"Stephanie" <nothanks.nevergonedoit.com> wrote in message
news:OfOdncQdWq6sn_DVnZ2dnUVZ_hOdnZ2d@[EMAIL PROTECTED]
> Chris wrote:
>> On Jul 1, 10:46?am, Nan <Badmam@[EMAIL PROTECTED]
> wrote:
>>> On Tue, 1 Jul 2008 09:33:35 -0400, "Sue"
>>> <sburke9...@[EMAIL PROTECTED]
> wrote:
>>>
>>>> "Stephanie" <nothanks.nevergonedoit.com> wrote in message
>>>>> That sounds backward to me. A UTI test is a no-brainer.
>>>>> "Behavioral"
>>>>>> issues are less cut and dried.
>>>
>>>> It is backwards. You always rule out medical first. Then if is
>>>> nothing medical then you can safely work on the behavioral. If it
>>>> is medical and you are treating it as behavioral, then you are
>>>> possibly making things worse.
>>>
>>> Exactly. ?As a child I was told, "Start paying attention!" when I
>>> would say I didn't hear what my mom said. ? Later, she took me to an
>>> audiologist and discovered my hearing test failed in both ears due to
>>> excessive wax build up. ?Once it was taken care of, I heard fine. ?My
>>> mom felt pretty bad about puni****ng me for not paying attention.
>>>
>>> Nan
>>
>> 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.
>
>
> UTI test is straight forward and certainly not painful. It would only be
> humilating if someone added humilation into the equation unnecessarily.
I don't think anyone is against peeing in a cup. The idea is to weigh the
risks/benefits before submitting the child to more invasive procedures.
Not
all tests are as simple as the UTI tests (and even those weren't so simple
for DD, as the ped insisted on a cath, saying the peeing in a cup was not
reliable enough, since toddlers pee so frequently and such a small amount
that the results may not show positive -- too dilute -- when they really
are
positive. Not all peds agreed on that, BTW.)
> How? UTI tests are conclusive. Parental judgement about behavioral
issues
> are a little less straight forward and more prone to error as Nan's
story
> illustrates.
I would agree that parents are not so all-knowing as we think. All tests
have pitfalls, however. The urine sample could be contaminated, or show a
false negative (why our ped wanted a cath sample). Concluding there is no
UTI does not mean there are no other medical problems and that is where
the
argument stands. Some are for further testing and others are against.
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