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<p>I spoke with our physician prior to both our kids going off to college, but it was mostly along the lines of, what is your standard protocol exam for kids about to move away (mine were going 700+ miles away and would not be home often for routine stuff). I wanted to make sure they had taken care of everything they needed to before leaving as I wasn’t sure how available docs with our PPO were in the areas Ds were going. Both girls saw specialists aside from our regular doc and I wanted to know, in his experience, what was the best way to manage their care. They gave us some helpful hints on how to find docs outside of student health clinics if it became necessary. </p>
<p>Because the HPV vaccine had just become available, but wasn’t mandatory, I was curious as to what he thought of it… was it something he’d recommend for my Ds. Our doctor has been seeing our kids since they were in elementary school (we decided against a pediatrician once they became of school age… it seemed easier as it seemed like once the kids got sick, the parents got sick, and visa versa, so care was sort of consolidated) and knows them well. </p>
<p>I actually offered D2 the chance to see my OB/GYN before she went away, but she declined the offer. Once in the dorm though, her periods became so irregular that she decided to schedule an appt. with the GYN nurse practitioner. But she kept asking me about whether she should or not months before actually following through with it. D1 chose to see my GYN and I think did so the summer after her freshman year. Once they got established with a GYN practitioner, I completely backed off. I felt like the momentum to maintain their gyne health had begun, and was no longer my responsibility. They have since sought out my opinion on BCPs, etc., but I don’t even know when they see their respective practitioners (although I do know it’s once a year so they can get their prescriptions refilled). D1 continued to see her GYN when she’d come home for visits after graduation. She was sort of discouraged when she got her first job and realized the GYN was not in network. I suggested she go to Planned Parenthood to bide her over for one year, until she got herself more established where she had moved to and found out who was in her new network… but she refused, saying she was afraid of being hassled by picketers at the Planned Parenthood clinic near her. So she eventually found an internist who does women’s care and seems happy with the arrangement. </p>
<p>For my own selfish reasons, I wish they wouldn’t take BCP. I have seen young girls developing pulmonary embolisms with no other risk factors other than the pill, and this scares me. However, I do not have to live with the horribly irregular periods and complexion issues that my Ds do and if I were in their shoes, I’d probably take it, too.</p>
<p>Milkandsugar - there’s a difference between asking the doctor what their protocol is with wellness exams for an 18-year old girl and demanding that the physician disclose anything that comes up in discussion. The first does not violate any HIPAA policies. There is absolutely nothing wrong with a family member calling a doctor’s office and giving them information that could impact their loved one’s health. That being said, if the doctor then disclosed information that they learned from the exam without the patient’s permission, then it is a violation. Family members can talk at health care providers all they want, but it’s up to the health care provider to choose whether or not they broach the issues with the patient when they finally see them. And of course, it’s never appropriate for them to relay information back to family members unless the patient has given permission.</p>