Does your doc poke her hands in your child's mouth sans gloves or without washing before and after? It's a major red flag that safety and hygiene practices probably aren't being observed in her office. Check out your surroundings: are the exam rooms clean? Do the nurses and assistants observe safety and hygiene rules? Are there covers placed over the otoscope before it's placed in your child's ear? When a doctor or her staff blatantly skips out on hygiene protocol, it's time to kick her to the curb.