Elements of visual diagnosis: The doctor's eyes should be on the patient's body.
It sounds like nonsense, but to be honest, some patients are really not used to being looked at like this, especially those with social phobia.
Social phobia is a subtype of phobia, which is a subtype of neurosis. Neurosis is a mental disorder that may be a congenital disease with genetic factors or caused by the acquired environment.
After a string of medical terms flashed through the doctors' minds, they all realized that they might have been overthinking, and the result of this overthinking was obviously related to Xie Juanwang.
From the doctors’ thoughts, it can be seen that this little kid has some “social phobia”.
According to the child's mother who brought her child to see the doctor, her child's medical history was as follows: the child was eight months old, had a normal birth history, weighed about 7.2 kg, was 70.8 cm tall, and had a head circumference of 45 cm measured last week, all of which were within the normal range of infant development for this age group.
It can be explained why the medical consultation can be placed first. Pediatric medical consultation usually asks the child’s elders instead of the child himself.
Medically, the examination of a child's normal development includes both the child's body and mind. The so-called mind refers to whether the baby's emotions, social skills, and other abilities can keep up with the normal developmental rhythm of the child. In Western medicine, it can be summarized as brain development or whether the psychological development is normal. For example, the well-known autistic children are typical psychological development disorders.
"Can he call mom and dad?" A pediatrician asked some targeted questions.
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Most eight-month-old babies can call mom and dad, but as this parent said, "They can't tell who is who. Sometimes they call the wrong person, calling his dad mom and his grandpa dad."
This is actually normal development of the child.
Children's development needs to take time, and parents don't 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 phobia" he showed today was not his usual self.
Does this mean that Mr. Zhao’s previous explanation of pediatrics is correct? Once a child comes to the hospital to see a doctor, even those who are not socially anxious will become socially anxious?
There's nothing to do. Look at this little kid's two big rolling eyes. Seeing so many grandparents, uncles, aunts, brothers and sisters looking at him, their eyes are so serious, so serious that the kid may feel super scared.
What do these grandparents, uncles, aunts, sisters and brothers want to do to the kids?
Scary!
The baby's little head hid in his mother's arms again and dared not come out, like a little turtle hiding its head.
The doctors' conclusion is that the kid is not in a good mental state.
Yes, "social phobia" may refer to a manifestation of a child's poor mental state.
How to judge whether a baby's mental state is good or normal? There is a very easy-to-identify indicator, as this parent himself said: the baby's behavior is different from usual.
Even if a baby is afraid of strangers in the hospital, it is unlikely that a baby who is naughty and lively in daily life will become a completely quiet baby like this. In fact, he is in a depressed state.
"How is the child's appetite?" the doctors continued to ask.
"He eats too little." The child's mother said worriedly. This is why she suggested taking the child to see a Chinese doctor again.
Whether the child eats less or not is not determined by the parents’ feelings. Western medicine focuses on quantitative indicators.
The doctor took out a pen and paper and was about to do the calculation.
Children of this age should be fed complementary foods to supplement nutrition instead of simply feeding milk. In particular, they can be given protein supplements because the digestive enzymes in the baby's intestines can fully digest protein at this time.
Based on the mother's oral report, the doctor roughly calculated the nutritional value of the child's daily feeding.
Since the mother is also a medical professional, she knows the basic medical knowledge and has done the calculations herself, so she is relatively clear. She answered frankly, "About the same."
That is, it should be enough to supplement.
After this consultation, in the preliminary clinical assessment of the Western doctor, as the child's mother said: She had been to the pediatric department of a Western hospital, and the pediatrician at the Western hospital believed that there was no major physical problem with the child. It was expected that the hot weather was related to the child's mental state, which seemed to be sluggish, and then affected his appetite and other aspects. Parents do not need to be overly anxious.
In this case, perhaps it is the parents themselves who need to see a doctor?
In pediatrics, this situation is indeed quite common in clinical practice: the parents' physical and mental health do not seem to be very healthy.
For example, when Dr. Xie went to study at Capital Children's Hospital, he felt that an excellent pediatrician not only treats children alone but also has to "treat" parents.
The child's mother is a self-aware and reflective person in her field, and she reiterated: "I came to see Dr. Jiao and Dr. Xie to regulate my child's health."
The parents thought that the child was in sub-health and could not get help from Western doctors, so they turned to Chinese medicine.
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