It is literally like doing that!  The thing is, how can I convince them here any different?  I think the half of this now is a stubborn Doctor that will not budge.  We have asked for a referral, but how do I know that the next doctor is going to be anymore understanding and allow the urine testing?  I am glad you defined the word archaic.  In my opinion many of the older ways of doing things are not necessarily to be discarded because they seem old fashioned or antiquated.  Sometimes, when you establish a good way of doing something, and it is effective in achieving results, it does not necessarily mean any alternative wikll be better.  The filter paper testing strikes me as a wee bit more painful than a child peeing into a container.  I don't know about anyone else here, but I do a great deal of sewing, and I would rather have a blood draw from the arm any day than a prick on the end of my finger!  I wince at the thought of it.  I certainly cannot see some children taking to that idea, and since it does not hurt in anyway to provide a blood sample, it seems the better way to go.  Also with the filter paper testing, are they able to measure androstendedione too or will it just be 17 OHP.  Back to square one again if that is the case?  That is STILL no idea WHY the 17 OHP is elevated.  Could be stress all the same in ONE area of the day. 

The only reason why this guy will not use it here, is it concerns him exactly where the 17 OHP is out.  Maybe he thinks it could be very low in one part of the day, very high in another, but overall when it is all mixed together in one vessel--- reading as "Normal?"  I think though that once the balance is tipped in one area of the day, it does not take too long before the rest is falling behind---i.e. very high levels in the afternoon may stay around long enough and not be addressed by meds taken in the evening for the reasons outlined in the abstract that we have been evaluating.  There may be an escape in the early hours before 7-8am when the morning meds are taken and the morning meds may not address that.  Eventually,  the levels could start to get out of hand.  I can see that in that instance.  Would a blood draw taken before morning meds and in one area address and read accurately that situation.   has anyone ever done both blood draws and urine for a couple of months to actually compare the results along side eachother and pick up any discrepancies between the two?