On many occasions, I’ve been woken up in the
middle of the night by terrified parents. It’s usually a high fever or a
very irritable child that makes them worried. Conveniently but
understandably, their fear and worry is transferred to us pediatricians.
So I would usually have to put my dream (sometimes, of sailing the
Pacific, or romancing a beautiful woman) on hold, to patiently give
these frantic parents a solution (pun intended) to their child’s
problem.
But lately, these nighttime awakenings are becoming
less and less frequent. So I decided to determine the cause for the
sudden decline in these late night disturbances. Were my old patients
now consulting a new pediatrician? Or have they found a new remedy to an
old problem? Both turned out to be true or so it seemed. "Doctor, my
child was crying with stomach ache. So I gave him my mobile phone to
play with and in a few minutes all the pain was gone!" I could only
reply with a grin. "The medicines that you used to prescribe earlier
never had such a quick effect doctor," she went on. "See, he is alright
now!" His parents were overjoyed as if they had just discovered a new
vaccine!
The ‘new’ pediatrician is becoming even more popular
these days, especially with the middle- and upper-class families. It
takes on various forms. The television, the laptop, the mobile phone and
the tablet are just some of them. Electronic gadgets are the ‘in-thing’
these days. Gone are the days where teddy bears and toy cars were used
to keep children occupied. This modern-day form of ‘distraction therapy’
is becoming increasingly convenient for the ever-busy parent. Why should
they take their child to the doctor, wait for their turn in a busy
clinic, and then pay a hefty (in their opinion) consultation fee, when
all this can be solved by a readily available household gadget? "It’s so
easy doctor… Increase his screen time and he’ll remain quiet."
But from the child’s perspective, is this all just a
means to an end? A child finds comfort in all forms of visual and
auditory stimulation. The modern day gadget is the most advanced form of
that. So although this kind of ‘therapy’ may work as a form of
distraction for the toddler and younger child, the much older
intelligent child, may in fact use the ruse of an ailment to get his/her
hands on these fancy gadgets. This may be one of the reasons why all
those ‘aches’ magically seem to disappear when the ‘new pediatrician’
takes over. Parents are sometimes so oblivious to the obvious. "My child
seems to be getting these aches much more frequently than before,
doctor. But they respond immediately to this new gadget that I give
them." "Of course they do!!," I think to myself. "It’s because those
aren’t even real aches in the first place!"
For the rural parent, the ‘new’ pediatrician is still
a distant dream. And that’s a good thing. The age-old and time-tested
remedy of a mother’s caress is still the first drug of choice. And it
works wonders! The ‘new pediatrician’ may also appear to work wonders.
But it all comes at a cost. Lack of social interaction, a sedentary
lifestyle and a disturbed sleep are just some of the expenses. But
parents seem to overlook these-side effects. They tend to prefer
short-term gains over better long-term outcomes.
For parents, the new pediatrician takes on the form
of the internet. "Doctor, could my child have Crohn’s disease? He passes
stools very frequently." Such unusual questions are becoming ever so
common these days. Parents think that the information they’ve gained
browsing the internet in the past couple of hours, might be equivalent
to the knowledge their pediatrician took over ten years to achieve. And
therein lies their folly.
Grandma’s remedies seem to be a thing of the past.
Grandpa Google seems to have all the answers these days. Whether one
needs to know how to treat a cold or fight cancer, everything is just a
click away. Switch on your monitor and you have not only the world, but
even your doctor at your fingertips. Or that’s what some parents would
like to believe.
However, we, the ‘old’ pediatricians, needn’t be
alarmed at this new development. In fact, I think we should warmly
welcome this new form of therapy. It is only a passing phase and sooner
or later, parents are going to recognize that we, doctors, are the real
pediatricians whom they should consult. They will soon realize that the
‘new’ pediatrician has too many short-comings and is only a stop-gap
measure to their child’s problems. In the meantime, we, the old–school
practitioners, should kick up our heels, relax and dream peacefully into
the night, and let the ‘new’ pediatrician keep the child occupied and
the parents busy.
Funding: Not from any manufacturer of the ‘new’
pediatrician.
Competing interest: I myself own several of these
‘new’ pediatricians.