5 Things Parents Should Look for in Their Children’s Medical Records

Here are five things I think parents should look for in their children’s medical records and have at their fingertips:

  1. BMI Percent – Parents are often stunningly wrong about whether or not their children are at a healthy weight. We are so familiar with our kids that they often look normal to us even when they are not. And more than 75% of parents of overweight children aged 2 to 15 report never being told the child is overweight by the pediatrician.The Body Mass Index is a calculation that looks at appropriate weight for height for a given age and gender. If children’s BMI is below the 5th percentile, they are likely underweight. If they are at the 85th percentile or above, they are likely to be overweight. Above the 95th percentile? Obese.
  2. Trends – Even more important than where your child’s health is right now, in many cases, is what trends are emerging. Is your child’s BMI percent going up, going down, or stable? Is your child developing at an expected rate or falling behind in an area? It’s far easier to correct a problem before it crosses the line to a diagnosis.In order to follow trends, you need to either get a copy of your child’s growth chart every time you visit the doctor, do the measurements and tracking yourself, or use a simple tool like MotherKnows.com*. It’s a great way to keep track of your child’s medical record with the added advantage of being able to carry it with you via smart phone App so you can access your child’s record any where you are and even log your comments and notes from a doctor visit.
  3. Medication History and Allergies – It’s important to know what medications your child is taking now, but it’s also important to know what medications have been used in the past – which ones worked, which ones didn’t and what side effects your child had to each. Most parents can’t remember all this data, but your child’s medical record should include all the medications she’s ever been prescribed and any side effects or allergies that you’ve reported to her doctor.
  4. Look for Patterns – If your child has recurring health problems, look for when the problems occur and what else was happening at the time. Perhaps your child has more coughs than her peers. When did they start? Right after visits to grandparents? Perhaps your little one is allergic to grandma’s cat or perhaps grandpa has started smoking again without letting you know. Or does congestion coincide with the start of school and let up over long breaks? Just by looking at the records you can often see patterns you might not notice another way.
  5. Look for What’s Next – Your child’s records can also be a roadmap, to help you see where you are and what’s around the bend. Whether we’re considering fine motor skills, gross motor skills, social skills, speech, or physical growth, knowing where your child is on the road helps you know them better, and select toys and activities that will delight them on the cutting edge of their development.Plus, you won’t need to call your doctor’s office and wait on hold to find out things like the next time your child is due for a routine physical or screening test.

You wouldn’t think of trying to manage your finances without having easy access to your bank records. If we want to protect and cultivate our children’s health, taking advantage of access to children’s medical records is a great place to start.

References and Resources

December 2011 Briefing – Pediatrics

US Preventive Services Task Force. Screening for Obesity in Children and AdolescentsUS Preventive Services Task Force Recommendation StatementJAMA. 2017;317(23):2417–2426. doi:10.1001/jama.2017.6803

Dr. Greene is a practicing physician, author, national and international TEDx speaker, and global health advocate. He is a graduate of Princeton University and University of California San Francisco.

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