Friday, January 8, 2010

2 month appointment: shots, why I hate physicians assistants, and how I almost decked an 80 year old woman in the exam room!

We had the 2 month appointment today and HL did awesome with the shots, he only cried for a moment and then he was fine. He's actually sleeping at the moment so we shall see how the night progresses.

STATS: He is now 21 1/4" long which is the 3rd percentile. He is 9 # 9 ounces which is roughly the 10th percentile and his head circumference is 15 1/4" which is the 20th percentile. All is looking good!

I asked about the colic and got the traditional, "OH 3 months is the magical number" answer, nothing else. I asked about putting rice cereal in his bottle to help with the reflux and she proceeded to tell me that I was feeding him too much. HOLD UP.... what?? He eats 4-6 oz. every 4 hours. According to the Similac feeding chart this is right on track yet OLD doctor lady says he should be eating 3-4 oz every 3 hours. So what gives?? Peach... yes that was her name... goes on to tell me that our child probably doesn't have reflux at all and could be taken off of medication because we're just feeding him too much. UH NO... sorry sweetheart... he pukes HOURS after eating and spits up all day long, that's the definition of reflux. And he did this when we gave him 3 oz, 4 oz, 5 oz, it doesn't matter what amount he does the same thing. Not to mention the poor kid would scream worse if I cut his food intake in HALF, trust me I've tried it, the kid is hungry and therefore, I feed him. He stops when he's full. She asked if he cries when he spits up and I said, well not really I guess, and she went on to say that "we call them Happy Spitters" they just spit up that's all. She refused to listen to me when I told her that it's hard to say if he cries after he spits up or pukes because the child cries ALL. DAY. LONG.... I have no idea why he's crying, it could be the reflux, it could be something else how the hell should I know.  And this is where Ms. Peach lost me as a patient forever....

Peachy goes on to tell me that I just need to let the babe cry. "Oh just let him cry, swaddle him up and put him in another room. He can cry all he wants to" I told her that I carry him around in the sling and he usually calms down and she jumps to interrupt me telling me that I should NOT do this because he's going to learn that he can only fall asleep if someone holds him and that he will never learn to self soothe. Ok I get the reasoning here but the rules have to be bent when you have colic to deal with. If the kid will stop screaming briefly while I walk him around in a carrier, your DAMN right I'm going to do that, as often as it takes!! The child sleeps just fine on his own without being held IF he's not screaming his head off. And I said well I'm not going to just let him cry, the child cries for 15 hours a day!! You know what she tells me??!! "OH turn on some music, go in another room and learn to distract yourself" WHAT. THE. EFF??? Sure I'm going to let my kid scream for 15 hours a day and just IGNORE IT haaaa. Sure ignore it for 9 weeks straight, is she effing insane... obviously!! I'm so sure that he would learn to soothe himself if I do this, nevermind the colic, he'd figure it out right?! Let him cry..... for 15 hours straight.... my jaw was on the floor ha at this point I was fuming pissed, it was everything I had not to tell the 80 year old hag where to shove her medical degree.

I can't even find the words here to describe how this appointment went. The lady was telling me that HE is fine, it's ME that has the problem because I can't deal with his crying and so the magical "fix" for his colic is to learn to "get over it" and deal with the screaming. Wow there were so many things wrong with this appointment I literally can't remember them all. Telling me to let my 2 month old Cry It Out... I THINK NOT honey... a 2 month old doesn't have the cognitive ability to modify their behavior based on feedback. If you don't attempt to comfort them when they cry they learn not to trust you, crying is their ONLY form of communication at this point and I find it hard pressed to think that my 2 month old baby is manipulating me by crying so that I will just hold him all day long. I mean doesn't that sound CRAZY, a 9 week old with the understanding of manipulation.... oh dear god. This crochety old hag, Peachy, needs to pick up a modern textbook before she goes preaching advice. And did I mention that she was a Physicians Assistant? I have NO use for PA's, they think they know it all, they're worse than EMT's, they could care less about finding a solution for you they just want you in and out the door. (I apologize to any PA's out there who don't act this way but this is my experience from working in the medical field.)

Needless to say we won't be seeing Peachy crochety 80 year old lady PA her "Hagness" again... ugh... so I got no answers for my questions. Instead I guess I'll have to play doctor myself (as usually happens) and introduce the rice cereal to see if it helps with the reflux and get myself in to see a pediatric GI without a referral.

4 comments:

Diana said...

Your Dr. is insane. Who would tell someone to let their 2 month old just cry it out? Awful. I am so sorry.

Kelly said...

OMG! Go read mt last post, I think we are living the same life!

Jessica said...

so if it was a 2 month appointment, shouldn't you have seen a doctor? all you talk about is a pa.
also, how you're supposed to know what your baby's cries mean... check out "dunstan baby language"

Momma Maven said...

yes the PA's can also see patients just like a doctor... much to my disapointment! We did use the Dunstan baby language and I loved it, it worked really well for a week and then the colic hit and now there is no possible way to distinguish the crying! It's relentless and all day long, it all sounds the same and it doesn't change no matter what we do...

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