I saw a few uncommon/ rare cases: Williams syndrome, Marfan syndrome, Cockayne syndrome and congenital ichthyosis.
The other day, I was helping a HO hold down a 4-year-old boy during blood-taking. As in every blood-taking in Paeds, the whole scene will be full of drama, especially when the kid is a toddler or an older child. They are old enough to know it hurts and will resist with all their might. I was both heart-broken and amused with this boy. He had so many antics. A few times, he tried screaming at the top of his voice. Then he used the gentle technique. He gave the HO the most soft and pleading eyes and begged the doctor "Doktor, jangan ambil darah...Doktor, jangan ambil darah." To which the HO very gently and firmly replied "Saya mesti. Saya hendak tolong kamu." His pleading failed and he tried to bluff us. He shouted "Saya nak pergi tandas...nak kencing." We were almost fooled until the mom said "Apa nak pergi tandas...ada pampers tu.." He was wearing a diaper. Super LOL! Another HO tried to fool him while trying to search for a nice, fat vein by saying "Tiada cucuk...tengok saja." The smart boy saw the SYRINGE (not even the needle, cuz we have hidden the needle) and said "Tu....tu...jarum!" AND after the successful blood-taking, he refused to believe us when we told him that it's over and asked "Mana darah...nak tengok darah..."
Kids are amazing. Treating children is amazing. You will never feel cheated as you would treating an asthma patient who smokes or a HIV patient who continues to have UNprotected sex. It requires so much more skill and tact in Paeds. You need to be soft and gentle BUT firm at the same time. Plus you need to speak in that special kiddy voice that you reserve only for them. And you CANNOT NOT smile. So no matter how crappy a day you are having, the kids will make you smile, either voluntarily or involuntarily.
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| Can you resist that soft, pleading eyes? |
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