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Old 31.10.2012, 19:06
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Pediatricians billing for misinformation "rants"

We just got the bill for a pediatrician visit that happened when my son was four months old. At the time, the pediatrician asked what kinds of solids we were feeding him. He was exclusively breast fed.

The pediatrician then went on a rant about how solids should have been introduced and the baby "must" have them because he is a big baby. Not really pleased to see him billing for what was not only uncalled for advice but incorrect at that.
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Old 01.11.2012, 10:56
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Re: Pediatricians billing for misinformation "rants"

The information is only incorrect depending on whose viewpoint you take. Latest thinking is that solids can actually be introduced from 4 months onward (as it was in the past) and I know some doctors/Mutterberatung staff who advocate it. Much and all as breastfeeding is encouraged here it seems to be something you are expected to do at the start and then give up, why else would some health insurers actually give you a bonus if you stick with it for a certain number of weeks and would some doctors or staff at the Mutterberatung seem surprised when you tell them you are still breastfeeding 6, 9 or even 12 months on.
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Old 01.11.2012, 11:07
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Re: Pediatricians billing for misinformation "rants"

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The pediatrician then went on a rant about how solids should have been introduced and the baby "must" have them because he is a big baby. Not really pleased to see him billing for what was not only uncalled for advice but incorrect at that.
....Funny... then why do you go to the doctor? To hear what you already "know"? Maybe his tone of voice was not very appropriate (you don't lecture people when they are obviously in distress, I should think), but his advice was part of his job...
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Old 01.11.2012, 11:25
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Re: Pediatricians billing for misinformation "rants"

The important thing is that you are charged for the doctor's time, regardless of the content of the conversation.

I learned the hard way - a doctor I used to go to was quite chatty and personable, gave out those nice warm fuzzies, took time to get to know you as a person, always asked about my dogs, how did I like it here, etc. Nice... until I looked at the statement and realized that appointments were billed for a double consultation.

I tried to keep the chit-chat down to a minimum after that.


It is difficult when a doctor acts imperiously rather than discussing a subject with one as an equal - a fault found in far too many physicians the world over. But that's a separate issue from the billing one.
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Old 01.11.2012, 11:44
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Re: Pediatricians billing for misinformation "rants"

I know you don't want to hear this - but what did you expect? Imagine you would only have to pay their fees if you were happy with the "advice" given. You went there and you took up their time. Someone else could have used that "slot" instead. So it's only logical that you have to pay for that time, isn't it? You also don't get your money back at a cinema if you didn't like the film, don't you?

Pay the bill but think about changing Dr. if you are really unhappy with him.
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Old 01.11.2012, 11:50
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Re: Pediatricians billing for misinformation "rants"

The pediatrician gave you a valid advice.
The European Society of Pediatric Gastroenterologists recommends introduction of complementary foods (i.e. complementary to breastfeeding) during the time interval of 4-6 months.
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Old 01.11.2012, 12:48
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Re: Pediatricians billing for misinformation "rants"

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We just got the bill for a pediatrician visit that happened when my son was four months old. At the time, the pediatrician asked what kinds of solids we were feeding him. He was exclusively breast fed.

The pediatrician then went on a rant about how solids should have been introduced and the baby "must" have them because he is a big baby. Not really pleased to see him billing for what was not only uncalled for advice but incorrect at that.
Two points:
1. Do you really believe you shouldn't be charged just because you disagreed with his advice? Would you also extend that view to lawyers, IT consultants or anyone else that you pay for by the hour?
2. Why did you bother calling a paediatrician in the first place if you already know better?
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Old 01.11.2012, 13:10
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Re: Pediatricians billing for misinformation "rants"

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....Funny... then why do you go to the doctor? To hear what you already "know"? Maybe his tone of voice was not very appropriate (you don't lecture people when they are obviously in distress, I should think), but his advice was part of his job...
Standard checkup for weighing/measuring.
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Old 01.11.2012, 13:13
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Re: Pediatricians billing for misinformation "rants"

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Two points:
1. Do you really believe you shouldn't be charged just because you disagreed with his advice? Would you also extend that view to lawyers, IT consultants or anyone else that you pay for by the hour?
2. Why did you bother calling a paediatrician in the first place if you already know better?

