Dr Salunkhe Shivaji Profile picture
Paediatrician generalist; coping situational vagaries

Dec 29, 2019, 5 tweets

#doctorhearout
Hear out patient until every iota of doubt surfaces from deep within Listen to their problem with intent to help Observe & absorb demeanour to relieve their burden, this can be ultimate confidence building against agony & discomfort to their suffering in management

#clinicalacumen top down gen full body exam'n deserves time Normal clinical findings are levers to rest deviant abnormal signs with systemic exam'n to correlate vital loop to reach diagnosis help prioritize severity of disease Guide urgency to Invest'n & Rx with appro conclusion

#diagnosticdilemma to clinician is the worst nightmare as condition under review is either multivariate or progressive & will reveal on reaching its destination either through known sequence or new unknown territory thus counselling ramific'n becomes speculative to interpretation

#fairjustice enabler & facilitator roles are conciliatory, reversible & nonmutually exclusive
Enabler can be active or passive & predisposed Zero down enabler & target intervention to empower them without friction this can be time exhaustive requiring patience & multiple visit

#negotiation patient confidence is needed till end of Rx journey, initially expect ambivalence & then acceptance becomes norm
Existential markers must to be conveyed giving time to digest Compassionate process of acceptance needs timely reminder to mitigate misunderstanding

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