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Pediatric Care reviews in Montgomery

  • F
    On the plus side: Washingtonville Pediatrics is one of the only practices around that does not accept patients whose parents refuse to vaccinate.  I very much respect their stance on this, and it was the reason I continued to go to the practice for as long as I did.
    Unfortunately, my issues with this clinic can be summarized as follows: a) that you rarely see the same doctor twice, so they do not get to know you or your child; b) that there is no follow-up; c) that the doctors are inaccessible for patient questions; d) that the doctors will not engage parents in discussions concerning treatment options.
    My story: My daughter was diagnosed at 4 months old with a fairly common medical condition.  The Doctor we saw at the well visit (who I will call Doctor #1) diagnosed the condition and wrote my daughter a prescription.  There was no discussion at the time concerning what type of medication they were prescribing or potential side effects, leaving me to believe that it was just a  'harmless' cream.  I was extremely concerned, therefore, after going to the pharmacy, and finding out it was a very dangerous medication with various potential side effects.  
    After conducting some research about both the medication and the condition itself -- which various studies in pediatric and specialty medical journals suggested that in the VAST MAJORITY of cases (over 90%) was self-correcting with time/age -- I tried to call the Doctor to discuss my concerns.  My call was returned by a nurse, who told me they had spoken to Doctor #1 for me, and that Doctor #1 said to simply keep using the medication as prescribed.  End of discussion.   
    I therefore contacted my own specialist, to ask his opinion on the medication.  HE called me back within ten minutes and said I should never use that medication on an infant, unless the case was extremely bad (it wasn't - my daughter had no problems or symptoms because of it, and it was a mild version of the issue) and that it could have major long-term consequences.  I threw the medication out.
    At the next visit, I coincidentally got the same Doctor #1.  THERE WAS NO FOLLOW-UP.  Now, I am a reasonable person, and I do not expect you to remember me and my child out of the hundreds of people you see.  But I DO EXPECT you to LOOK AT MY CHILD'S CHART at least as far back as the LAST VISIT.  Instead, Doctor #1 "discovered" my daughter had this medical condition (again), and TRIED TO WRITE ME THE SAME PRESCRIPTION.  I turned it down.
    At the next visit, we have another Doctor - Doctor #2.  Once again, Doctor #2 DID NOT LOOK AT MY CHILD'S CHART.  Instead, they also "discovered" my daughter had this medical condition and TRIED TO WRITE ME THE SAME PRESCRIPTION.  This time, I informed Doctor #2 that I had too many concerns about the prescription, as did my specialist.  This brought on a FIVE MINUTE LECTURE from Doctor #2 (probably the most time any of them had spent with myself and my daughter in the 9 months we had been going there) about how I SHOULD NEVER CONSULT an "adult" doctor about my child, and how because they are PEDIATRICIANS, they are the ONLY ONES who should be consulted.  She did not bother to ask: a) who this doctor was (a professor of medicine at Mt. Sinai), b) what his specialty was (he's one of the world's renown experts in this particular field AND lead author on the major study concerning LONG TERM EFFECTS OF THE MEDICATIONS LIKE THE ONE THEY PRESCRIBED MY DAUGHTER) and c) whether he even treats children and adolescents (he does.) Instead, I got a huge lecture on why I was WRONG for asking his opinion, when no one at Washingtonville would answer my call.
    Finally, Doctor #2 decided that if I wasn't going to use the medication, the I needed to essentially assault my daughter's body to correct the condition forcibly.  When I expressed that I was uncomfortable with this, she tried to strong-arm me with horror stories about what "could" happen if I didn't.  Fortunately, I had done enough research on the condition at this point, so that I knew that it was a VERY SMALL PERCENTAGE of cases where any of these scenarios happened (even she admitted she had seen it "only once" in 38 years.) So I decided to roll the dice, NOT assault my kid, and find a new pediatrician.
    P.S. - a month later, as the medical journals had predicted, my daughter's condition corrected itself.  Without the use of dangerous drugs or force.  Imagine that.
    - Mariah A.
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Pediatricians in Montgomery

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