at that age & don't have any idea it would bother you or anyone else. ...Read more
Paediatrician told me my 8mnth old due to recurrent wheezing has asthma. Any word of advice for me. M upset. My husbands asthma has totally gone?
It is difficult to make a diagnosis of asthma before age 3 years and thus one needs to follow the child longer to find out. He is more likely to have asthma if
(a) He wheezes without an infection.
(b) He has a positive skin test to one or more allergens.
(c)He has eczema
(d) YOu have asthma.
The course of the father's asthma does not affect the prognosis in your child. ...Read more
How can in a 10 year old aptheous ulcers be linked with abcesses recurring on her gums, paediatrician consultant yesterday said that its linked?
7mnth old recurence of chest wheez within two weeks? Again started steroids and bronchodilator. Wat shal I ask her paediatrician for future? Any RSV vac?
Controller drug: It is difficult to make a diagnosis of asthma in a child younger than 3 years of age. Nonetheless if the child has a positive skin test response to an airborne allergen, then the chance for asthma is much higher. If your child has had recurrent wheezing in the absence of a cold, then I would treat it as asthma especially if there is a positive allergy skin test or a strong family of asthma. ...Read more
HI, My 2 week son is having allergy/Hives and paediatrician advised Fenistil drops for him. Can yo please advise if it is safe for 2 week old baby? Tx
8mnth old recurrent wheezing, cud be asthma my paediatrician told me. M giving salbutamol nebs. Its bronchiolitis at this time or asthma. Steroid needed?
Hard to say: About 60-80% of wheezing infants quit by age 5, so the asthma label is difficult to be sure of. The use of inhaled steroids is sometimes helpful as are oral, but steroid use in infants can depress immune and vaccine response. Actual treatment must be based on a better understanding of all the babies issues. ...Read more
My son has fever since monday. Reached39.9c maximum. Crp level is 23mg/l.Started zithromax yesterday. Paediatrician said his ear is mildly infected.
Persistent hi fever: Despite antibiotics could mean overlapping viral/ bacterial infection as well, wrong diagnosis or not the drug of choice for that " bacterial infection".When dealing w kids, always good to know age & weight. It helps pediatricians greatly w diagnosis, treatment, decision making & urgency of the matter! Alternate tylenol (acetaminophen) w Motrin every 4 hrs for fever and comfort. Ff up if no better in 2-3 days. ...Read more
Best job in world!:
In my very biased opinion (I'm a pediatrician), I have the privilege of caring for sick and well children which is very rewarding!
It is a long road to become a pediatrician, but WELL worth it.
To quote one of my favorite movies: "It's supposed to be hard, the hard is what makes it great! " ...Read more
See below: I would talk with friends, family members, and neighbors about their children's physicians. They can be a valuable resource. Also, some doctors will allow you to visit the office prior to choosing them. You can check on the aap web site for recommendations in your area, as well. In addition, don'y be locked into your choice. If you become uncomfortable as time goes on, you may need a change. ...Read more
Treating adults: Sometimes, I personally continue to treat my patients if they are with me since birth as long as they are comfortable with me, some actually try to go to an adult internist & come back. It is up to the patient & the pediatrician. I that would help. ...Read more
Not too old!: It depends on how comfortable you are with your pediatrician. I will see my kids until they are around 22 if they want. If you have health concerns that are more adult in nature, you may be more comfortable with an adult doctor. But pediatrics is meant to encompass childhood and adolescence so, in my opinion, you are not too old! ...Read more
Depends: On pediatricians. Some go from birth to 18 or 21. Some won't see kids that become pregnant as they will need an obstetrician. Always best to ask your pediatrician their policy, so you won't be surprised. ...Read more
College/Med school: To become a pediatrician you need a bachelors degree and certain prerequisite courses in math and science. Then you can applying to medical school, where you spend four years. Then you must do at least a three year pediatric residency training program. Then you can apply to become board certified. ...Read more
During pregnancy: By the 2nd trimester you should consider visiting offices and talking with friends about who is available and how they practice. Your health plan may have a list of preferred providers from which you can choose. Meet the docs and staff ahead of time if possible and decide if they will be a good fit. ...Read more
Not too old:
Definitely not too old.
I am a pediatrician in New York, and here we see patients up until their 21st birthday, unless they want to switch to an adult doctor before then.
The earliest we usually recommend switching to an adult doctor is 18. ...Read more
18- 22 years: Many pediatricians have been trained in adolescent medicine during residency. As the early 20's are an extension of adolescence transitioning to adulthood, they may continue to see their pediatrician with whom they have developed a relationship to aid in that transition. Can be helpful during the college yrs. Your teen should ask your pedi before making a decision so that it's a mutual decision. ...Read more
Yes: There are many reasons why a given person may not have children. It takes many years of medical and specialty training to become a pediatrician. A person who has board-certification in pediatrics has both taken recognized training and passed exams demonstrating attainment of relevant knowledge, and shown dedication to their field of choice. Years of experience in practice are also relevant. ...Read more
Look for a feeling: My website, mackoulpediatricsfortmyers. Com has a list of questions and things to look for when interviewing a new pediatrician or practice. Go with your gut, if you are uncomfortable, chances are that your child will be as well. Is the office clean? Is there a separate sick and well entrance? Do the hours work with your schedule? Can I call after hours? ...Read more
Age-related: You should expect being asked about your child's history and feeding, your concerns and plans; a physical exam including measurements (child should be undressed for that); your answers (even some you didn't ask) should be answered; and certain other actions (tests, immunizations, etc) will be discussed, and possibly done, as appropriate. ...Read more
See below: What the tests are, why they are needed, how will the results influence your child's care, and any other options. ...Read more
No: Health tap is not the place to find this information. Talk to your close friends and family and interview pediatricians before having your child or transferring older children to that practice. Most offices have time set aside for such interviews. This is a time to ask questions and figure out whether your philosophy and theirs matches up. ...Read more
You should be able to ask anything to a pediatrician. Some great questions that I am asked frequently:
Who will answer a call afterhours?
What are hours of office?
Can you reach the doctor 24/7?
What happens if your child is admitted to the hospital?
**Most important is do you feel comfortable with the pediatrician!
You will see them VERY often in baby's first years! ** ...Read more
Pediatrics: Make sure they are board-certified. Go to abp. Org to check credentials. Have an up-front conversation about communication, call-backs, expectations, philosophy on child-rearing, etc. Enlist them as a partner in your child's health. Once the relationship is established, let your doctor know you trust them. ...Read more