|
Choosing a doctor for your child is
a task that deserves a lot of thought
and some amount of research, because
even if your child stays relatively
healthy, you can bet on spending a
significant amount of time in your
paediatrician's office - Height, weight
check-ups, colic, vaccination shots,
foreign objects placed in nasal orifices,
bumps and bruises
So making
sure that you've got the right doctor
for your child is absolutely imperative.
And once chosen, the ideal is to maintain
continuity in the child-paediatrician
relationship.
Ask
for recommendations from your gynaecologist
and friends. Once you have a few names,
you'll need to list your own priorities
- the tangibles and the slightly less
tangibles. The tangible aspects are
those practical things that will make
visits and interactions with the doctor
and office more enjoyable and practical.
Philosophy is a somewhat intangible.
Different ways of looking after the
health and rearing of children are
not right or wrong, just different.
Therefore, it is important that your
philosophy and way of doing things
are compatible with your paediatrician's.
It's
a good idea to meet up some baby doctors
before the baby is born. When you
call to make the appointment ask how
much time you'll have with the physician,
so that you can pace your questions.
Have your questions written down,
and take someone with you -- your
partner or a friend.
Here's a list of common questions,
the answers to which will help you
decide
A
male or a female paediatrician?
Actually
it makes no difference, unless it
makes a difference to you. In medical
school, paediatricians are trained
to care for patients of the opposite
sex - it's a vital part of their education.
Some parents worry that they should
change to a same-sex paediatrician
when the child hits a certain age,
but a male paediatrician can just
as adequately care for adolescent
female patients as a female paediatrician
can. In most cases, it is the parent
and not the child who makes an issue
of the choice. And it is important
to keep in mind the continuity factor.
The comfort factor of the child should
be kept in mind, if he/she is feeling
uncomfortable, the change should be
done, not otherwise.
Age of the doctor?
Before
you wipe off all paediatricians under
50 from your list, consider continuity
and the importance of being up-to-date
- the most important thing is that
your paediatrician should be well
qualified and up to date with the
latest treatments and theories.
How far is his/her clinic?
The
doctor's office should be conveniently
located. It makes sense to opt for
a less-famous option closer to home
than a famously brilliant doctor twenty
kilometres away. This is particularly
true if your child is under the age
of one, since frequent visits are
a hallmark of the first year of life.
Check up about the after-hours
system.
It
is important to know certain things
about the clinic. Like how early does
the office open, how late does it
close and do they have weekend and
holiday hours. Evening hours may be
absolutely necessary for you, especially
if you are a single parent
How long do you have to wait in
the office and also the scheduled
length of his appointments?
Is
there a sick-child waiting room and
is it nice with enough toys to make
the wait less painful?
How much the doctor charges and
how are the bills handled?
Some
of the doctors take payment on each
visit, others bill you. You should
inquire about how this is handled
and all the more if you are dependent
on insurance.
Where does the doctor have hospital
facilities?
Should
your child need to be hospitalised,
you should be comfortable with the
hospital where your doctor attends.
If laboratory tests are needed, can
they be done right in the office or
will you have to go elsewhere to have
them done?
Who covers for the physician when
she is sick or on vacation?
It
is important to ensure there is a
well chalked back up system. Acquaint
yourself with the doctor who acts
as the back up also.
Philosophy
It's
important to get some sense in advance
of how much a baby doctor and you
agree on child rearing. Otherwise,
if you disagree often, you'll probably
change baby doctors later anyway.
Discuss
- Breastfeeding
If
you are very eager to breast feed
or have strong feelings about how
long you want to breastfeed, you will
want a physician who knows a lot about
the subject and is supportive.
His
opinion about infant circumcision
and vaccinations. Also asking about
their immunisation rates would not
be improper. His philosophy about
antibiotics or other medication for
children who have colds or other ailments.
When your child gets a cold which
does not require antibiotics, you
do not want a physician who is all
too ready to give them to you for
no good reason. His recommendation
about babies sleeping in the same
bed with their parents and about weaning.
So do not rely just on the word of
the mouth, do your homework to ensure
that you get a doctor who's good for
your child. Ultimately that is the
objective.
|