Finding a Doctor - Kind of OT

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faeriecurls's picture
Joined: 06/04/08
Posts: 790
Finding a Doctor - Kind of OT

I know this is kind of off topic, but Christa's "A pill a day" thread got me thinking about how to go about finding doctors who are low intervention and will let you listen to your body. DH & I have to start looking for a pediatrician and it just seems like a really daunting task here, there are tons and tons of doctors and even once you narrow it down to some seemingly more open doctors it still leaves a lot to choose from. We now have a narrowed down list, but we need to do "prenatal consults" with them to make a choice.

What are some questions to ask? How did you all choose peds for your LOs? I don't have any friends with children locally, so I can't ask them for recs.

It just feels pretty overwhelming and I don't want to fight with a ped about everything.

Joined: 03/16/15
Posts: 53852

I interviewed 4 doctors before I found one we liked for my DD.
2 were pediatricians, and 2 were family practice. We eventually signed up w/ a family practice doc and he was GREAT. I could always get same day appointments and even though I was not his patient, he was always asking how I was doing and how the family was. He was so calm and caring and the best part was that he didn't blink an eye when I told him we planned a home birth, wanted to delay and separate vaxes, etc.

We have since moved and finding a new pedi is a whole new thing. I tried family practice, but only 3 of their docs are on my insurance, and i've already tried 2 of them and didn't like either. One - w/o my permission gave DD 3 live vaxes at once, and she had a reaction to them. The other we could never actually get appointments w/ and I ended up having to take DD to the urgent care 4 times in a row - on weekdays - during office hours - to get meds for ear infections etc.
So we just changed to the last of the pedi's on the list - and she is on maternity leave until my baby is due - and even then her office staff said that I will just have to bring the newborn in to see whoever has an opening that day because they generally make appointments months out. :roll: Where have the good doctors gone?
Oh - and I am a member of a playgroup and asked the other parents there - Most recommended 2 docs, but neither are taking new patients (even though they are on my insurance).

krazykat's picture
Joined: 08/11/07
Posts: 1143

I don't really have much advice. DD is on Tricare so she sees whoever happens to be in the military peds clinic at the time. The good thing is that us parents have a lot of control over that. Maybe you could find a naturopath or someone along those lines to give you advice if you are concerned about an illness, and then that way you don't have to go to the doctor everytime? I just don't hardly take Sylvia to the doctor. I try to look up home remedies and stuff first. About the only time she goes is for her well-child exams or for vaccines.

GL finding a good fit for your family though! I know it can be very overwhelming... it's like where do you start?!

krazykat's picture
Joined: 08/11/07
Posts: 1143

"Barefoot~Mama" wrote:

Where have the good doctors gone?

I am beginning to wonder if it has anything to do with how expensive mal-practice insurance has gotten? I have heard of several family practice doctors closing up shop b/c the insurance is like $150,000 a year (don't quote me).

All the frivolous law-suits really mess up the whole system.

kvo
kvo's picture
Joined: 12/18/06
Posts: 902

We got pretty lucky with ours. DH was already a patient (it is a family practice) and really like the doctor. I went in and met him about a month before Zoe was born and felt very comfortable with him as well. We were comfortable with their routine stuff, like vaxes, so I never had to "fight" on anything. I was pleased when he agreed (against the info I received from one of his partners) that Zoe does have seasonal allergies. He is more open-minded and makes a point of telling us what is "recommended" by the American Academy of Pediatrics (or whatever it's called) and what he actually believes. He encouraged cosleeping as long as we were comfortable with it and pretty much has the same attitudes regarding health as we do. The only down-side is that the practice is huge and each doctor only works 2-3 days a week, so if you call in for a same-day or next-day appt, you rarely get to see or speak with your doctor and they are not all like him.

Can you see a ND (naturopathic doctor) on your health plan? We have one of the largest naturopathic medical schools in our city so NDs are everywhere here and often do all the routine stuff that a family practice MD will do.

Joined: 03/16/15
Posts: 53852

We just made a list of everyone in the area. Which for us is only two groups and did interviews. First we saw the regular peds at the hospital. They came recommended, but I was not happy with them at all. Next we interviewed with a DO in the area. he was better, but still was not happy, as he gave me wrong information about medicaid and vaxs. I knew it was wrong and was not sure I wanted to work with someone with incorrect info. We finally decided to go with my mw who is also a NP and runs a womens clinic. She is 45 minutes away, but we love her so it is worth it. But I also only bring DS in for well child visits. other than that he has gone twice. Once for RSV and once to say yes he had chicken pox so we could decline that vax on school forms. But I like that she is always available and really laid back about bringing him in. I would look beyond your normal peds office if you want someone a bit less conventional. DOs in general tend to be more open to whole body wellness and are good to look into.

