Thursday, February 9, 2012

Horrible Trip To The Doctor With Baby R

So, Baby R is now 10 1/2 months old.  Our whole house has been having colds and sinus infections in the last few weeks, and R started showing symptoms a few days ago.  She has been having a fever and a runny nose with green mucus.   I took her to the pediatric clinic we usually go to, but her doctor is out on bedrest.  So, she had to see one of the other doctors.  I have never been to this doctor before.  A friend of mine told me that she was good, but quick to draw blood and a little abrupt in her bedside manner. 

We go in to this other doctor.  We'll call her "Dr. X."  Dr. X gets the symptom info from me and tells me that she will need to do some bloodwork and swab for the flu.  I told her that R has had the flu shot a few months ago, and she abruptly and defensively told me that we would need to check anyway.  Now, I get that you need to check anyway, but you don't need to get defensive about it, I just thought you might want to have the information that R has had a flu vaccine. 

So, they come to collect blood, which they ended up doing a second time later.  They swabbed for the flu.  Dr. X came in and told me that her white cells were high indicating an infection, therefore she would need to test for a Urinary Tract Infection.  Then she told me that they would have to collect the urine with a catheter, because that's the only way to get it from a baby.  I was completely shocked and sick to my stomach.  I didn't feel comfortable with it, and I certainly didn't understand why it was necessary.  I was put on the spot and not sure what to do.  Part of me wanted to jump out of my chair and just walk out.  But, what if that would have been a mistake?  I really didn't know, because I have never been in this situation before.

Against my gut, I stayed.  It was horrible.  She was screaming, and I was crying.

R didn't have a UTI, but I wasn't surprised to find that out, especially since her symptoms pointed to a sinus infection or something related.  Dr. X gave her an antibiotic shot, which she failed to mention was a 3-day shot.  This required me to come back two more days, totaling to 3 appointments altogether.  More blood work was done as well.

So, I don't know what to think.  I just do not believe she needed a test for a UTI, because she had symptoms pinpointing other causes for an infection.

The theories that have cropped up that make the most sense are:
A) Dr. X is an overly cautious doctor that wants every base cover, even if it might be unnecessary.
B) Dr. X is ordering unnecessary tests, because the clinic is making more more off of them.  The same theory would explain using a 3-day antibiotic shot in order to create a need for more appointments.  I currently have Medicaid, so she could be taking advantage of the system.

It would be nice to think that she is just overly cautious, but I am not so sure.  Even if she is, I can't understand giving Baby R that test.  In the past, my boys have gone to other doctors when they were sick babies, and they didn't even usually need to do bloodwork to determine the problem.  I'm not saying bloodwork isn't needed.  It just feel like, in this situation, too much has been done, and the catheter was a line-crosser.

The good news, if any, is that we are about to have our own family insurance from Kyle's new job.  So, we will be changing doctors in a matter of days.

Anyway, I would love to hear your thoughts on this issue.  Do you have a baby girl who went through this?  Was it necessary or unnecessary?  Are you in the medical field, and if so, what is standard procedure for a 10 month old with a fever and green mucus?  Do you just have any other thoughts on possible reasons for this or do you just think it was wrong altogether?