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>> WHAT'S IMPORTANT IN TERMS OF STARTING TO PREPARE
FOR TRANSITION IS THAT YOU SPEND SOME TIME ONE-ON-ONE
WITH YOUR PEDIATRIC PROVIDER.
>> THE FIRST TIME THAT WE ASK THE PARENTS TO STEP OUT
OF THE ROOM IS A BIG EMOTIONAL STEP FOR THE PARENTS,
AND USUALLY, EARLY ON, THE PATIENTS SAY
THAT THERE'S NOT REALLY ANY NEED FOR THEIR PARENTS
TO LEAVE.
AND THEN WE START TO INSIST THAT THEY LEAVE DURING
THE EXAMINATION, AND FINALLY WE GET TO HAVE SOME SERIOUS
TALK WITH THE PATIENTS WITH THEIR PARENTS OUTSIDE
OF THE ROOM.
>> AND THEN WE ALSO USE THAT OPPORTUNITY TO SEE IF THEY
HAVE ANY CONCERNS OR QUESTIONS THAT OTHERWISE
THEY MAY NOT ASK THEMSELVES.
AND SOME OF THEM HAVE TO DO WITH LIFESTYLE, YOU KNOW,
ISSUES WITH ALCOHOL, ISSUES WITH DRUGS,
ISSUES WITH *** ACTIVITY.
>> THERE ARE JUST SO MANY ISSUES THAT ARE EASIER
TO TALK ABOUT WITH THEIR PHYSICIAN OR THEIR NURSE
RATHER THAN WITH THEIR PARENTS.
>> IF IT'S ANYTHING TO DO WITH *** ACTIVITY
OR ANY OF THOSE ISSUES, WE'LL KEEP IT CONFIDENTIAL.
AND IF WE THINK THAT THEIR FAMILY NEEDS TO KNOW ABOUT
THE ISSUE, THEN WE WILL HELP THEM DISCUSS IT
WITH THEIR PARENTS.
>> IT CAN REALLY BE VALIDATING AND EMPOWERING
FOR THEM WHEN THEY GET TO GIVE AN OPINION
AND ALSO KNOW THAT WE'RE NOT GOING TO DISCUSS
THAT WITH THEIR PARENTS.
>> I HAVEN'T YET, BUT I'M GOING TO START ASKING ABOUT
HAVING TIME ALONE WITH MY DOCTOR SOON,
BECAUSE NOW THAT I'M HEARING THAT OTHER PEOPLE MY AGE
ARE DOING THAT, I WOULD LIKE TO START DOING THAT TOO,
JUST TO PREPARE FOR COLLEGE AND LIFE.