Angel - our MCHN records the milestones as "reported" if she doesn't see them herself. In Jenna's early days there were heaps of P&R (present and reporteds) but now they are mostly P&O (presnt and observed).

I dont know what to say about the advice on immersing him in more noise etc - I think some kids are just more sensitive than others in some ways.
Jenna is probably at the other end of the spectrum to be honest, which can be just as bad since she almost goes wiht anyone! At the drs all she wants is a "stick-stick" and just walks straight up to our GP wiht her hand out!

Is there anything fun you can associate the dr with? We had a small scream at our 18m needles, but the bubbles soon took a bit of the pain away. Its amazing that a nurse blowing bubbles distracts them enough!

You need to do what you think is right. My sister has 2 quite sensitive children, and its only now at about 8y that the older is starting to come out of her shell and be a little more receptive to strangers.