CaBlondie918's picture
Joined: 01/27/07
Posts: 260

We were lucky that the pediatrician that DH's whole family uses (and he used) was still practicing, and will still be practicing for the next 5 years (so we're in the clear with this next LO). He's really good at answering all questions we have and asking us before doing anything to DD. I think we're lucky in that the in-town pharmacist (where we do go) in DH's uncle... so the family is well known which does help.

cactuswren's picture
Joined: 10/19/09
Posts: 4658

Oh thank you for posting this question, I've been really worrying over this! I asked my Hypnobirthing instructor and she gave me a list of "pro breastfeeding" peds, which, okay that's great but doesn't tell me a lot. There were two doctors on there who I had come up with in my own Googling, but one doesn't take my insurance and the other is REALLY FAR so I'm thinking I'll call her as a last resort. A third I called and she doesn't do prenatal consults, so NO. A fourth is actually a family practice that two colleagues go to, but when I asked them about it they didn't seem so sure about how non-medical they'd really be, and said it was very hard to get appointments and you always have to wait at least 45 minutes or more in the waiting room.

So I asked the midwife at my last appointment and she recommended a father/son team that she knew for a fact had at least done alternative-schedule vaccinations and that a lot of birth center moms went to, so that sounds kind of promising. Their reviews online are glowing, the location is reasonable, and they take our insurance, so I plan to call them soon and set up an interview.

It is a REALLY FRUSTRATING process, though! My insurance doesn't cover naturopaths, unfortunately, and the like minded friends with kids in town have docs that won't work for us for one reason or another...DH and I actually really want to find a new doc ourselves because ours is a major pill pusher, so I'd kind of like to find a good family practice, but with so many different variable in play, it just seems really overwhelming to find one person who fits it all. SIGH!

MrsMangoBabe's picture
Joined: 04/09/07
Posts: 2276

The pediatrician we used for DD when we were in AZ, I found on this list on the website for The Vaccine Book: http://www.askdrsears.com/thevaccinebook/Vaccine_Friendly_Doctors.asp It's ont a very long list, but it could be helpful.

There isn't anyone on the list in my area now. One of the on-call pediatricians who saw DS at the hospital and saw that we had declined the eye ointment and vit k and were delaying the Hep B shot recommended a family practice doctor in our area who she thought would be supportive of us not wanting to do everything by the book.

cactuswren's picture
Joined: 10/19/09
Posts: 4658

"MrsMangoBabe" wrote:

The pediatrician we used for DD when we were in AZ, I found on this list on the website for The Vaccine Book: http://www.askdrsears.com/thevaccinebook/Vaccine_Friendly_Doctors.asp It's ont a very long list, but it could be helpful.

There isn't anyone on the list in my area now. One of the on-call pediatricians who saw DS at the hospital and saw that we had declined the eye ointment and vit k and were delaying the Hep B shot recommended a family practice doctor in our area who she thought would be supportive of us not wanting to do everything by the book.

That's an awesome website, but all the Arizona doctors are in Phoenix--that's a 2 hour drive Sad

I'm so frustrated, there's one AMAZING sounding doctor who comes up in every search, but he moved to California a year ago because of his wife's allergies. *shakes fist in air!*

faeriecurls's picture
Joined: 06/04/08
Posts: 790

THe Dr. Sears list is great, but there is only 1 doctor in NYC on that list, and I am pretty sure he is no longer taking insurance or new patients....I have to double check.

I have looked for some NDs, but so far, none of them take insurance (I'm not even sure my insurance covers NDs).

I am going to start with my small list and see what happens. I'll ask my m/w more specifics at my next appointment, almost all of the docs on my list came from the list they gave us.

What are some good questions to ask when I meet them? I am looking for a list similar to the one for MWs / OBs...

cactuswren's picture
Joined: 10/19/09
Posts: 4658

If you google "questions to ask when interviewing a pediatrician" a bunch of stuff comes up. This seemed pretty comprehensive: http://pregnant.thebump.com/pregnancy/pregnancy-tools/articles/checklist-interviewing-a-pediatrician.aspx?MsdVisit=1

faeriecurls's picture
Joined: 06/04/08
Posts: 790

Thanks for that link, Leigh!