Does a 12yo “need” a pediatrician?

[Anonymous]

Anonymous wrote:

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.

+1 I got my first ever cholesterol test at age 40. Still kickin.

[Anonymous]

Anonymous wrote:

Anonymous wrote:

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.

+1 I got my first ever cholesterol test at age 40. Still kickin.

My cousin walked out into traffic without looking as a child, and she survived just fine.

Odds and risks are funny things, aren't they?

[Anonymous]

You can transition her to a family medicine doctor and find a woman.

[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.

If she were having heavy periods at one year old, might want to get that looked at.

[Anonymous]

Anonymous wrote:

Anonymous wrote:

Anonymous wrote:

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.

+1 I got my first ever cholesterol test at age 40. Still kickin.

My cousin walked out into traffic without looking as a child, and she survived just fine.

Odds and risks are funny things, aren't they?

When reading this thread I have to remind myself of all the adult posters on this site with health anxiety who are likely transferring it to their kids, too.

[Anonymous]

We have been to two large local DC practices. They both do routine blood work to test for cholesterol, blood sugar, anemia, CBC, etc. I am surprised any practices would go three years during ages 9-12 without doing any of that.

[Anonymous]

Anonymous wrote:

Anonymous wrote:

Anonymous wrote:

Anonymous wrote:

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.

+1 I got my first ever cholesterol test at age 40. Still kickin.

My cousin walked out into traffic without looking as a child, and she survived just fine.

Odds and risks are funny things, aren't they?

When reading this thread I have to remind myself of all the adult posters on this site with health anxiety who are likely transferring it to their kids, too.

Yes, the well-known anxiety of national guidelines and nerdy people who study population health data. Or those of us who get medical degrees and training to care for children in particular.

You found us out.

[Anonymous]

Anonymous wrote:

Anonymous wrote:

Anonymous wrote:

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.

+1 I got my first ever cholesterol test at age 40. Still kickin.

My cousin walked out into traffic without looking as a child, and she survived just fine.

Odds and risks are funny things, aren't they?

The cholesterol checking of children is a relatively new thing and only because so many kids are overweight with terrible diets now. If your kid isn’t overweight, eats balanced and reasonably healthy, and there isn’t a family history of high cholesterol under 30, your child is fine. Even if it was high, no one is putting an 11 yr old on a statin. They will just tell you to clean up their diet and recheck in another yr

[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.

And waht are those signs of anemia you are looking for?

[Anonymous]

Anonymous wrote:

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.

And waht are those signs of anemia you are looking for?

Unusual tiredness, fatigue, dizziness, pallor, compulsion for ice chewing.

[Anonymous]

OP - you seem to have an aversion to finding another pediatrician (female) for your child. If you like in the DMV this should be easy to do. Curious on why you seem to be avoiding finding your daughter a new doctor and getting on with it.

[Anonymous]

I would still want my 12 year old to see a pediatrician. I'd be nervous about a family doctor missing something specific, or just that they wouldn't have the wealth of experience a ped does.

But if you prefer, I think a family doctor would be sufficient.

[Anonymous]

You can find a family practice that has a provider who specializes in pediatrics. Ours has a couple of PAs who do and they’ve been great.

[Anonymous]

Anonymous wrote:

Anonymous wrote:

Anonymous wrote:

Anonymous wrote:

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.

+1 I got my first ever cholesterol test at age 40. Still kickin.

My cousin walked out into traffic without looking as a child, and she survived just fine.

Odds and risks are funny things, aren't they?

The cholesterol checking of children is a relatively new thing and only because so many kids are overweight with terrible diets now. If your kid isn’t overweight, eats balanced and reasonably healthy, and there isn’t a family history of high cholesterol under 30, your child is fine. Even if it was high, no one is putting an 11 yr old on a statin. They will just tell you to clean up their diet and recheck in another yr

How do you explain that the research on risk factors does not support factoring weight in for this (as for other possible tests), but rather a universal screening?

[Anonymous]

Anonymous wrote:

Anonymous wrote:

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.

And waht are those signs of anemia you are looking for?

Unusual tiredness, fatigue, dizziness, pallor, compulsion for ice chewing.

That's pretty extreme anemia. Better to test it before it becomes a problem. It's an extremely minor test.