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Subject: Kelly,Has Jason learned his lesson yet?


Author:
Denise R.N.
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Date Posted: Thursday, April 26, 2012, 07:21: pm
In reply to: Medical Assistant (MA) Check 's message, "Re: Small Town Doctor" on Saturday, August 08, 2009, 10:46: am

I do realize that this is an old post that I'm responding to but I can't help to wonder how your son's doctor visits are going now close to 3 years later.I worked in a pediatric practice out in Dayton Ohio during the 1960s that had the same kind of set up as the office you took him to.Anyhow,although the normal cut off age was 8 years old for taking a child's temperature rectally,I was by no means shy about directing an older boy or girl to the table for a rectal if they were loud,boisterous or just overall naughty in the way they conducted themselves in the waiting room.To this day I have no regrets about putting them on display and humiliating them like that.If an 11 or 12 year old boy or girl was up on that table,everyone in the office got to watch and knew that child deserved the treatment they were getting.Most of the time that same boy or girl was much better behaved at their next scheduled visit.I think you should keep going to that office with the table for all to see as an just to remind him to behave himself.

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[> [> [> [> [> [> Subject: Re: Kelly,Has Jason learned his lesson yet?


Author:
John Betten MD Omaha, Ne
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Date Posted: Saturday, May 05, 2012, 12:26: pm

I agree with Denise, anytime a child comes in my office, they better act their age or my staff has been trained to treat the patient the same way with the parent consent. Same for any and all injections, They usually can be adminstered via arm, buttocks, or thigh. I have given a 17 year old girl a tenatus shot in the bottom because she wouldn't cooperate with the nurse.

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[> [> [> [> [> [> Subject: Re: Kelly,Has Jason learned his lesson yet?


Author:
Martin
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Date Posted: Monday, September 17, 2012, 03:54: am

I know of one youth clinic that still used the glass thermometer for taking temperatures about 3 months ago. It is kind of run down but the costs are reasonable. The low standard of living in which the community where the clinic sits may have something to do with a lack of concern by the parents.

I visited my cousin who has an 8 year old son who got a rectal temprature on a table right in front me at home, I found out that's how he gets his temperature taken in the clinc as well. He had a caugh but the reason for the rectal temp was because he could not be trusted to keep a glass thermometer having to do with his intellectual capacity (probably a little less than average).

I took him there the next day while his mom was at work. He was not the only one to get a rectal temp either because I saw it done to some kids, 2 boys and a girl, about his age or a little older. They all put up a fuss but the MA did a good job at proceeding as though they did not say anything. Then again for followup visits.

I think there is a mindset that says that it does not matter if a kid, where he has to have his/her backside uncovered for some reason because overall it is in his best interest. The important thing is that the patient gets a temperature reading. I did ask why they still used glass thermometers and the response was they have been using them for a long time and had no reason to change. The MA was satisfied with continuing using the instrument. It is too bad I could not stayed there longer.

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