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Quick question.. [♥]Mrs. Taylor 18 kids; Texas 12250 posts
3rd Apr '13

Asking for my SIL.



My nephew has a problem with wetting his pants, he is 6 years old and has been potty trained since 2. Within the last 2 years he has gotten progressively worse about wetting his pants and can't seem to control it. It's getting so bad that my SIL makes him go to the restroom every hour (even through the night) and sometimes maybe 3-4 times throughout the day he is STILL wetting his pants between restroom trips.



She's brought this up to his pediatrician several times, but he basically dismisses her saying that he will "grow out of it".



She wants to get a second opinion, but she has Medicaid on him, so she can't see another doctor without completely changing his pediatrician, and his pediatrician won't give her a referral to see a specialist even though she's asked multiple times. Is there ANYTHING she can do?

I Stab People 3 kids; Zambia 6604 posts
3rd Apr '13

you usually dont need a refferal in america. alot of people prefer a refferal, but you dont really need one, and alot of places dont even ask when you schedule (unless its for like OT, PT or a procedure of course but for a doctors visit not normally)

Klaus 2 kids; Mississippi 23793 posts
status 3rd Apr '13

Well if she has a doctor that won't listen to her, I'd suggest changing doctors anyway. But I do agree she should get a second opinion. TX medicaid must be different than MS medicaid though because when Ethan had it, I never had any issues with going to a different doctor if I needed to.

whitneynator 1 child; Iowa 4114 posts
3rd Apr '13

<blockquote><b>Quoting I Stab People:</b>" you usually dont need a refferal in america. alot of people prefer a refferal, but you dont really need ... [snip!] ... dont even ask when you schedule (unless its for like OT, PT or a procedure of course but for a doctors visit not normally)"</blockquote>



I need a referral for specialist our my insurance won't pay for it

[♥]Mrs. Taylor 18 kids; Texas 12250 posts
3rd Apr '13

<blockquote><b>Quoting I Stab People:</b>" you usually dont need a refferal in america. alot of people prefer a refferal, but you dont really need ... [snip!] ... dont even ask when you schedule (unless its for like OT, PT or a procedure of course but for a doctors visit not normally)"</blockquote>



The problem isn't getting an appointment without a referral, its having the Medicaid pay for the appointment. They won't pay for a specialist without a referral from her pcp.

I Stab People 3 kids; Zambia 6604 posts
3rd Apr '13
Quoting [♥]Mrs. Morgan:" <blockquote><b>Quoting I Stab People:</b>" you usually dont need a refferal in america. ... [snip!] ... a referral, its having the Medicaid pay for the appointment. They won't pay for a specialist without a referral from her pcp."


ah yeah ive never had goverment insurance

she cant pay for the apt? its probably going to be 80 at most. if theres an established problem, im sure they will pay for the subsequent visits

[♥]Mrs. Taylor 18 kids; Texas 12250 posts
3rd Apr '13

<blockquote><b>Quoting Klaus:</b>" Well if she has a doctor that won't listen to her, I'd suggest changing doctors anyway. But I do agree ... [snip!] ... than MS medicaid though because when Ethan had it, I never had any issues with going to a different doctor if I needed to."</blockquote>




Here they will only pay your pcp, and its a simple phone call to change the pcp... Which, I agree that she needs to change pediatricians, but its almost impossible to find a doctor that is accepting new patients on Medicaid (unless they're newborns).

[♥]Mrs. Taylor 18 kids; Texas 12250 posts
3rd Apr '13

<blockquote><b>Quoting I Stab People:</b>" ah yeah ive never had goverment insurance she cant pay for the apt? its probably going to be 80 at most. if theres an established problem, im sure they will pay for the subsequent visits"</blockquote>




No, she can't. That's why she has the Medicaid.. but she has called around and its much more expensive than $80.00. We can't even get into a clinic around here for under 75.

I Stab People 3 kids; Zambia 6604 posts
3rd Apr '13
Quoting [♥]Mrs. Morgan:" <blockquote><b>Quoting I Stab People:</b>" ah yeah ive never had goverment insurance ... [snip!] ... but she has called around and its much more expensive than $80.00. We can't even get into a clinic around here for under 75."


take him to the ER and get a referral that way. not the *right* way to do things, but he probably needs seen, unless its psychological, in which he probably needs some sort of therapy. its definatly not normal.

whitneynator 1 child; Iowa 4114 posts
3rd Apr '13

<blockquote><b>Quoting I Stab People:</b>" ah yeah ive never had goverment insurance she cant pay for the apt? its probably going to be 80 at most. if theres an established problem, im sure they will pay for the subsequent visits"</blockquote>




I don't have government insurance and its still like that.

[♥]Mrs. Taylor 18 kids; Texas 12250 posts
3rd Apr '13

<blockquote><b>Quoting I Stab People:</b>" take him to the ER and get a referral that way. not the *right* way to do things, but he probably needs ... [snip!] ... he probably needs seen, unless its psychological, in which he probably needs some sort of therapy. its definatly not normal."</blockquote>




I'll definitely suggest it to her. I feel bad for her. :(



Do you think they would see him for that and not just recommend her following up with his pediatrician?

whitneynator 1 child; Iowa 4114 posts
3rd Apr '13

<blockquote><b>Quoting [♥]Mrs. Morgan:</b>" <blockquote><b>Quoting I Stab People:</b>" take him to the ER and get a referral that ... [snip!] ... feel bad for her. :( Do you think they would see him for that and not just recommend her following up with his pediatrician?"</blockquote>




Probably make her go back to his pedi, but maybe if the er doctor thinks something is wrong, his regular doctor will take it more seriously

Klaus 2 kids; Mississippi 23793 posts
status 3rd Apr '13
Quoting [♥]Mrs. Morgan:" <blockquote><b>Quoting I Stab People:</b>" take him to the ER and get a referral that ... [snip!] ... feel bad for her. :( Do you think they would see him for that and not just recommend her following up with his pediatrician?"


I feel like every time I've taken DS to the ER, aside from the times (yes plural) he needed stitches, they just sent me home and told me to call the pedi in the morning. One time they did give us a referral to an ENT though because he had stopped breathing in his sleep. So they do give referrals, but I think it has to be extreme. If I were her I would call and leave a message for the pedi's nurse to call her, explain to her that she really wants to have him checked by a specialist (probably a urologist, I would think) and plead with her to have the doctor make a referral. Its not like it will hurt him to do it. Then if he still won't, change doctors.

I Stab People 3 kids; Zambia 6604 posts
3rd Apr '13
Quoting [♥]Mrs. Morgan:" <blockquote><b>Quoting I Stab People:</b>" take him to the ER and get a referral that ... [snip!] ... feel bad for her. :( Do you think they would see him for that and not just recommend her following up with his pediatrician?"



well i would hope so, theyd probably do a cath, check for infection, etc. he might have like some kidney reflux or something as well.

i honestly would have gotten it taken care of a long time ago, if i had to pay for it or not.