Doctors are busy people all over the world, but in India, that is especially true. An average pediatrician may see a hundred patients in one day. Five minutes is the most he can hope to spend with any one child. So it isn’t surprising if he doesn’t get a chance to ask searching questions, or time to notice signs and warnings that all might not be well. When a mother brings her baby in for an immunization, a good doctor can easily tell if the child has Downs Syndrome or Cerebral Palsy. But if the mother doesn’t bring it up herself, chances are that the doctor won’t either. He will give the baby the DTP injection, take the fee and call in the next patient.
It’s understandable. Asking the mother if she is worried about the baby, or if the child is developing according to schedule, may unleash a whole torrent of anxieties and concerns the mother has been holding in since the child was born. Who has the time to listen to it all, and to answer the inevitable questions she will have?
Part of our outreach to the medical community is to encourage doctors to build a little extra time into their busy schedules to address issues of developmental delay. Milestones posters and brochures can be made available in the waiting rooms so that parents can draw their own conclusions about how their baby is doing. We encourage doctors to refer babies to our Early Intervention Centre where we can provide the counseling and emotional support young parents so desperately need.
We also encourage them to rely more on their own staff. Junior doctors can take on the simple stuff like sore throats and coughs. Nurses can be trained to do more of the routine work to allow doctors to handle the complex issues of diagnosis and referral. This would mean paying support staff better salaries, of course, something many doctors are unwilling to consider.
It leads naturally to parent empowerment – to help parents find the courage to demand the care they are paying for, to insist that doctors answer their questions and to not leave until they do! |