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Daugther keeps getting sprained ankles-Ortho won't see kids

 
 
Linkat
 
Reply Mon 1 Aug, 2016 10:48 am
Anyone have difficulty with this - My daughter has repeated sprains. She is 13. She has been seen by a physician assistant. Since this will be her third sprain, I would like her to be seen by a doctor. I got a referral from her primary and the orthopedics there will only allow her to be seen my a physician assistant because she is under 18. I argued that my older was seen by a doctor. They looked her up and then said oh, he will see them if they are 17.

BS I think. I am trying to find a Doctor to see her. Been on hold with my insurance searching for some doctor to see her that is within 15 miles. I can get one but it would be over an hours drive.
 
ossobucotemp
 
  1  
Reply Mon 1 Aug, 2016 10:56 am
@Linkat,
I have no idea if there are pediatricians who specialize in orthopedics but it might be worth a look around, as your area of Massachusetts has some of the best doctors in the world, at least by reputation.

On second thought, maybe it is only your Ortho's practice that follows that mode.
ehBeth
 
  5  
Reply Mon 1 Aug, 2016 11:41 am
@ossobucotemp,
Paediatric orthopaedics is a full-on specialty area.

Treatment for people who haven't finished growing can be very different than it is for adults.

Massgeneral has a children's ortho department.

http://www.massgeneral.org/ortho-childrens/about/

http://www.massgeneral.org/ortho-childrens/conditions-treatments/strains_and_sprains.aspx
Linkat
 
  2  
Reply Mon 1 Aug, 2016 01:20 pm
thanks all - I called my insurance carrier directly as I wanted to get someone in the network otherwise you pay and arm and a leg (goes well with the topic).

The difficulty comes in to find one that is within your network ---

I did point out to them that there is a Boston Children's Hospital satellite office a couple of towns over from me (they didn't have this listed on their website - but I know it is in the network because my older daughter went to their emergency room when she got a concussion). The main Boston Children's is listed as in the network on the website.

They found a doctor that fit the bill - that does come once a week to this branch - thank goodness as it would be much easier and less costly for travel than going into Boston. So I by pushing it and having a very helpful person on the phone I was able to find one close by.
Linkat
 
  1  
Reply Mon 1 Aug, 2016 01:23 pm
@Linkat,
And do you find it odd then that within the same office, they have a physician assistance that will see children, but not an actual doctor?

I think that is the kicker. How could someone with less education/experience be able to handle children, but a doctor refuses?
Blickers
 
  0  
Reply Mon 1 Aug, 2016 01:30 pm
@Linkat,
Quote Linkat:
Quote:
And do you find it odd then that within the same office, they have a physician assistance that will see children, but not an actual doctor?

Absolutely, that is odd, for the reasons you state.

Maybe it's some sort of insurance thing? Most weird things seem to be insurance things these days.
ehBeth
 
  2  
Reply Mon 1 Aug, 2016 01:33 pm
@Linkat,
Maybe ask about the PA's qualifications. They might have done a paediatric specialty.
ossobucotemp
 
  1  
Reply Mon 1 Aug, 2016 01:42 pm
@ehBeth,
I'm fairly uninformed, except when I read this and that, about pediatrics but I did have a pal in the 70's who was a pediatrician with particular interests that she explored, immunology being one of them, so it makes sense to me that some pediatricians are specialists.
0 Replies
 
ossobucotemp
 
  1  
Reply Mon 1 Aug, 2016 01:48 pm
@Linkat,
I have friends who have been nurse practitioners and I will pump for at least my friends; one was a Red Cross emergency person..

Anyway, re the doctor refusing, I take it as a place he didn't want to go, re what ehBeth said, the differences in practice choices in those practices. I'm guessing he is younger and doesn't know it all yet or is older and tired as it is.
ossobucotemp
 
  1  
Reply Mon 1 Aug, 2016 01:53 pm
@ehBeth,
That too.. I should have thought of that.
0 Replies
 
Linkat
 
  1  
Reply Mon 1 Aug, 2016 01:54 pm
@ossobucotemp,
Well the one doctor I know is older -- not young and not real older but with a good amount of experience as he worked with my older daughter when she 16/17. He was good and ordered an MRI and sent her right away to PT - she had no further problems. My younger daughter seeing the PA for her knee gave her a brace and crutches. No MRI, no PT. She has had issues since. Spraining her ankle afterwards with a similar recommendation. I suggested PT - he said she didn't need it. But I called and got her PT.

This time I pushed to get her a doctor rather than the PA after being hurt off and on for 6 months. Hopefully she can help her get her on her feet or ankle as is more correct.
0 Replies
 
ossobucotemp
 
  2  
Reply Mon 1 Aug, 2016 01:55 pm
@Blickers,
Sometimes people with specialties can know more than actual doctors. People vary, including doctors.
0 Replies
 
 

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