I’m gen peds, and I worry about my patients all the time. And I feel like I worry about them more than their parents do. And it’s exhausting. They bring me their kids with a concern, I tell them what to do about it, then they don’t do it! Meds, imaging, referrals, therapy. I work in a Medicaid clinic so I know my patients have limited resources, but if you can bring your kid to the ER for a temp of 99.9 for 2 hours, why can’t you take your kid to radiology for a stat ultrasound when I order it, call a head, give my cell # to rads and wait and wait and wait for the call, only to call rads hours later and find out you didn’t go? You tell me your kid is waking up at night with a headache and sometimes vomiting and still haven’t gotten the MRI. Your child is having an asthma flair up and 3 days later you still haven’t filled the meds. I feel like I’m going to have to start saying at the end of every visit “listen to what I want you to do or your kid may die” I don’t want to have to say it, but I’m not sure how else to get them to listen. I feel like no one will do what I ask unless I drive them to the pharmacy, and specialist and therapy.
I know non compliance is a big issue in adult medicine, but at least they are just hurting themselves. In peds the kid suffers based on their parents decisions.
How do you all deal with this? Or is this just another part of burn out? 20-30 patients a day 5 days a week is just too many kids to worry about. I’m so exhausted.
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