I also love the "we don't have any more sick/personal/vacation days to use so pookie HAS to go to daycare." I got this after a parent used all their vacation days by May, going on vacations. Pookie ended up getting termed.
Sick Kids From A Physician's View
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Hmmm
Maybe the good doc could profit from a different perspective. ;-)- Flag
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Wait, I want to add...We are not doctors. We can not accurately say for certain what is or is not something to worry about. We can not look at a rash and say "oh no big deal".
These kids are in OUR HOMES with illness! How about we send all of our "not really sick kids" to the Dr's home to hang out all day, wiping their noses on his furniture and spreading their germs everywhere?! Maybe he'll think differently about it then.
I guarantee if the majority of providers did this, we would be the ones getting blamed for the spread of illness (more than we already are) instead of being praised for keeping the kids out of the doctors office and keeping the parents in work like the article suggests.
There is a reason the states have these policies...because WE ARE NOT THE ONES CAPABLE OF DIAGNOSING PROPERLY!!! Obviously it was enough of an issue that the states had to enforce policies
Ugh, this just pushes my buttons!- Flag
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I often think that some providers take it too far and exclude for every sneeze, sniffle, and cough, BUT this article is ludicrous.
1) I don't know about other states, but the state (not me) defines well, mildly ill, and ill children for home daycares. I am licensed for well and mildly ill. I can choose what I want to be licensed for but I cannot define the terms.
2) The article said we send home for one instance of vomit or diarrhea. Well, we have to clean the child up, comfort him, make sure the other kids stay away, clean and sanitize the area, check the child for other symptoms like fever, contact the parents, etc. We DON"T KNOW if it going to ONE INSTANCE or if the child is going to be vomiting or having diarrhea ALL DAY. Crystal ball anyone? How many hours and minutes would it be appropriate to wait & see if there are going to be consecutive "deposits?"
3) I know it is hard to take time off work. I really do. And I try really, really hard not to complain about this, but if you can take a day off to get a pedicure, massage, or just have a day to yourself, you can take a day off to be with your sick child.
4) I've heard of providers asking for a Dr's note to return to care, but I have never heard of a provider demanding a certain treatment. That to me seems to happen more often with parents (wanting antibiotics and nebs for colds for example.)
Why did this rub me so wrong? Could it be because I have been battling a nasty, nasty cold all week? ::
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I've gotten this line, too, but it was because of SNOW days. Vacation days hadn't even been used yet. AND DCM had taken a few "me" days....it's great to know where some folks' priorities lie.- Flag
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I feel kind of attacked, you know? Like we're just using any excuse to make parents miss work. And asking for a major overhaul of the childcare system? I agree that it's a common sense thing...but I am also not a doctor. I do not claim to know for 100% sure that something is not contagious or that it's "just" a little virus.
I have let parents tell me ONCE that the doctor said it was x, y and you know what?! WE ALL GOT IT! Sure as heck wasn't blow outs from juice, mama! And then I closed for 3-4 days due to puking so much my throat bled! I don't know the difference and I am not hedging my bets anymore - you claim your 100.4 temp, coughing, hacking, wheezing kid is just suffering from seasonal allergies - whatever. Get a doctors note, then!
And, anyway, we're damned either way. Send them packing and we're too strict. Next week, we don't and suddenly we're horrible people running germ incubators. Whatever. Can't make everyone happy.- Flag
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I often think that some providers take it too far and exclude for every sneeze, sniffle, and cough, BUT this article is ludicrous.
1) I don't know about other states, but the state (not me) defines well, mildly ill, and ill children for home daycares. I am licensed for well and mildly ill. I can choose what I want to be licensed for but I cannot define the terms.
2) The article said we send home for one instance of vomit or diarrhea. Well, we have to clean the child up, comfort him, make sure the other kids stay away, clean and sanitize the area, check the child for other symptoms like fever, contact the parents, etc. We DON"T KNOW if it going to ONE INSTANCE or if the child is going to be vomiting or having diarrhea ALL DAY. Crystal ball anyone? How many hours and minutes would it be appropriate to wait & see if there are going to be consecutive "deposits?"
3) I know it is hard to take time off work. I really do. And I try really, really hard not to complain about this, but if you can take a day off to get a pedicure, massage, or just have a day to yourself, you can take a day off to be with your sick child.
4) I've heard of providers asking for a Dr's note to return to care, but I have never heard of a provider demanding a certain treatment. That to me seems to happen more often with parents (wanting antibiotics and nebs for colds for example.)
Why did this rub me so wrong? Could it be because I have been battling a nasty, nasty cold all week? ::
Every other time it's been days and suddenly they are better. And it takes a lot of time and effort to keep kids away from mess, clean and sanitize, etc. I would NOT want to do that more than once.- Flag
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I deal with a lot of childhood illnesses and don't exclude for many things for which other providers will exclude. In return, if I call a parent and say "take this child to the doctor" they do exactly that.
I also have gotten respectful parents who know when to stay home and care for their child, or will call and say, "This is going on...what you like me to do?"
I don't think that physician is "ridiculous" but I do think parents, doctors and providers need to work together to find a balance.
There ARE providers out there excluding for every little thing, and I feel these are the people to whom he is speaking, not those of us who use common sense. As someone said, most of us are asking those same questions.- Flag
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exactly, I am not a doctor, I could play the guessing game all day long of it could be this it could be that and more than likely I could be wrong.- Flag
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I knew what you meant and I hope you know I agree...
This Dr is making our day is she not!!! She got my husbands panties in a bunch. He on the other hand does have a PHD in medicine and he said it is always easy to see things from "YOUR" prospective. And for this doctor to complain that people are coming in for these reasons is just something to complain about. Money is money, mildly ill, severely ill, it's all the same money that goes into the doctors pocket.
He laughed at that article and said those are the doctors that keep our DCs full of sick children and allowing illnesses to pass because they only see if from "THEIR" prospective- Flag
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I think for the doctor to write that type of article with out getting to the "why" of the policies is irresponsible.- Flag
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