Pediatric Case, Beware!

Orang orang yang dekat dengan aku, pasti tahu aku punya hati yang kalau dengan budak meleleh leleh cair. Itu belum lagi tahap melting jumpa budak area lapan bulan yang pantang diagah mulalah nak mengekek ketawa sampai keluar air liur. Wuuu!

Kalau jumpa kes pediatrik memang aku akan jadi antara mereka yang senyum lebar. Dan aku juga yang akan termenung sedih, kalaulah tiba tiba ditakdirkan pesakit menangis in the middle of the session.

Handle pediatric case ada beberapa cabaran. As for medical students, mereka berdepan dengan manusia yang sama namun struktur yang membezakan. Aku maksudkan perbezaan ini kerana mereka mungkin berdepan dengan vena atau arteri yang sama, jantung yang sama, kaki tangan badan yang sama, cuma dalam saiz yang berbeza. Dan semakin kecil saiz, sukarnya semakin bertambah.

Dan untuk bidang aku, when it comes to pediatric case, they're literally the boss of the session. If they have poor attention, you're the one who need to be faster. If they're easily to get boring, you're the one who need to be creative. If they're afraid of stranger, you're the one who need to be on-the-spot family. If they're scare of the machines, you're the one who need to make it as enjoyable as possible. If they're crying, you have the possibility to be a clown just to create a smile.

And yeah, I did! I always did!

In this world, I can say it falls into two categories of health workers.

1. People who enjoys what they're doing and they're happier to have it more. Or,

2. People that have been forced to, therefore they struggle every single day. 

If you not fall either of these two, just consider yourself as a plain boring worker.

Back to the topic.

Setiap bila mula lihat senarai pesakit, benda pertama tengok adalah umur. Dan itu tidak bermakna dalam kalangan kes pediatrik, semakin tua usia semakin mudah. Tidak. Mungkin ada, bukan kesemua kes sesenang itu.

Of courselah yang pertama adalah ilmu/KNOWLEDGE. Adalah tidak patut handle sesuatu perkara jika tidak ada ilmu tentangnya. Contoh, perkembangan bayi bermula dengan menguatkan kepala termasuklah vision dan hearing, kemudia upper body seperti meniarap. Diikuti lower body untuk duduk dan merangkak dan terakhir lower limb untuk mula berdiri berjalan dan berlari. Adalah tak berguna berikan kanak kanak satu tahun dengan permainan LEGO sedangkan permainan ini dicipta untuk meningkatkan keupayaan fine motor and perceptual skill. Apalah guna kau latih fine motor skill walhal gross motor skill tak terbina lagi? Seperti juga kau main peek-a-boo/chiiikucakkk aa dengan patient umur sebulan? Apakah?

Bayangkan kanak-kanak kecil. They can't hear but they can't tell! They have  thing to complain, but how will we know? How? The only way left is OBSERVE.

They maybe a cry baby since born. But out of sudden, they cry more than it supposes to. Or, they start to be a loner hmmm.. something wrong may had happened. So see the CHANGING.

This is the best part or I would say the easiest part. Kids at two years old should be able to point at their body parts when asked but your patient can't. Or she should speak at 2-3 word phrases but your patient still babbling? Mungkin ada sesuatu yang tak kena bila tidak sebagaimana sepatutnya. COMPAREkan dengan range normal, and if significant, rule out any possibilities!

I repeat, pediatric is NOT EASY! And as adult afraid of strangers, they are also but double in amount. Or perhaps, triple! Build rapport, build rapport, build rapport, build rapport! When they are COMFORTable enough with you, only then you can work! Hey, they're human too. They want to be trusted and to trust!

And last but not least, do it with your heart. Kids are not looking at your beauty or handsome face. They're looking more than that. Your sincereness when with them. Your pure heart during the session is the most beautiful picture of you and that's what they're looking for. It's LOVE.

And LOVE creates TRUST! Trust that can help you to obtain the result. So they will help you to help them.

Remember these. Help pediatric case with;

1. Knowledge

2. Observe

3. Change

4. Compare

5. Cormfort

6. Love

7. Trust

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There is a great deal of difference between an eager man who wants to read a book and a tired man who wants a book to read.  ~G.K. Chesterton