Does a 12yo “need” a pediatrician?

[Anonymous]

Anonymous wrote:

Anonymous wrote:

Anonymous wrote:Family medicine doctor or pediatrician, either one.

But for god sake, get her to a doctor ASAP. Get her old doc's office to send records to new doc for vax records. She needs her HPV vaccine.

And doesn’t she play any sports? You need a doctor paperwork every 12 months.

Plus schools require vax requirements

What state or country do you live in?

Hm, my DD plays rec sports, no paperwork required.

It's high school sports that require physicals and paperwork. TBH, my son went to urgent care for the sports physical rather than the pediatrician. It's just faster and less fuss that way. (Most urgent care centers offer sports physicals.)

[Anonymous]

Anonymous wrote:

Anonymous wrote:OP, get her to a doctor who treats 12 year olds, whether a ped or a family care doctor.

She is on the cusp of needing three HPV shots instead of 2 (if you wait too long you buy her an extra shot). She is missing scoliosis checks and hearing checks and growth checks and routine blood work. It is past time. Get her in.

She is not on the cusp. If you get the first one before age 15, you only need two. And routine bloodwork? My kids have never gotten routine bloodwork at well visits. For what?

Seriously, your kid has never had routine blood work?! Wow.

This kid is 12 and needs to start the hpv shots within a year or two or she will need three. That’s on the cusp, if she hasn’t been to a doctor since 2019.

[Anonymous]

Anonymous wrote:

Anonymous wrote:

Anonymous wrote:OP, get her to a doctor who treats 12 year olds, whether a ped or a family care doctor.

She is on the cusp of needing three HPV shots instead of 2 (if you wait too long you buy her an extra shot). She is missing scoliosis checks and hearing checks and growth checks and routine blood work. It is past time. Get her in.

She is not on the cusp. If you get the first one before age 15, you only need two. And routine bloodwork? My kids have never gotten routine bloodwork at well visits. For what?

Seriously, your kid has never had routine blood work?! Wow.

This kid is 12 and needs to start the hpv shots within a year or two or she will need three. That’s on the cusp, if she hasn’t been to a doctor since 2019.

No! Neither of my kids have, ages 11 and 14. We’ve been going to the same highly regarded practice since the day they were born and this has never been suggested. What do healthy kids needs routine bloodwork for?

[Anonymous]

Anonymous wrote:

Anonymous wrote:OP, get her to a doctor who treats 12 year olds, whether a ped or a family care doctor.

She is on the cusp of needing three HPV shots instead of 2 (if you wait too long you buy her an extra shot). She is missing scoliosis checks and hearing checks and growth checks and routine blood work. It is past time. Get her in.

She is not on the cusp. If you get the first one before age 15, you only need two. And routine bloodwork? My kids have never gotten routine bloodwork at well visits. For what?

AAP Periodicity Table https://downloads.aap.org/AAP/PDF/periodicity_schedule.pdf?_ga=2.257133707.1209690093.1673523610-1142110371.1670471249
US Preventive Task Force https://www.uspreventiveservicestaskforce.org/uspstf/topic_search_results?topic_status=P

Anemia screening when young, dyslipidemia when older, others as indicated

[Anonymous]

Anonymous wrote:

Anonymous wrote:

Anonymous wrote:

Anonymous wrote:OP, get her to a doctor who treats 12 year olds, whether a ped or a family care doctor.

She is on the cusp of needing three HPV shots instead of 2 (if you wait too long you buy her an extra shot). She is missing scoliosis checks and hearing checks and growth checks and routine blood work. It is past time. Get her in.

She is not on the cusp. If you get the first one before age 15, you only need two. And routine bloodwork? My kids have never gotten routine bloodwork at well visits. For what?

Seriously, your kid has never had routine blood work?! Wow.

This kid is 12 and needs to start the hpv shots within a year or two or she will need three. That’s on the cusp, if she hasn’t been to a doctor since 2019.

No! Neither of my kids have, ages 11 and 14. We’ve been going to the same highly regarded practice since the day they were born and this has never been suggested. What do healthy kids needs routine bloodwork for?

For whatever reason, they are either not following the AAP guidelines, or they don't know about them. That's standard of care.

I'm sure they are great in other ways.

[Anonymous]

I guess you don’t live in DC? When my oldest attended a DC school, we had to visit the doctor every year and even get proof of dental visits!

