Comments on: First you Like me, then you Hate me.

By: ShockUrMomma

ShockUrMomma — Wed, 02 Dec 2009 02:36:09 +0000

Unless I’m kicked, hit, cursed (yes, I’ve had a toddler tell me ‘f&*^ you’) or spit on…I’ll rave about how brave the kid was, he/she was my best patient, and yes, what I did was not nice. Then split!

By: M. Campbell

M. Campbell — Tue, 01 Dec 2009 20:28:34 +0000

I think that if you don’t want to establish rapport with and care about your patients, what are you doing this for anyway? Much easier to treat a cooperative pt that trusts you (in response to the doctor that said the pt liking you is not important). As for sick children who do not “act sick,” my 6-month-old daughter was in the hospital with rsv because of low O2 saturation levels and was laughing and smiling between horrible hacking coughs and asthma attacks. Yes with her it was technically “a virus” but she still had a need for hospital tx.

By: leveling up fast skillfully -2- | Silkroad Summit

leveling up fast skillfully -2- | Silkroad Summit — Tue, 01 Dec 2009 01:46:17 +0000

[…] First you Like me, then you Hate me. […]

By: R.May

R.May — Mon, 30 Nov 2009 13:56:08 +0000

Anyone who has children knows they will be sicker then anything but be acting fine whenever you take them to a medical professional ; )

By: ERPA

ERPA — Mon, 30 Nov 2009 07:25:36 +0000

I think you should be satisfied if the child cries when you enter a room and stops when you leave the room. You should play with your own children and treat everyone else’s without trying to make friends with them. It is really not that important that they like you.

By: theresa geir

theresa geir — Mon, 30 Nov 2009 04:12:12 +0000

Hi, try to remember that children forget quickly. Long after it is bothering you, the children have forgotten it happened. Also, the discomfort of a swap or a shot sure beats the pain of an untreated infection.

By: ERP

ERP — Sun, 29 Nov 2009 21:51:31 +0000

Right ER Doc. I did mull that one over. I just followed my gut. It seemed to me that five days of fever is a little long for the flu (and the kid was little) so I gave Tamiflu in case her condition worsened. No real good reason for that - just seemed like the right thing to do.

By: ER Doc

ER Doc — Sun, 29 Nov 2009 20:02:49 +0000

Why did you give him Tamiflu? 5 days into his illness is way outside CDC recs

By: ERP

ERP — Sun, 29 Nov 2009 19:04:14 +0000

Good question elsi. He had fever for five days with no obvious source, so I did a flu swab, knowing that if positive, I could end the work up right there. In fact, it was positive so I d/c’d him on Tamiflu.

By: elsi

elsi — Sun, 29 Nov 2009 18:30:25 +0000

If the kid is up to games and giggling why does he need a swab? “Your kid has a virus. Take him home; keep him rested and hydrated; give him Tylenol every six hours; bring him back if he has trouble breathing, becomes lethargic or confused, his fever goes over 104, etc.”