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Thu, 31 Jul 2003 16:52:49 -0400 |
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Just adding my two cents...
For the first exam, I like to examine my patients in a well lit place (unfortunately at the two hospitals I attend lighting is hideous in the patient rooms- hard to tell if a baby is blue or yellow or pink...) that has an otoscope and opthalmoscope available. Unfortunately that place is generally in the "nursery." There are times when 5 or more physcians are examining babies- I wish there were multiple diagnostic sets at both hospitals, but they break down, get lost, sprout legs (no they are not in the wall in the mom's rooms)- same is true for the stethoscopes.
I always call ahead to let the nurses know that I am coming. I don't want a baby away from mom any longer than necessary either. I enjoy having the parents at the bedside. I also make sure that I talk to the parents after my exam (something foreign to most of my colleagues in town).
If a mom insists, I'll do the first exam in her room. I like doing the followup exams in the parents room as much as possible. Just some days when I have four or more newborns to see in a short rounding time it helps me a lot to "batch the exams" then talk to the moms.
I long for those leisurely days when I can spend a long time (in the hospital I call long more than 15 minutes a piece- keep in mind the average primary care doc spends only SEVEN minutes per patient) with each of my patients. But I do have time constraints and also have to get back to the office to see patients there as well.
Some days, I would like a clone... short of that a bit of understanding would be helpful.
Pierrette Mimi Poinsett, MD
Modesto CA
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