On Jul 2, 1:59=EF=BF=BDpm, Banty <Banty_mem...@[EMAIL PROTECTED]
> wrote:
> In article
<0093003c-c560-43cc-a62b-d4a6f5fbe...@[EMAIL PROTECTED]
>,
> Chris says...
>
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>
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> >On Jul 2, 7:52=3DEF=3DBF=3DBDam, Ericka Kammerer <e...@[EMAIL PROTECTED]
>
wrote=
:
> >> Chris wrote:
> >> > That's fine by me, but definitely not my preferred method. I'm more
> >> > inclined to work with my child to get to the bottom of an issue and
> >> > therefore ask pertinent questions for either case - medical or
> >> > behavioral. A 6-year-old is fully capable of answering some pointed
> >> > questions honestly if not lead into a certain direction -- if she
> >> > doesn't feel she can help it or change the problem, then medical
> >> > evaluation should be pursued. I will avoid submitting my child for
> >> > some painful, humiliating, invasive tests if at all possible. So,
no,=
> >> > you don't have to automatically run to the doctor in every
> >> > cir***stance. I can't imagine running my daughter into the office
for=
> >> > unnecessary tests when I know full well what she is doing is
> >> > behavioral.
>
> >> =3DEF=3DBF=3DBD =3DEF=3DBF=3DBD =3DEF=3DBF=3DBD =3DEF=3DBF=3DBD I
disag=
ree in this case. =3DEF=3DBF=3DBD=3D
> >Just getting a urine sample
> >> is not painful, invasive or humiliating, and UTIs can be fairly
> >> silent (especially to a young child not all that in tune with
> >> her body yet) and can be indicative of problems that you need
> >> to get on top of ASAP. =3DEF=3DBF=3DBDIt's quick and easy to rule out
a=
n UTI,
> >> at which point you have the leisure to pursue the behavioral
> >> issues without running the risk of causing kidney damage.
> >> =3DEF=3DBF=3DBD =3DEF=3DBF=3DBD =3DEF=3DBF=3DBD =3DEF=3DBF=3DBD I'm
pro=
bably the last person on ea=3D
> >rth to run to the
> >> doctor for every little thing, but unless I had some pretty
> >> strong clues that the issue was behavioral (e.g., starting
> >> to have accidents again right after the arrival of a new
> >> sibling, or something like that), I think a trip to rule out
> >> a UTI is entirely appropriate. =3DEF=3DBF=3DBDIf there *is* a UTI,
then=
> >> further testing might be warranted and you'll need to make
> >> a judicious decision then, but you'll at least know that
> >> there definitely is a physical issue at that point.
>
> >> Best wishes,
> >> Ericka
>
> >Actually, Ericka, you are in agreement with me. I mentioned earlier
> >that a simple urine sample is easy enough to obtain and that further
> >testing beyond that I would put off unless I was unsure about it being
> >behavioral and it was causing worry. The OP hasn't chimed in for a
> >couple of days, and I'm assuming the doc visit they initially had
> >would have included that first initial urine check-hopefully.
>
> I don't understand this. =EF=BF=BDWhy is there this bright line drawn at
a=
urine test?
> If the physician has suspicions, but the urine test is negative, if he
ord=
ers a
> barium test, you'd say "no" then turn to assuming it's behavioral?
>
> I think what makes sense it to investigate if there is a physical issue
fi=
rst
> (whatever it may be, UTI or something else), with the goal of either
pursu=
ing it
> or ruling it out. =EF=BF=BDPeriod. =EF=BF=BDWhy second guess about which
t=
ests, etc.?
>
> Banty- Hide quoted text -
>
> - Show quoted text -
Seriously, Banty, I'm in no mood to go this far with you today. If a
doctor felt a barium was necessary, who would decline further testing
after an expert explanation of why it is being recommended by the
physician? A doctor will want to avoid taking it further if a parent
suspects it is behavioral and a urinalysis turns up nothing and they
also don't have an etiology. They are likewise more likely, however,
to run with further tests when a parent insists that they don't
believe it is psychological or behavorial as well. If you want to
demand the whole nine yards, then do so, but not everyone feels they
have to do that automatically, or even that it should be done right
off the bat. I don't really feel it necessary to break out in detailed
descriptions/responses to every possible scenario. The OP feels it is
behavioral, and it may well be. We don't even know if they did a
urinalysis, and as you can see, I believe this physician indicated
watching for a period of time was acceptable, which tells me the
physician doesn't automatically feel further testing is warranted at
"this" time -- maybe it will be in a couple of months though - who
knows. I'm obviously interpreting the OP differently than you are.
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