Monday, December 27, 2010

Dr. Horrible

The relationship of the child and medicine are based on theoretical training at home. The most popular textbook on the subject - the famous book by Chukovsky Dr. Aibolit. Brilliant doctor - a doctor in an ideal children's perceptions: gives chocolate, eggnog treats, and sometimes puts a thermometer. Complex surgeries, such as sewing pins Zaikov, look quite innocuous. Nothing bad (terrible and painful) doctor to his patients does not, that is against Dr. Dolittle increased love of the child population and pathological envy of practicing pediatricians.
Real life - real disease and real hospital - is different. Pretty fantastic theory gives way to practice. Most contacts with medicine - pain, fear, inconvenience and other small and big problems.
The eternal question - who's to blame? Why the child and the doctor struggle to find understanding? Why very often children experience fear and antipathy toward health care workers? Why Dr. Aibolit good, and our doctor, Maria Ivanovna bad?
Answers to these questions have as their basis a number of objective and subjective factors. At first, let's talk about the factors of objective, about the things on which to improve the current situation is practically impossible.
Thus, even at the stage of disease prevention (as I said - no treatment, only prevention) surveillance system involves taking a child clinical blood tests, scans the district pediatrician and medical specialists, as well as immunizations. Get the blood can not be painless, immunizations without injections - a dream, well, except that the polio vaccine - a pleasant exception. A survey otolaryngologist and scary dark room in the office of an ophthalmologist, a neurologist with a hammer in his hand?
What can we say about diseases! And without that bad, but then there's the endless injections, enemas, looking into the mouth, schupaniya belly bitter medicine all the time next to fear, next to the pain, next to the prohibitions and limitations of people scurrying around in white coats.
Subjective factors, much more. And speaking of them will, of course, more detailed, because brand name viagra there are very real opportunities to influence the status quo.
The key to understanding: a repeatedly referred to our system of doctor-child "there is an important intermediate - parents and those close to last (my grandfather, grandmother, uncles, aunts, brothers and sisters).
It is obvious that pre-exposure to the medicine by intra-training and post-exposure - again intrafamily "debriefing". The original concept - a completely logical. Well, any sane parent would ever think to tell the child: "Now we go to the clinic, where you will hurt." Man is very important to be, or at least sound good, if not in his own eyes, then surely in the eyes of others. Indicated by the general rule with regard to their own children everywhere and strictly adhered to. Bad can be anyone - a nasty uncle the doctor, not a good aunt, who pricked her finger - but can never be bad mom and dad.
Hence the first problem - a direct contrast of good (mom, dad) and evil (doctors and nurses).

