What is the ideal age to switch from seeing a pediatrician to a physician ?This has been a sore point and has led to heated debates among my colleagues from both the specialities.We ,the humble pediatricians , feel that after the age of 12 children can be seen by GPs or physicians.I find it amusing to see strapping boys with acne and moustaches waiting in the reception area teeming with kids of different age groups.Many of them are embarrassed to be seen by their “baby” doctors but are dragged to our side by the parents.Their reasoning is very simple-Doc,you have seen him/her from day one,can’t you see them for some more years? Wish we get an adolescent medicine specialist in my hospital .Personally I dont want to deal with teenage issues. It is nice to see these children grow into confident adults but I don’t want them as my patients.I am happiest when I am with my toddlers and newborns.
In my profession what I find most challenging is getting a proper history from the patients or should I say parents .They expect you to make a proper diagnosis with incomplete and sometimes bizarre medical histories.Most do not remember the medicines they are administering diligently with or sometimes without consulting a doctor.The hapless medicos have to try their best to fill in the gaps.Most of the antibiotics are dismissed as “those white powders which you have to make up with water” and all cough/cold medications are “tonics” .I am not dealing with illiterate villagers,most of the parents are English speaking professionals.It is quite a task and sometimes I feel that I have to be a medical detective to unravel the mysteries .If a kid is having fever,we have to know the duration and associated symptoms.It could vary from 1 day to “many” days and then I have to choose .Also there are many who tend to exaggerate-a mild viral illness is presented as a complicated syndrome with mindboggling symptoms.Some may bring in imaginary complaints just to get medicines.Another type of parents are those who keep thick files of their tiny tots documenting each and every cough,sneeze and what have you.So when I ask what is the complaint,they hand over this file expecting me to go through each page and decipher those scribbles-oh ,yes,most doctors have horrible handwriting.Sometimes I wish that my patients come to me on their own without their smart parents and their voluminous medical records,
Do you belong to that group who can just take off on their own to any place of their choice or are you someone like me who like to travel with at least one person ?Though I am not a socially challenged person, large group of total strangers unnerve me and I had avoided such trips for a long time.I have considered solo travel but somehow havent yet accomplished that in the true sense.There was a Singapore trip 10 years back but I was staying with a friend and explored the city with some of her friends.But it was thrilling to travel to a new place and go around without a preset itinerary.
After that most were with friends.Of late it is getting a wee bit difficult to find someone to go with you.One must have someone with similar interests and drive.It is not easy sharing your space with others..One of my friends feel that a couple should travel together before marrying as this is the best way to get to know each other.Travelling together can be really challenging.
Presently I am looking at a winter trip to the land of Seven Sisters.Should I go solo or start calling up friends ?