Is it hard to be a pediatrician
"There are, for example, the parrot mothers"
Why did you become a pediatrician?
The surgery was too bloody for me, too many people died at the general practitioner. Multi-morbidity. As soon as the prostate has been treated, the patient needs something against high blood pressure. In contrast, half of my patients are healthy. You come for vaccinations or for prevention. If they are sick, I can still make them really healthy. Children are genuine and fun.
No, they are difficult too, they are afraid of the doctor and yell around. That's part of it.
Isn't dying a part of it?
Yes it does. When I was still working in the hospital, the children had cancer or severe chronic illnesses. They were premature babies in the children's intensive care unit. Tiny 700-gram babies that we fed up. But I couldn't get used to facing parents and telling them that their premature baby was going to die. To destroy hope in them. Or to discuss with parents that their child is brain dead after the accident and that they should think about switching off the machines. The shock. The final. That is hard.
Did you open your own practice because you found it difficult to endure death in the hospital?
Because of that and because I didn't want to be the anonymous pediatrician in the clinic. I wanted to be your pediatrician. Where you go with your babies and I see them get bigger. I recently had a mother in the office for the first time, who was with me as a child and who has now had her own child.
Do you have a trick if the kids are scared of you or the syringe?
I try humor. The doll gets the syringe first. Basically, I greet the child and also speak to him during the examination, distracting him, even if he is shy or defiant. I also convey this to the parents: I first ask the child what is going on.
Does this work?
Mostly. But also leads to funny situations. There are, for example, the parrot mothers. I say: "Then I'll listen to you." - The mother: "Now the uncle is listening to you." - Me: "So, then I'll look into your ears." - Mother: "Just look at the ears for a moment. not bad. "- Me:" All right, and open your mouth. "- Mother:" Come on, open your mouth. "When I say goodbye and want to shake hands, the child hides behind the mother. Mother: "Well, she doesn't like that, she's always so shy."
Which parents do you like?
The relaxed, who deal instinctively and down-to-earth with their children and their illnesses.
How do you recognize them?
A cold like that lasts ten days, so I go to the doctor once to have it checked up and if he says, “That's okay, that's okay”, then I don't need to go back and forth. They make breast wraps with quark or potatoes, have a high level of family empathy and great emotional competence. They don't have a thousand cough syrups, but once a saline solution for the bare nose and the open window for fresh air at night. The child can sleep well. That's the most important.
Few parents are like that?
That's right, then there are parents who are very insecure. "I read that the teacher said my mother said ..." They are very anxious about a possible illness. This fearfulness carries over to the child as well. They come because of the slightest symptoms. The dot, it could be chickenpox. No, it was a mosquito bite. This skin? Is that atopic dermatitis? No, dry. He farts so much, is he lactose intolerant? No, just the beans. The mothers always go to extremes.
Now you've said "mothers" again.
Right. But fathers can do that too. I also do emergency pediatric services. Around 9:30 p.m., a father came with his son, seven, with a slight graze on his knee, three days old, and he was healing. Me: “And why are you here now?” - Father: “Well, the plaster came off this morning. You have to make a new one. "-" You are welcome to put a plaster on it, but actually I'd rather leave it open. "-" Make a plaster. "I take a simple children's plaster from the drawer and give it to the father. Father: "Something like that? We also have at home. ”-“ Exactly. That's all it takes. "-" And why did I come? "
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