Thursday, November 15, 2007

When it rains...

it pours...

Today was a follow up appointment with our pedi for Bubba, and come up with a game plan to keep the asthma in check. Let's just say that I'm less than satisfied. We were also there for Bobcat's 7 year well check.

First off they measured and did everything on Bubba that they were supposed to do to Bobcat, even though I told the nurse that he was not here for his yearly check up (that was 1 1/2 months ago)... that he was here for a follow up asthma check. She claimed she knew that, but continued anyway... then looked at her chart and marked out the stuff she had written and did the same exam on Bobcat. After a long while the pedi finally came in, and did Bobcat's check up. After all was done with him, the doctor showed me the growth chart and said, "so are we still holding off on seeing the endocrinologist, or are you ready to talk further about this?"
UMMMMMMMMMM, what are you talking about???

"Haven't we discussed the fact that he is too small?" - dr.

"Um, well his bio's were small people, but last time we were in you said that you weren't concerned because he is getting bigger and he is in proportion and is quite healthy." - me

"Oh, no he's supposed to be tracking better than this. Right now we project him to hit 5'3" and that's being optomistic, he isn't even any where near the arc." - dr.

"His birthparents were very short... 5'1" and 5'6"ish, and we've talked about that every time we've come in and this is the first time you've told me this is a problem." - me

"Well, the way we look at it for boys is an average of both parents and then +2 inches, and he's not headed that direction. I really think that this is a case that an endo. needs to look at and start thinking about growth hormones and what that will do for him." -dr.

WHAT????

So now we have an appointment in January to see a specialist about that little problem.

Moving on to Bubba... his lungs sounded much better. He still has a lot of crud from the infection, but that is to be expected. Next the dr. said that he wanted to have Bubba on Singulair full time... ummmm, we've been into see you now 3 times in 5 business days and every time we've been here you've said this, but haven't looked in your chart to see that Bubba has been on that full time for 3 years now... and now 3 times I've told you that he is already taking it. WHY DO YOU LOOK SURPRISED? Why are down playing the situation, oh... suddenly, by the quizical look on your face, it is a little more serious now that you know that he has been on a medication that you regularly give to little children when they present asthma symptoms. What now?! His answer was more drugs, and call him in a week. I mentioned his history again (because clearly no one reads the charts anymore), and was pretty clear that I was more than just slightly concerned. I told him that I had researched the next specialist that would handle this, but he assured me that this wouldn't go that far... that he feels like these extra meds will manage things better.

WHAT????
He doesn't want to do any further testing right now, nothing - just see how a pill every morning, a liquid in the morning and at night, and a nose spray once a day... how that will play out. Thankfully I don't need a referral... I haven't made the appointment yet, but let's just say I'm not going to let this go so easily!

Calgon, take me away..................................................................................

4 comments:

nicole said...

I would change doctors. And did you tell the Pedi about the nurse's mistake? That is inexcusable. Seriously, can you change doctors?

MommaLlama said...

I did confront him on Friday's appointment to follow up the vomiting from the night before. His only real statement to that is that they use a service, and it isn't someone specifically associated with his office... and that he knows this happens all the time with these meds. Something he never mentioned in our previous appointment regarding these meds!

And yes we are in the search for a new pedi. Daddio and I made the choice to keep today's appointment because it was Bobcat's well check that has been scheduled for months... but that this was it!

justme said...

Oh, I would be livid! Goodbye, Quack! Hello, anyone else. :)

Elizabeth said...

I second what underthewillow said, word for word. :) What a stressful time!