Wednesday, June 25, 2014
To Change or Not to Change Doctors: Pondering Mae's Latest Appointment
After a solid half hour in the waiting room we'd be escorted back. They'd tell Mae to take of her shoes to be weighed, which would result in hysterical tears and screaming and thrashing for as long as the shoes were off of her feet. There aren't a lot of things that she freaks out about (or that can instantly cause a complete meltdown), but taking off her shoes is at the tippy top of the list. After struggling to get her weight and height I'd put her shoes back on (the screaming would stop, but the crying would likely continue) and carry her back to the exam room to wait another forty five minutes for the doctor.
I'll admit, after last years well check, where they pretty much focused on the fact that my kids were "nearing" the range of being "overweight" and peppered me with questions about their diet, while ignoring the fact that you can actually see the muscles in Mae's stomach because she's so strong, I was not really looking forward to this years appointment... especially since our favorite resident is moving on to her own practice this summer and moving out of state.
We made it to a quiet corner and I pulled out crayons and a coloring book and a pencil (the pencil was the bribe for the appointment because she loves pencils but doesn't usually get to have them outside of therapy because way too many of our books are filled with pencil drawings) and held her on my laps while sitting on the ground, while attempting to get started on the forms with my other hand. It was a shorter wait this time, with only three incidents of attempted climbing of the walls, and when the nurse came out I began to assure Mae that while we needed to take her shoes off to get weighed, we'd put them back on as soon as we were done.
Thankfully, this nurse remembered us and said "you know what, those shoes are so light I don't think they'll make a difference! She can keep them on!" Less fortunately, Mae was already anticipating what was coming and the tears had started (although we did avoid a complete meltdown). After weighing in at 39 lbs and measuring 41 inches we headed back to the room where we got a tearful under arm temperature and sat down to wait for the doctor.
When she tried to climb just about every surface in the room I pointed to a sign on the wall that said "no climbing" and said "look, they even have a sign" and she would stop and smile to herself and I'd have a solid 10 climb free seconds before she made her next attempt.
The doctor came in and I couldn't help but be disappointed because I was secretly hoping that her regular doctor would still be around, but it seems we've been thrown back into the "whatever resident is there" (or basically a new doctor each time) mix. It can be hit and miss.
The doctor of the day came in and was friendly. I had my packets and folders of test results and her various programs with me just in case he needed them. We went over the developmental milestones she was missing (always lovely) and I said "yes, the tests have generally come back putting her at around 18 months" and then found myself explaining what ABA was (I wasn't totally surprised) and what OT is (okay, I'll admit, I started to lose some faith in him), and then found myself being mildly reprimanded because I can't "let her get away with things." The "things" he was thinking of, he explained, was "wasting water," (for my readers from dryer areas, we aren't in any sort of drought here at the moment, after a long intense six month winter it's still raining basically every single day... inches and inches of water that floods the street in front of our house).
Seventy minutes after our scheduled appointment time we were on our way... but I'll admit, I think I need to find a place that's a little more consistent, at least for Mae's appointments. The not knowing what OT is was a little disturbing to me when speaking with a pediatrician... The water comment annoyed me... but not knowing pretty basic information that's pretty important to her treatment has me leaning towards going someplace else.