Thursday, February 20, 2014

Go to the reception: where to treat the child?


Go to the reception: where to treat the child? Already in the ancestral house in your life there is a new addition of a baby, of course, is the character that will be faced more than once. His name - the children's doctor. In the hospital for the health and development of the baby watches neonatologist (newborn care), and after discharge this mission is for the local pediatrist. And here the fun begins...



Hello, the doctor!


You baby are discharged from the hospital and your doctor gets information about the baby - new patient. From this it follows that the pediatrician the next day after your return home (within a maximum of 3 days) is obliged to see you. The purpose of the visit was to examine the child to listen to his heart, skin, fontanel, umbilical wound, "buttons" from vaccinations), and also to talk with the mother of the baby and how much he sleeps, do it mother's milk, how many times a day the baby to get wet and dirty diapers. Such "bride" - if a kid is all right - rely times a week, prior to the execution of the crumbs of the first month.




Council.

Ask the doctor phone numbers - its personal (if desired) and community clinics that in the event of an emergency on-call doctor house.


New patient




Cheers, the baby was a month! Mean - time you see a doctor at the polyclinic, which will assess the condition and development of the child. This visit is the first clinical examination. First you go to the pediatrician. He weighs and measures the growth, the volume of the head and chest of a young patient starts on his medical card, which has recorded information about the status of the baby at discharge (map babies in the first year is in the pediatric office, and not in the registry). Hereinafter will be recorded news about the health of the baby, you baby will collect a number of doctors, neurologist, orthopedic surgeon, ophthalmologist (if indicated - Laura and cardiologist).





The advice. Bring a reusable diaper, which should be laid on the examination table and scales, and a couple of disposable diapers and wipes.
Ask your doctor all the questions you care about. It is better to write down all your "why? ", "how? ""when? " and "why? " in Notepad so you don't forget because of the bustle and excitement.





The process went


Visit the local pediatrist with infants should on a monthly basis during the year. The baby will be 3 months - you have to have a second medical examination, and in 12 months - the third, with a visit to the standard number of physicians. There are cases (for example, when suspected dysplasia of the hip joints, increased muscle tone in the crumbs), when the advice of specialists is required more often.




After a year of monthly visits to the doctor stop now, you are visiting the clinic for vaccination (doctor prescribes day regular vaccinations) and, if necessary, if the baby something to be concerned about.




Here, in the clinic, you will be given sick leave to care for a child, a certificate of health and a map of immunization for kindergarten/school, in the treatment room is vaccinated and shot if the doctor prescribed a course of injections (by the way, "pierce" baby home and district nurse).





The advice. For visits babies in the clinic is allocated a special day - "day of the healthy child". But this rule, of course, does not exclude the possibility of a visit to the doctor and visits out of turn, if a baby suddenly something is wrong.


Difficult question




The child got sick and temperature - where to go? In the reception in the hospital, to call for a doctor. The output is a doctor, and even if it is not your district, in any case will help to make the crumbs. If the baby's temperature is very high or he continually cries, immediately call an ambulance or take the child to the emergency room at children's hospital.




Council.

In the emergency room, the kid will be visiting and will provide first aid (often inject anti-inflammatory and analgesic), be offered admission. You have the right to agree or refuse to go to the hospital, putting the signature in the journal of hospital visits.



Course on health


It happens like this: a doctor treats a seemingly banal ARD, and all the past. Or worse: one diagnosis migrated to another, the third, and so stretches more than a month. So, we need to go to a medical facility, a higher level - regional clinic and the national consultative-diagnostic polyclinic "Okhmatdet".




Another logical option is to visit the state specialized medical center, where treat disease specific profile (Allergology, dermatology, diseases of the endocrine, circulatory system, respiratory system etc).




Council.

Conscious pediatrician in the case of prolonged illness or very frequent similar ailments, the child himself will advise this scenario and will give you a direction. But without direction, you have the right to visit the right people - in the registry of the regional hospitals, state medical center or clinic "Okhmatdet" you will be given a coupon for a free one visit.


A special case of




It is no secret that many mothers prefer to district clinics private, counting on a higher level of doctors and, accordingly, the quality of services.




Indeed, in private hospitals moms often get what they want, albeit for a lot of money. Moreover, they do not need to sit with the children long queues: a doctor in a convenient and agreed upon in advance. Here, in a private center, the child will make all the necessary tests and routine vaccinations.




You can go to a private clinic whenever the need arose, you can purchase insurance (semi-annual, annual and longer period), and which includes the provision of all necessary and routine procedures.





Council. Turning to a private clinic or by signing the agreement, do not forget to ask what services are designed license - do there routine vaccinations, regular and comprehensive analyses do help and sick leave.



Looking for an alternative to


As practice shows, the most popular method is to treat the child by "their" doctor. Sometimes the kid is watching the doctor at the private clinic or favourite physician of the district, but with a different plot, and our local pediatrician only notes in the medical records the fact that the child had been ill and recovered, plus writes out the necessary information.




The advice.

Choosing medical services in this format, you have the opportunity to choose a doctor (especially that services need to pay). Your pediatrician is really worthy of attention, if he:


- do not put the diagnosis only "by eye", and advises tests, examinations (this assigns the most necessary, explaining their appropriateness);


- don't forget during the examination of the child to talk with his parents, recognizing the important stuff: what feeds the baby (his mother), as asleep as he walks in the fresh air, which means wash his clothes, and so on;


- does not change every time the set of drugs reasons, "maybe this will help if the child is not observed improvements;


- does not carry the common cold to acute or chronic diseases, to treat the "heavy artillery" of drugs;


- not "outputvalue" patients, if not can quickly diagnose and cure disease, " advises another person or another clinic;


- don't dwell on the service in a bad mood, knows how to communicate with children of different ages, knows how to cheer and comfort the little patient;


not intimidates parents, and advises variant adequate way out of difficult situations.




Consultant - Valentina Grigorievna Shkurenko, pediatrician highest category






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