The second problem is that, in spite of all parental attempts to be good, be good is not obtained. Not least because that deceive the child can not be long. Promised that it does not hurt and is not terrible, but it was painful, and scary.
The third problem - the problem of direct contact between doctor and child. Individual approach, finding a common language, identifying and accounting for specific characteristics of the character - all this requires a doctor's "only" three things: desire, ability and time. At first glance it looks rather paradoxical fact that an excess of skill and desire, the time factor is decisive. But it is only at first glance. Try to find a common language, when the office door for all, or when the term 20 calls at home. Good professor grandfather always better than "just a doctor", and not just better and better in three. Why? Yes, because relative to separated to take the child from him: 1) more experience, and 2) more knowledge, and 3) more time.
Hackneyed phrase "time - the money" is equally relevant in banking, and healthcare. The amount that a doctor earns per unit time, is so ludicrous that even the idea of the need for 20 minutes to persuade Petya open mouth also seems ridiculous.
Another problem, and again related to the material well-being as the Health and Population. Very, very many painful and unpleasant treatments may be completely adequate substitute for pleasant, painless, but significantly more expensive treatment options. Painful injections of antibiotics in 70-80% of cases are unnecessary. Those same drugs can be given orally in the form of sweet potions. But the cost of these drugs (usually imported) is often 2-3 times higher than treatment with injections. Sadistic procedures such as jars and mustard plasters, common, incidentally, only in the territory of the former USSR, logically, should be replaced by a variety of physiotherapy, qualified medical massage. We are no longer talking about dentistry - a unique area of medicine, in which kindness, or, conversely, "strashnost" the doctor directly dependent on the patient's parents' pockets.
A related topic - the need to put the child in hospital. That's really where there is something to fear. That mother is not allowed, then not allowed to have loved bananas, blood taken every day. And the shots? Whatever the place or hurt before treatment, but after 2-3 days Booty hurts much more. And the Viagra is suitable whether you reason for everything - all the same people in white coats.
Where is the exit? Are there any? How did get to the doctor and the child were good friends? Afford in this regard, some advice.
The first council, which, probably, not advice at all, concerns not only parents, children and doctors, many public health organizers. The doctor and the child and the parents of the child must be his own, a close friend. From whom do not communicate only when bad, but at least sometimes, in those days, when well. Ideally, the doctor your child is not the state should appoint (exactly what happens when it comes to the precinct pediatrician), and parents must choose. It is logical in this context that the work of the physician being paid by parents, not the state. But that's the theory: 90% of all childhood diseases - infectious disease, and treatment of infectious diseases in the individual order is forbidden by law. So in theory the problem of an individual approach, a physician-friend, relationship skills, desires, skills and wages do not seem difficult to solve, at least for that part of the population that can pay for a doctor. But it is essentially impossible because, promoted in recent Institute of Family Physicians, in fact, obtained polusemeynym as a doctor - a man the state (budget), and hence a poor, limited in time and thinking about what to feed their children. Let me stress again: not public (private), a family physician at the existing laws can not be, because it has every right to treat stomach ulcers with the Pope, vegetative-vascular dystonia mom, but has no right to treat the child diarrhea, chicken pox or scarlet fever.
Povshlipyvav about the imperfection of laws and global poverty, will return to the realities of life. Thus, the aims and objectives of the parents, how to implement.

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Not only on medicine but also in life in general, should ensure that the word "should" was used rarely, but its use must satisfy. Pedagogy ends where the cries and screams can "have" changed to "not necessary".
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It is very important to remember that the antipathy of the child to health care providers, to put it mildly, does not contribute to a lesser painful medical procedures. Inspect the mouth for any disease physician is simply obliged, and he will do it regardless of whether Mary wants to open his mouth or not. In the latter case it will be painful and unpleasant.
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Absolutely can not lie! None of that will not hurt, nor about the fact that the hospital will not put. You can not make promises that may prove to be unenforceable, then dump in the doctors own pedagogical flaws ("Tomorrow I'll take you out of the hospital," "I can not let you pick up The doctor does not let go").
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Child, in principle, it is better not to intimidate, but it is one thing to scare mythical concepts (baba Yaga, grandfather Babayev, who bites like a top little gray in flank, etc.) and quite another - actually existing phenomena. Clearly state that bullying doctors, hospitals and injections should be considered as one of the largest teaching nonsense. For examples and quotations not far to seek: eat, and then put in the hospital, if you do not sleep, you have to do injections, now call the doctor, then you'll know how my mother did not listen ...
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Discussions with the children should always emphasize the fact (by the way, it is quite obvious) that this, albeit a very nasty and unpleasant treatment option, it is due to illness, and not wanting to be a doctor, in turn nasty and unpleasant.
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Even if you do not think the good doctor's good and gentle, do not tell your child about it. Categorically unacceptable to criticize and discuss critical health care workers in the presence of children. You can not make a child fall in love with a doctor if a similar love in relation to the doctor, he is watching from the other family members.
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Take on the part of the prohibitions, restrictions and requirements - the need to let the bed rest and swallowing a bitter pill, the need for a certain (but hated the food) and visit the clinic come from you. Permanent link to doctor, because of which all these troubles have arisen to improve the situation is unlikely. But parents can not stop loving, and generate antipathy toward the doctor - it is very easy.

Help your doctor to be good!

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