How can anyone go so long without an annual visit when schools want proof of health situations? I hope you find someone good.

[Anonymous]

Anonymous wrote:

Anonymous wrote:

Anonymous wrote:OP, get her to a doctor who treats 12 year olds, whether a ped or a family care doctor.

She is on the cusp of needing three HPV shots instead of 2 (if you wait too long you buy her an extra shot). She is missing scoliosis checks and hearing checks and growth checks and routine blood work. It is past time. Get her in.

She is not on the cusp. If you get the first one before age 15, you only need two. And routine bloodwork? My kids have never gotten routine bloodwork at well visits. For what?

AAP Periodicity Table https://downloads.aap.org/AAP/PDF/periodicity_schedule.pdf?_ga=2.257133707.1209690093.1673523610-1142110371.1670471249
US Preventive Task Force https://www.uspreventiveservicestaskforce.org/uspstf/topic_search_results?topic_status=P

Anemia screening when young, dyslipidemia when older, others as indicated

Those things are both marked with a star in the first link, which means they only perform bloodwork after a risk assessment. That doesn’t sound routine to me.

[Anonymous]

Anonymous wrote:

Anonymous wrote:

Anonymous wrote:

Anonymous wrote:OP, get her to a doctor who treats 12 year olds, whether a ped or a family care doctor.

She is on the cusp of needing three HPV shots instead of 2 (if you wait too long you buy her an extra shot). She is missing scoliosis checks and hearing checks and growth checks and routine blood work. It is past time. Get her in.

She is not on the cusp. If you get the first one before age 15, you only need two. And routine bloodwork? My kids have never gotten routine bloodwork at well visits. For what?

AAP Periodicity Table https://downloads.aap.org/AAP/PDF/periodicity_schedule.pdf?_ga=2.257133707.1209690093.1673523610-1142110371.1670471249
US Preventive Task Force https://www.uspreventiveservicestaskforce.org/uspstf/topic_search_results?topic_status=P

Anemia screening when young, dyslipidemia when older, others as indicated

Those things are both marked with a star in the first link, which means they only perform bloodwork after a risk assessment. That doesn’t sound routine to me.

Nope, you are incorrect. Those two are clear recommendations, with doing them earlier or later (or additional times) as tied to risk. I will post an image to show you, and pull up the technical recommendations.

A pediatric practice that doesn't know this, or doesn't care, isn't giving their patients standard of care. That's fine. Make your own choices about it. But it doesn't change the reality of the recommendations.

[Anonymous]

Diagnosis and Prevention of Iron Deficiency and Iron-Deficiency Anemia in Infants and Young Children (0–3 Years of Age),
Robert D. Baker, MD, PhD; Frank R. Greer, MD; The Committee on Nutrition.
Pediatrics (2010) 126 (5): 1040–1050.
https://doi.org/10.1542/peds.2010-2576

"The AAP has concluded that universal screening for anemia should be performed with determination of Hb concentration at approximately 1 year of age."

("Hb" is hemoglobin level, which is a lab test.)

SUPPLEMENT ARTICLES| DECEMBER 01 2011
Expert Panel on Integrated Guidelines for Cardiovascular Health and Risk Reduction in Children and Adolescents: Summary Report
Pediatrics (2011) 128 (Supplement_5): S213–S256.
https://doi.org/10.1542/peds.2009-2107C

[Anonymous]

Anonymous wrote:

Diagnosis and Prevention of Iron Deficiency and Iron-Deficiency Anemia in Infants and Young Children (0–3 Years of Age),
Robert D. Baker, MD, PhD; Frank R. Greer, MD; The Committee on Nutrition.
Pediatrics (2010) 126 (5): 1040–1050.
https://doi.org/10.1542/peds.2010-2576

"The AAP has concluded that universal screening for anemia should be performed with determination of Hb concentration at approximately 1 year of age."

("Hb" is hemoglobin level, which is a lab test.)

SUPPLEMENT ARTICLES| DECEMBER 01 2011
Expert Panel on Integrated Guidelines for Cardiovascular Health and Risk Reduction in Children and Adolescents: Summary Report
Pediatrics (2011) 128 (Supplement_5): S213–S256.
https://doi.org/10.1542/peds.2009-2107C

Ah, ok, thanks. Sorry I missed those dots. So in regards to the OP, her kid would have missed a single cholesterol screening. Somehow I think they’ll be ok.

