A pediatrician visit question

[Anonymous]

We recently moved to a new area and I went online to find recs for a pediatrician. There was an office 10 mins away and the website showed the shiny and new facility with the 2 beautiful and brainy pediatricians. We made an appt and got in with a same day appt. Walked in and then were called within 7 mins. So far it seems like a dream. The facility was really clean and nice. The nurse was nice and took my DD height and weight as usual. She asked the usual pre questions before the doctor comes in. Everything was going well.

Then, we meet the doctor and my first impression is that she is really smart and incredibly nice. But we are here for a very simple condition that takes a urine sample to diagnose. I tell her the symptoms, my daughter tells her the symptoms. We told her the symptoms! Towards the end of the visit, she says that she will call latest the next day with the lab results/script. I honestly don’t think anything about it. It was a nice visit and I assume the prescription will be sent and I’ll receive a call the next day. My daughter is clearly exhibiting active symptoms and we’ve both told the doctor about them.

Next day comes and goes, the following morning she calls and tells me that the test came back negative and my DD does not need medicine.

But, she is still having the same or similar symptoms, now 1-2 days later that we explained to the doctor. That day, we take her to urgent care at night to basically see if she is ok. They do the same urine test and confirm she has the common infection and prescribe meds. Now she is on the mend and all is well.

Now, would you as a first time patient find a different pediatrician, consider this a fluke urine test? Consider the pediatrician crazy for not going ahead and prescribing medication?

[Anonymous]

I’d actually notify them as a follow up. “We wanted you to know that we came in Thursday for a possible bladder infection, and were told to go home and results were negative. Larla was still uncomfortable so we went to urgent care and she tested positive and is now doing much better on Name of Medication. We wanted to ask if there is anything we can do in the future if these signs show up?”

[Anonymous]

Anonymous wrote:I’d actually notify them as a follow up. “We wanted you to know that we came in Thursday for a possible bladder infection, and were told to go home and results were negative. Larla was still uncomfortable so we went to urgent care and she tested positive and is now doing much better on Name of Medication. We wanted to ask if there is anything we can do in the future if these signs show up?”

This. Or if you’re thinking their lab somehow missed the infection, ask about that. Say, “DD was still having symptoms the next day so we went to urgent care, and she tested positive for a UTI. I’m trying to figure out what happened. Could the lab you use have missed it?” Ask them whatever it is you’re thinking before you switch doctors. Give them a chance to explain and see if you buy the explanation.

[Anonymous]

Anonymous wrote:

Anonymous wrote:I’d actually notify them as a follow up. “We wanted you to know that we came in Thursday for a possible bladder infection, and were told to go home and results were negative. Larla was still uncomfortable so we went to urgent care and she tested positive and is now doing much better on Name of Medication. We wanted to ask if there is anything we can do in the future if these signs show up?”

This. Or if you’re thinking their lab somehow missed the infection, ask about that. Say, “DD was still having symptoms the next day so we went to urgent care, and she tested positive for a UTI. I’m trying to figure out what happened. Could the lab you use have missed it?” Ask them whatever it is you’re thinking before you switch doctors. Give them a chance to explain and see if you buy the explanation.

Ok, but we are in agreement that somewhere along the line there was a mistake. Here is what I’m wondering, if we tell a doctor “my hand is bleeding” and the doctor can see it is but then says “we have to spend the blood sample to the lab”. Then the lab results come back and it’s negative. The doctor was in the room with you, saw the bleeding hand and then called and said the results were negative. I cant prescribe meds or help you. The disconnect there is annoying me.

[Anonymous]

Anonymous wrote:

Anonymous wrote:

Anonymous wrote:I’d actually notify them as a follow up. “We wanted you to know that we came in Thursday for a possible bladder infection, and were told to go home and results were negative. Larla was still uncomfortable so we went to urgent care and she tested positive and is now doing much better on Name of Medication. We wanted to ask if there is anything we can do in the future if these signs show up?”

This. Or if you’re thinking their lab somehow missed the infection, ask about that. Say, “DD was still having symptoms the next day so we went to urgent care, and she tested positive for a UTI. I’m trying to figure out what happened. Could the lab you use have missed it?” Ask them whatever it is you’re thinking before you switch doctors. Give them a chance to explain and see if you buy the explanation.

Ok, but we are in agreement that somewhere along the line there was a mistake. Here is what I’m wondering, if we tell a doctor “my hand is bleeding” and the doctor can see it is but then says “we have to spend the blood sample to the lab”. Then the lab results come back and it’s negative. The doctor was in the room with you, saw the bleeding hand and then called and said the results were negative. I cant prescribe meds or help you. The disconnect there is annoying me.

OK, I don’t know what you want from us. Yes, we agree with you that there was a mistake or a disconnect. So, I guess you can deposit that agreement in your bank account or something? If you’ve lost confidence in this practice, walk away. If you want to give them a chance to explain, apologize, and assure you that they will take steps to do better in the future, then contact them and let them know about this update.

Like, what else are you looking for from DCUM? Do you have a GoFundMe set up for your pain and suffering? I’ll contribute $5 if you share the link.

[Anonymous]

Peds are less likely to just prescribe antibiotics like they did when we were kids. Because they become less effective each time. In this situation, I could see my ped not prescribing meds for a negative lab test.
I’d tell them about the urgent care and results. But I wouldn’t write them off over this common best practice.