1. Yes. Given that WHO and many other leading bodies recommend solids at around six months, it's inaccurate to say it's dangerous and wrong not to give solids at four months. It's one thing to encourage them at four months. It's another to say you're wrong not to do so. For the baby led weaning we're going with, four months is even more so too early.
2. The visit had nothing to do with solids. That's why it was unsolicited.
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Old 01.11.2012, 13:15
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Re: Pediatricians billing for misinformation "rants"

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The pediatrician gave you a valid advice.
The European Society of Pediatric Gastroenterologists recommends introduction of complementary foods (i.e. complementary to breastfeeding) during the time interval of 4-6 months.
Nope. It's incorrect to say your baby needs solids and it's dangerous if you don't give them - especially when you base this on his size.
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Old 01.11.2012, 13:18
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Re: Pediatricians billing for misinformation "rants"

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I know you don't want to hear this - but what did you expect? Imagine you would only have to pay their fees if you were happy with the "advice" given. You went there and you took up their time. Someone else could have used that "slot" instead. So it's only logical that you have to pay for that time, isn't it? You also don't get your money back at a cinema if you didn't like the film, don't you?

Pay the bill but think about changing Dr. if you are really unhappy with him.
When I go to the cinema, I expect to pay for a movie. When I went to the pediatrician, I expected to pay for weighing and measuring, which is what the visit was for. The pediatrician chose to go off about how bad it is not to give solids at four months.

Show me the literature that says it's bad to start solids after four months? This is not correct.

Last edited by little_isabella; 01.11.2012 at 13:36.
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Old 01.11.2012, 13:21
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Re: Pediatricians billing for misinformation "rants"

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The information is only incorrect depending on whose viewpoint you take. Latest thinking is that solids can actually be introduced from 4 months onward (as it was in the past) and I know some doctors/Mutterberatung staff who advocate it. Much and all as breastfeeding is encouraged here it seems to be something you are expected to do at the start and then give up, why else would some health insurers actually give you a bonus if you stick with it for a certain number of weeks and would some doctors or staff at the Mutterberatung seem surprised when you tell them you are still breastfeeding 6, 9 or even 12 months on.
Really well said. That's the key. Solids *can* be introduced then but it's not a dangerous thing if you wait until six months or so.
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Old 01.11.2012, 13:32
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Re: Pediatricians billing for misinformation "rants"

I think it is very dependent upon the baby. My mom put my brother on cereals at 8 weeks because breastfeeding and milk (formula) were not filling him up. Pediatrician said that was fine, you know your kid. He's a bit weird (from a sister's point of view) but absolutely fine health-wise.

Last edited by 3Wishes; 01.11.2012 at 13:47. Reason: added a word
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Old 01.11.2012, 14:33
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Re: Pediatricians billing for misinformation "rants"

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Standard checkup for weighing/measuring.
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2. The visit had nothing to do with solids. That's why it was unsolicited.

Okay, so this part of having kids is where I lack experience. However - in my experience whenever there is attention paid to weight at the doctor's office, there is always a discussion about what I consume. This was especially true when I was pregnant (because my health affected the baby's health) so I'd expect it to be true when considering the baby's weight after birth as well.

I'm sorry the visit obviously was unpleasant. Perhaps a discussion with your doctor about your beliefs will help in the future, or perhaps finding another doctor whose practice is more in line with your beliefs will help.
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Old 01.11.2012, 14:52
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Re: Pediatricians billing for misinformation "rants"

I know others on the forum have recommended Kelly as a resource. There's an article on solids that someone else here shared with me a bit ago. Hope it's helpful!

http://kellymom.com/nutrition/starti...s/solids-when/
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