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Acid Reflux causes and Treatment

What parents want from a GP consultation for their child’s cough or RTI

What parents want from a GP consultation for their child’s cough or RTI

Jane has brought Johnny, her 18 month old son, to see Dr Singh It’s been gong on about 3 weeks now, it started out like a normal cold but he’s not getting better. He can’t sleep because of the cough and he’s hardly eating. I just wanted to get him checked out Dr Singh thinks this is probably a bad cold but wants to be sure she’s not missing anything. She needs to decide whether this child will get better or end up in hospital. She is conscious that she has many patients to see this morning and has only 10 minutes to make the right decision. She also thinks the mum might be expecting antibiotics and will feel more satisfied with the consultation if she gets them Jane wants to make sure her son doesn’t have a serious infection but she also has all sorts of other worries that she is hoping Dr Singh will help her with; how to look after him that he isn’t eating that he isn’t sleeping properly, what to do if he gets a very high temperature, if it’s OK to keep giving him the child paracetamol she has at home. Dr Singh does not know about Jane’s worries. She is focussed on checking for any sign of a more severe infection Mum told me that he had a temperature but he doesn’t have one now, oxygen is normal, tonsils look ok, and oh, is that a slight crackle from his lungs? Dr Singh is worried.. Children can go downhill fast, and it’s sometimes hard to be sure how sick they are If this was just the first week that I’d been seeing him I would say, The fact that it’s been going on now three weeks, he had a slight temperature, I can hear a slight crackle on his chest; I think it’s probably worth starting a course of antibiotics OK I’d expect him to start picking up over the next few days Will the antibiotics take a couple of days to start kicking in? Yeah. If he doesn’t start to pick up, give us shout and we’ll have another look Jane didn’t really expect antibiotics this time but she trusts the doctor’s opinion that they are needed and will give them to her son She also thinks that next time he has a similar cough that lasts more than 2 weeks, she must come back for treatment. Dr Singh thinks that Jane is satisfied because she has been given antibiotics for her son but most of Jane’s worries have not been addressed Jane is still worried about her son’s symptoms and how to manage them. She wishes the Dr had given her advice about how to manage the fever, how to help her son sleep at night and to get him to eat properly Our research has shown these are common worries that parents have Parents will often leave the doctor’s surgery with many of their worries unanswered and sometimes with antibiotics they were not expecting Our research has shown the what parents really want is advice on how to treat symptoms, how to manage the impact on their family and what to look out for to make sure their child does not become seriously ill

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