[Anonymous]

Your easiest option would be to see a female provider at your current office.

If that is not an option, find another doctor, can be family practice or pediatrician.

Schedule a well visit and they ill get her up to date on vaccinations for middle school.

[Anonymous]

Anonymous wrote:

Anonymous wrote:

Diagnosis and Prevention of Iron Deficiency and Iron-Deficiency Anemia in Infants and Young Children (0–3 Years of Age),
Robert D. Baker, MD, PhD; Frank R. Greer, MD; The Committee on Nutrition.
Pediatrics (2010) 126 (5): 1040–1050.
https://doi.org/10.1542/peds.2010-2576

"The AAP has concluded that universal screening for anemia should be performed with determination of Hb concentration at approximately 1 year of age."

("Hb" is hemoglobin level, which is a lab test.)

SUPPLEMENT ARTICLES| DECEMBER 01 2011
Expert Panel on Integrated Guidelines for Cardiovascular Health and Risk Reduction in Children and Adolescents: Summary Report
Pediatrics (2011) 128 (Supplement_5): S213–S256.
https://doi.org/10.1542/peds.2009-2107C

Ah, ok, thanks. Sorry I missed those dots. So in regards to the OP, her kid would have missed a single cholesterol screening. Somehow I think they’ll be ok.

My pleasure.

I would be more concerned about missing the anemia screening.

[Anonymous]

Anonymous wrote:

Anonymous wrote:

Anonymous wrote:

Diagnosis and Prevention of Iron Deficiency and Iron-Deficiency Anemia in Infants and Young Children (0–3 Years of Age),
Robert D. Baker, MD, PhD; Frank R. Greer, MD; The Committee on Nutrition.
Pediatrics (2010) 126 (5): 1040–1050.
https://doi.org/10.1542/peds.2010-2576

"The AAP has concluded that universal screening for anemia should be performed with determination of Hb concentration at approximately 1 year of age."

("Hb" is hemoglobin level, which is a lab test.)

SUPPLEMENT ARTICLES| DECEMBER 01 2011
Expert Panel on Integrated Guidelines for Cardiovascular Health and Risk Reduction in Children and Adolescents: Summary Report
Pediatrics (2011) 128 (Supplement_5): S213–S256.
https://doi.org/10.1542/peds.2009-2107C

Ah, ok, thanks. Sorry I missed those dots. So in regards to the OP, her kid would have missed a single cholesterol screening. Somehow I think they’ll be ok.

My pleasure.

I would be more concerned about missing the anemia screening.

Unless my daughter was experiencing heavy periods or otherwise showing signs of anemia, it would never cross my mind.

[Anonymous]

Anonymous wrote:

Anonymous wrote:

Anonymous wrote:

Anonymous wrote:

Diagnosis and Prevention of Iron Deficiency and Iron-Deficiency Anemia in Infants and Young Children (0–3 Years of Age),
Robert D. Baker, MD, PhD; Frank R. Greer, MD; The Committee on Nutrition.
Pediatrics (2010) 126 (5): 1040–1050.
https://doi.org/10.1542/peds.2010-2576

"The AAP has concluded that universal screening for anemia should be performed with determination of Hb concentration at approximately 1 year of age."

("Hb" is hemoglobin level, which is a lab test.)

SUPPLEMENT ARTICLES| DECEMBER 01 2011
Expert Panel on Integrated Guidelines for Cardiovascular Health and Risk Reduction in Children and Adolescents: Summary Report
Pediatrics (2011) 128 (Supplement_5): S213–S256.
https://doi.org/10.1542/peds.2009-2107C

Ah, ok, thanks. Sorry I missed those dots. So in regards to the OP, her kid would have missed a single cholesterol screening. Somehow I think they’ll be ok.

My pleasure.

I would be more concerned about missing the anemia screening.

Unless my daughter was experiencing heavy periods or otherwise showing signs of anemia, it would never cross my mind.

Agree.

We go to an excellent pediatric office and the only blood work they ever did was the cholesterol level at 11. It wasn't a full blood panel, just the cholesterol. I don't find that to be very essential. If you get it at 11 vs 13 and your child isn't high risk, big deal.

[Anonymous]

My pediatrician's office has an adolescent medicine department. My 13 yo just transitioned from the regular pediatricians to adolescent medicine.