Increasingly effective health care also means that diseases such as sickle cell anemia and cystic fibrosis are more often treated by pediatricians, though many or most patients grow into adulthood. Issues revolving around infectious diseases and immunizations are also dealt with primarily by pediatricians. Put simply, treating a child is not like treating a miniature adult.
Areas of pediatric practice reflect those of general medicine, each with its own unique aspects. Pediatric cardiologists deal with heart conditions in children, particularly congenital heart defects, pediatric oncologists often treat leukemias and lymphomas. Every subspecialty of the adult doctor exists in the pediatric field (with the exception of geriatrics), but some are unique to pediatrics, such as adolescent medicine, and neonatology.
Childhood is the period of greatest growth, development and maturation of the various organ systems in the body. Years of training and experience (above and beyond basic medical training) goes into recognizing the difference between normal variants and what is actually pathological.
Another major difference between pediatrics and adult medicine is that children are minors and, in most jurisdictions, cannot make decisions for themselves. The issues of guardianship, privacy, legal responsibility and informed consent must always be considered in every pediatric procedure. In a sense, pediatricians often have to treat the parents and sometimes, the family, rather than just the child. Adolescents are in their own legal class, having rights to their own health care decisions in certain circumstances only, though this is in legal flux and varies by region.
Pediatrician Recommendations
A common way for parents to choose a pediatrician is to get a recommendation from their friends or family members. This is probably one of the best ways, but when someone tells you that they love going to their pediatrician, be sure to ask why before you blindly follow them to the same office.
Many parents have different needs and you may be really turned off by the reason that they like their doctor. For example, they might like that their pediatrician is really fast and they are in and out of the office quickly, while you might like someone who moves slower and spends more time during the visit, even if it means that you have to wait a little longer for your appointment. Or your friend might like that their pediatrician prescribes an antibiotic every time they walk into the office, whether or not they need one.
On the other hand, you might get a negative report on a pediatrician only to find that they don't like the doctor because he doesn't over-prescribe antibiotics, which is actually keeping to the guidelines of the American Academy of Pediatrics.
So always try to get the reason or explanation behind a recommendation to make sure you understand why someone likes or dislikes their pediatrician.
Your own doctor can also be a good source for a recommendation for a pediatrician, especially if you are having a new baby.
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