[Anonymous]

If you don’t trust the practice, move on. And next time, ask around for recommendations and don’t be swayed by “shiny new facilities” and “beautiful” doctors.

[Anonymous]

Anonymous wrote:Peds are less likely to just prescribe antibiotics like they did when we were kids. Because they become less effective each time. In this situation, I could see my ped not prescribing meds for a negative lab test.
I’d tell them about the urgent care and results. But I wouldn’t write them off over this common best practice.

+1
I totally understand why they wouldn't write a script for antibiotics for a patient presenting with these symptoms for the first time. There was a mistake somewhere, but doctors don't, and shouldn't, hand out antibiotics "just in case."

[Anonymous]

Anonymous wrote:If you don’t trust the practice, move on. And next time, ask around for recommendations and don’t be swayed by “shiny new facilities” and “beautiful” doctors.

It is a little funny that OP found those things inspired confidence. Like, I don't care if my doctor's a total hag or the building is older. An OP acknowledges that a UTI requires a urine sample to diagnose.

[Anonymous]

Our ped definitely doesn’t prescribe meds if DC doesn’t test positive. We have had rapid strep tests come back negative and the two day test comes back positive. By then, DC is in a lot of pain. The urgent care will give medicine without a positive test. So will the virtual doctor. If we are 90% sure, because we have been there/done that, we use the virtual visit. We use ped for bigger issues, annual exams, vaccines, referrals, etc.

I would not be upset, OP, because I think this is good modern medicine practice. It may have been different if they had known your daughter for years, have seen her symptoms for this particular issue, etc. Definitely follow-up with them as PPs mentioned.

[Anonymous]

Anonymous wrote:Peds are less likely to just prescribe antibiotics like they did when we were kids. Because they become less effective each time. In this situation, I could see my ped not prescribing meds for a negative lab test.
I’d tell them about the urgent care and results. But I wouldn’t write them off over this common best practice.

This simply is not true.

The principle cause of antibiotic resistance is the appallingly excessive industrial-scale use of antibiotics in the commercial meat industry.

[Anonymous]

Anonymous wrote:Our ped definitely doesn’t prescribe meds if DC doesn’t test positive. We have had rapid strep tests come back negative and the two day test comes back positive. By then, DC is in a lot of pain. The urgent care will give medicine without a positive test. So will the virtual doctor. If we are 90% sure, because we have been there/done that, we use the virtual visit. We use ped for bigger issues, annual exams, vaccines, referrals, etc.

I would not be upset, OP, because I think this is good modern medicine practice. It may have been different if they had known your daughter for years, have seen her symptoms for this particular issue, etc. Definitely follow-up with them as PPs mentioned.

I agree with this. The test the Dr ran came back negative and she acted accordingly.

[Anonymous]

Anonymous wrote:

Anonymous wrote:Our ped definitely doesn’t prescribe meds if DC doesn’t test positive. We have had rapid strep tests come back negative and the two day test comes back positive. By then, DC is in a lot of pain. The urgent care will give medicine without a positive test. So will the virtual doctor. If we are 90% sure, because we have been there/done that, we use the virtual visit. We use ped for bigger issues, annual exams, vaccines, referrals, etc.

I would not be upset, OP, because I think this is good modern medicine practice. It may have been different if they had known your daughter for years, have seen her symptoms for this particular issue, etc. Definitely follow-up with them as PPs mentioned.

I agree with this. The test the Dr ran came back negative and she acted accordingly.

Is the virtual doctor different than your regular pediatrician? Where does one find this virtual doctor?

[Anonymous]

Anonymous wrote:

Anonymous wrote:

Anonymous wrote:Our ped definitely doesn’t prescribe meds if DC doesn’t test positive. We have had rapid strep tests come back negative and the two day test comes back positive. By then, DC is in a lot of pain. The urgent care will give medicine without a positive test. So will the virtual doctor. If we are 90% sure, because we have been there/done that, we use the virtual visit. We use ped for bigger issues, annual exams, vaccines, referrals, etc.

I would not be upset, OP, because I think this is good modern medicine practice. It may have been different if they had known your daughter for years, have seen her symptoms for this particular issue, etc. Definitely follow-up with them as PPs mentioned.

I agree with this. The test the Dr ran came back negative and she acted accordingly.

Is the virtual doctor different than your regular pediatrician? Where does one find this virtual doctor?

This is the solution I need because who in their right mind wants to wait in a crowded urgent care center until 9:50pm?

[Anonymous]

Anonymous wrote:

Anonymous wrote:

Anonymous wrote:Our ped definitely doesn’t prescribe meds if DC doesn’t test positive. We have had rapid strep tests come back negative and the two day test comes back positive. By then, DC is in a lot of pain. The urgent care will give medicine without a positive test. So will the virtual doctor. If we are 90% sure, because we have been there/done that, we use the virtual visit. We use ped for bigger issues, annual exams, vaccines, referrals, etc.

I would not be upset, OP, because I think this is good modern medicine practice. It may have been different if they had known your daughter for years, have seen her symptoms for this particular issue, etc. Definitely follow-up with them as PPs mentioned.

I agree with this. The test the Dr ran came back negative and she acted accordingly.

Is the virtual doctor different than your regular pediatrician? Where does one find this virtual doctor?

Dp. My insurance, BCBS, has a virtual doctor option. We can get same day appointments,