Can, but doesn't have to: U10 and U11 screening
We are slowly approaching the home straight in our series on preventive medical check-ups. Here's the double pack for U10 and U11.
The U10 takes place between the seventh and ninth birthday, the U11 between the ninth and eleventh. One special feature of both screenings is that they are not yet part of the classic standard paediatric services and are therefore not yet easily covered by all health insurance companies. The vast majority of health insurance companies have some kind of financing model for these screenings, and very often parents have to enrol their child in a paediatrician/family doctor programme in order to have these screenings carried out.
What's more, in our practice, as in many others, we don't even know how we're going to fit in all the screenings and so the policy is to say: if the child is doing well, if the parents don't have any big questions or worries, then we're happy to do without the U10 and/or U11.
However, it is absolutely clear that if there are questions or concerns about the child's development, or if the parents simply have an urgent desire to have this check-up carried out on their child, then we will do it as a matter of course!
How do the examinations work? There is a very detailed questionnaire, as always the children are weighed and measured, their blood pressure is taken and their urine examined, and, if necessary, a hearing and/or eye test is also carried out. The immunisation record is checked, which is often important and correct at this age.
There is also plenty of room for questions from parents. The focus is often on topics relating to school: How well are things going? For example, are there any suspected concentration problems or problems with social behaviour? Nowadays, media consumption is also a frequent topic: how much contact do the children already have with mobile phones, computer games, etc.? There is quite a lot of counselling going on here. And then, of course, the children are given a thorough physical examination, as is always the case with screening.
A brief outlook at the end: The very, very important J1 adolescent check-up and the J2 at the very end follow in the screening series.
Further interesting tips
Eye screening
Today we are talking about a very important device in our practice: the eye screening device! We use this to check the eyes of small children from ten to twelve months of age. It is a far-sighted examination - because serious visual defects can be recognised and treated in good time.
Devil's circle of movement
"Bird flies, fish swims, man runs" Emil Zatopek, the legendary Czech long-distance runner, once said. And the man was right! Running, racing and exercise are part of our basic genetic make-up. But they should also do it - especially children.
Fear of (visiting) the doctor
There are always children who are terrified of their paediatrician - or of a visit to the surgery. What can you do about it? A lot.