Elements of inspection: The doctor’s eyes should be on the patient’s body.
It sounds like nonsense, but I have to say that some patients are really not used to being looked at like this, especially those with social phobia.
Sociophobia is a subtype of phobia, and phobia is a subtype of neurosis. Neurosis is a mental disorder that may be caused by genetic factors or acquired environment.
After a string of medical terms flashed through the minds of all the doctors, they all realized that they might be overthinking, and the result of overthinking was obviously a failure.
From the doctors’ thoughts, we can see that this little kid has some “social anxiety”.
According to the child's medical history reported by the mother who came to see the doctor with her child in her arms: The child is eight months old, has a normal fetal history, weighs about 7.2 kilograms, is 70.8 centimeters long, and has a head circumference of 45 centimeters measured last week, all of which belong to this The age range is within the normal range of infant and toddler development.
It can be explained why the consultation can be placed at the front. Pediatric consultations usually ask the children’s elders and not the children themselves.
Medical emphasis is on checking the child's normal development, including the child's body and mind. The so-called heart refers to whether the baby's emotional, social and other abilities can keep up with the child's normal developmental rhythm. In Western medicine, it can be summarized as brain development or whether psychological development is normal. For example, the famous autistic child is Typical psychological developmental disorders.
“Will he call mom or dad?” A pediatrician asked some targeted questions.
Most eight-month-old babies can call mom and dad, but as this parent said: “I can’t tell who is who. Sometimes I call the wrong person, calling my dad mom and grandpa dad.”
This is actually the normal development of children.
Children's development needs to be done slowly, and parents do not need to be overly anxious.
“He is not like this usually, he has a lively personality.” The child’s mother explained to her child that the “social fear” he showed today was not his usual self.
Explain that Mr. Zhao’s previous explanation of pediatrics is correct? As soon as the child comes to the hospital to see a doctor, will he become anxious if he is not social?
There is no way. Look at the two big eyes of this little kid. Seeing so many grandparents, uncles, aunts, brothers and sisters looking at me, their eyes are so serious that this kid may feel super scary.
What do these grandparents, uncles, aunts, sisters, and brothers want to do to the baby?
Afraid!
The baby's little head slipped into her mother's arms again and did not dare to come out, like a little turtle with a shrunken head.
The doctors’ conclusions are: this child is not in good spirits.
Yes, "social phobia" may refer to a manifestation of the child's poor mental state. How to judge whether a baby's mental state is normal or not? There is a very easy-to-identify indicator. As this parent said himself: the baby's performance is different from usual.
Even if the baby is afraid of strangers when he comes to the hospital, it is unlikely that a naughty and lively baby will turn into a completely quiet baby like this. In fact, he will be depressed.
“How is the child’s appetite?” the doctors continued to ask.
“I’m eating less.” The child’s mother said worriedly. This was the reason why she advocated taking her child to consult a traditional Chinese medicine doctor.
Whether the children with the disease eat much less is not based on the parents’ feelings. Western medicine pays attention to quantitative indicators.
The doctor took out a pen and paper and asked for it.
Children of this age should be fed complementary foods to supplement their nutrition rather than simply breast feeding. In particular, protein can be supplemented for children, because the digestive enzymes in the baby's intestines can fully digest protein at this time.
Based on the child's mother's oral complaint, the doctor roughly calculated the nutritional value of the child's daily feeding.
Since the mother of the child is also in the medical circle, she understands these basic medical common sense. She has done the calculations herself and is relatively clear. She answered frankly: "It's almost the same."
That is to say, it should be almost enough.
After this consultation, in the preliminary clinical judgment of the Western doctor, as the child's mother said at the beginning: I have been to the pediatric department of the Western Hospital. The pediatrician of the Western Hospital believes that the child has no major physical problems. It is expected that the hot weather is related to the child's mental state. Parents do not need to be overly anxious because of symptoms such as malaise, which in turn affects appetite and other aspects.
From this point of view, perhaps it is the parents themselves who need “medical treatment”?
In pediatrics, this situation is indeed quite common clinically: the parents' physical and mental health seems to be unhealthy.
For example, when Dr. Xie went to Seoul to study, he could feel that an excellent pediatrician not only treats children alone but also "treats" parents.
The mother of the child is a self-aware and introspective person, and reiterated: "I came to Teacher Jiao and Dr. Xie to take care of the child's body."
The parents considered that the child was in sub-healthy condition, and Western medicine doctors could not seek help from Chinese medicine doctors.
