My primary problem with them was that they do not seem to care about the pain or emotional state of babies, simply because they "won't remember this anyway" (a direct quote from one of the nurses.) I call this Bill Cosby date rape logic. Here are some examples:
1. When my daughter needed a shot, I asked if I could nurse her during it to help alleviate the pain (I had read from many reliable sources that this is a thoroughly studied method of pain management during shots for infants.) The doctor said yes emphatically. My baby didn't even stir when she got the needle. The next time I had a different pediatrician within the same practice, and the nurse told me no, because she might "asperate" or I might jerk her. Not only that, but I wasn't allowed to hold or even touch my baby while she got her shot, so she was lying naked on a cold table without comfort getting hurt by a stranger for reasons she didn't understand -- imagine what this would feel like as an adult! The next time she needed shots I said I would switch care providers if not allowed to nurse her during the shots. Only after a lot of argument and another doctor stepping in to advocate for me did they give in, but the same nurse insisted that she had been doing her job for decades and my baby WOULD asperate. It went off without a hitch once again and my baby didn't even whimper. This is a very well documented method and anyone who kept up with the current research in their profession would know that.
2. They take temperature rectally. The nurse was rough and didn't allow me to hold my baby during it. She insisted rectal is the "only accurate way to do it." The gasp of pain, distress and fear on my baby's face was terrible to watch. My new doctor doesn't take temperatures this way and does as much of the exam as possible with her sitting on my lap without me having to ask.
3. My daughter hated being laid naked on her back on the scale, so I brought a soft blanket with me. I explained to the nurse that we could just hit tare on her scale after we put the blanket on it and that the scale would then adjust for the weight of the blanket. She insisted this wouldn't work but allowed me to hit the tare button with an air of "I'm looking forward to you being wrong." It worked exactly as I had described, and the nurse seemed nonplussed. My baby didn't cry.
My new pediatrician knows this trick already.
4. Being brand new parents, we didn't bring enough diapers to the first visit. When I asked if they had a diaper, they said no in a manner that conveyed that what I was asking for was as impudent as asking for a diaper at McDonald's.
My new pediatrician does have diapers, and when I asked for one the nurse cheerily said "Of course!"
4. The office itself is uncomfortable. As a new mother post partum sitting in hard plastic chairs is torture, so I had to stand. There was no private area to nurse, there were no toys or books or magazines or TVs for children or parents.
At our new pediatrician, there are toys that are cleaned often, books, and when the nurses aren't busy they come out to chit chat with you while you wait. In the exam room there are big comfy couches and chairs and toys mounted on the wall.
5. I always felt rushed at Dundalk, but my new pediatrician asks open-ended questions.
6.I would describe the general approach to diagnosis here to be rather "shruggy." My baby fussed a lot at the breast when she was a newborn, nursing was painful, and she cried any time she was on her back. I asked about it and I got the impression she was just halfheartedly guessing when she said maybe I shouldn't drink milk. I asked if she might have a tongue tie that might be causing her to take in air. She checked and firmly said no.
I had a feeling she was wrong. Three lactation consultants and one dentist confirmed she had a lip tie AND a tongue tie. Problems solved.
8. Dundalk Pediatrics were very anti-co-sleeping. There is a wide range of research on this subject, much of it contradictory, but I got the impression they had not read both sides of this debate at all (for example, many of the studies that have been done linking co-sleeping to SIDS conflate death by suffocation with SIDS, which is entirely different; moreover, co-sleeping prolongs breastfeeding, which has been shown to reduce the risk of SIDS.) Even if they were still anti-co-sleeping, when they realized that I was going to co-sleep anyway they should have had the list of safety measures handy that can be employed to reduce risks in co-sleeping.
All in all, you and your baby deserve better. If you have the ability to make the trip, I recommend Dr. Dannenfelser in Forest Hill instead.
Dundalk, please make a concerted effort to treat babies like people with emotions that matter, and take steps to educate yourselves on simple steps you can take to make them feel safer and more comfortable in your office. Pain and fear are not the inevitable byproducts of your profession. read more