
I'm Busy -- Why Bother?
Fair question. And if this is your ninth child,
and there are no chronic health challenges, it may be reasonable to skip at
least some of them. That's up to you as parents.
But consider that most health insurance companies actually cover the full cost
of these visits, even for families with high deductible plans. That's six
in the first year, three in the second, and annually starting at age
three. Moreover, most daycare centers, schools, and summer camps want to
have a recent PE on record.
True, it is not very often that doctors actually discover a heart murmur, find
a bad scoliosis, or discern other subtle health problems during a routine check
up -- but through the years, we have had a few serious matters discovered early
thanks to a routine tune up.
Perhaps the most valuable benefit of these visits is that they help develop a
warm doctor-patient & parent relationship. This comes in handy in the
event of an emergency, a family difficulty, or other stress.
When to Schedule
First year: 2 days (after discharge), 2 weeks, 2 months, 4 months,
6 months, and 9 month
Second year: 12 months, 15 months, 18 months
Age Two through adulthood: annually (around birth date)
Some families like to do the annual PE on their school-age children during the
summer. This is fine with us. The office is usually less busy with
illness. Some insurance companies will not pay for an annual check unless
it has been at least 11 months since the last one. Some actually insist
on the full 12 months.
What to Expect
For infants and toddles, the check up includes some paperwork, about 10 minutes
with the nurse getting measurements and some history, and then about 20 minutes
with the doctor -- more history, a physical exam, and some recommendations.
A few more minutes with the nurse for vaccination may conclude the visit.
For school age children, the visit often includes, in addition to the above, a
test of vision and hearing. If your child has multiple or serious chronic
health problems, it likely will not be possible to address them adequately at a
routine check up.
At the end of the visit, you will likely receive a completed physical exam form for your school, camps, sports programs, or child care centers.