In nearly 30 years of clinical work in pediatrics, we have seen tens of thousands of children and contacted countless parents of children with different levels of education, economic income, background and experience. This is a common feeling, and anyone can understand it.
However, there are some parents with the following mentality. It is not worth advocating to give your child medical attention.
One is to take the child around to seek medical help and keep telling others about the child’s so-called “condition”.
I once met a child and his parents in the clinic. The parents told me that their child had a headache and had run several hospitals and many tests, but the child was not diagnosed clearly. As I talked with the mother, I never relaxed my observation of the child.
The mother was very anxious when talking about her condition, but this child, who was in the first grade of junior high school, was playing with the corners of his clothes carelessly although he was tightly frowning, neither looking at his mother’s face nor gazing at me, and did not look at all like he had a severe headache as described by his mother, and could neither go to school nor do his homework at home. Based on my previous clinical experience, I judged that this child had a psychological problem (i.e., a mental illness) rather than a physical illness.
I asked the child to sit outside the clinic for a while while I talked with his mother, and the child obediently went out. I asked the mother in detail about the whole process of taking the child to the clinic and the medications the child had taken, and then she brought the backpack on the examination bed to my desk again and poured out the medications. The child told me that his headache was strong when he had a cold in the previous period, but now it was nothing, only that his mother was afraid that there would be some big problem in the future, so she took him everywhere to “seek medical help”. He was also scared because he heard his mother tell others about his illness, and that’s why he stopped school and went around with his mother to see a doctor.
When the “cause” was found, the diagnosis was clear, and the child was really having psychological problems. I finally asked the child the question “Do you like taking medicine? I told the child that he was not sick, but just worried, and talked to the child alone about what to pay attention to in the future, and that he could go back to school now. I talked to the mother alone again, and in a serious tone, and I told her that the child’s so-called illness was caused by her, and the mother was surprised to hear that.
I told her that the child might have had a headache at the time of the cold because of the fever, and the headache was an obvious self-perception. The child may think that my condition is serious, or else my mother is always worried about it. I told the mother that this is the effect of suggestion, which is also a sign of the child’s immature psychological development.
I told her again that there was nothing wrong with the child and that she should not worry. If she was still unsure, I gave her my phone number so that she could consult me at any time if she had any questions, and the mother and son left with peace of mind. By the time I posted this article today, it had been several months since the mother had called me again.
This mother’s mentality is probably shared by all parents in the world, but it is a mentality that is lacking in the process of a sick child’s visit to the doctor. There are useful lessons to be learned from this case. As a parent, the first thing you should do when your child is sick is to take your child to the doctor in a timely manner and give your child the medication as prescribed by the doctor. Secondly, for preschoolers, it is important not to tell the number of people who are worried about the child’s condition in front of the child, or to tell the child directly how his condition is, as this may have a psychological implication on the child, which is not beneficial to the recovery of the child’s condition.
Just as we want our children to be well, we must not tell others how bad our children are in front of them. In the child’s mind, his mother is the closest person in the world to him, and now even his closest and most trusted person thinks so, his illness must be very serious and perhaps never be cured. What parents should do is to encourage their children and give them confidence to overcome the disease and get well soon.
One is to give the child medicine according to their so-called experience or will.
Some parents give their children medication as soon as they see that their child has runny nose or sneezing, and they use high-level antibiotics as soon as the child gets a little better. The actual fact is that you can find a lot of people who are not able to get a good deal on a lot of things. “The actual fact is that the child is not a good person. This mentality is especially bad when the child is taking antibiotics.
This is because, after the child is sick outpatient doctors generally prescribe the child a three-day dosage of drugs. The child’s condition after three days of outpatient treatment, if no improvement should be timely re-visit, the doctor will be based on the child’s medication, changes in the condition, to consider the diagnosis or medication, and then decide the next treatment plan; if the condition improves after the medication indicates that the diagnosis is correct, the medication is effective, at this time is only “better”, but not yet “The total course of outpatient treatment is generally 5~7 days. This is especially true when the child is taking antibiotics, but not according to their own so-called experience, arbitrarily reduce the amount, reduce the number of times or stop, which can not cure the child’s disease, but also easy to cause bacterial resistance, especially easy to produce “super bacteria”.
The correct approach for parents is to
First, if the child has signs of a cold, such as a runny nose, sneezing, etc., but no fever, no loss of appetite, good spirits, at this time do not give the child to take antibiotics, but also should not give the child to take the so-called “cold medicine”. You should give your child antiviral drugs, such as Banlangen, antiviral pellets, etc., and drink more water. This is because, in the early stage of the cold, more than ninety percent are caused by viral infection, antibiotics can not fight the virus, but also can cause bacterial resistance;
In addition, the so-called cold medicine are similar, are antipyretic and analgesic, that is, antipyretic, the child does not have a fever, after giving these drugs will be a lot of sweating, but easy to sweat more, easy to get cold. At this time to give antiviral drugs, can kill the virus; drink more water, both to moisten the mouth, is not conducive to the reproduction of the virus here, but also to flush the virus into the stomach, so that the stomach acid will destroy the virus, or the virus through the urinary tract out of the body.
Second, if a doctor prescribes antibiotics to a child, parents must take them on time, in the right dose, according to the course of treatment, and never reduce the amount or number of times at will according to their own wishes. This is because the use of antibiotics is a “full and no” phenomenon, that is, either do not, to use it on time, according to the dose, according to the course of application, otherwise not only can not cure the disease, but also easy to cause bacterial resistance.
When parents give their children antibiotics at home, they should first use the lower level of penicillin or the first generation of cephalosporins (such as cefadroxil, cefradine, etc.) drugs, and then use the higher level of the second and third generation of cephalosporins if they are not effective. This is to achieve the purpose of treatment, but not in the child infection is serious, in the embarrassing situation of no antibiotics available.
There is another type of anxiety and irritability, dissatisfaction with the treatment care of doctors and nurses.
As mentioned earlier, when a child is sick, not only are the parents anxious and worried, but the grandparents and grandparents of the child will also be anxious and “on fire”, which is a common and natural thing. In fact, the medical staff is also human, they also have children, they are also the parents of children, can understand the psychology of parents after the child is sick. In my many years of clinical work, almost every doctor and nurse in the clinical work is extremely responsible, want to be the first time to see the child’s illness, want to give the child a good infusion, just like a teacher, never want a student to fail every exam, in the work are dedicated.
Clinical nurses are almost exclusively female, women have the advantages of women, such as careful, gentle, loving, etc., but also have their own defects, especially in the menstrual period is more obvious. Sometimes the nurse can not hit the nail on the head to the child, this is never intentional, perhaps she is in the menstrual period, attention is not focused, or in the pregnancy period, their own energy can not reach, or perhaps the emotional impact of this day, the psychological quality of the problem.
Some may say that since these nurses have this or that problem today, don’t let them go to work. But in the current situation of the country, the hospital does not have so many nurses to transfer at any time. At this time, I sincerely hope that the parents of our children can forgive our nurses, tolerate our nurses, understand our nurses and give them confidence. At the same time, the hospital should also strengthen the basic skills training and psychological quality training of nurses, so that our doctor-patient relationship is more harmonious and the society is more harmonious.