Danger symptoms: when not to ask for online help from a doctor?

By Dr Kondekar, Pediatrician -
following situations will be difficult or impossible to manage through email, how ever you may just discuss with the doctor later once the acute condition settles down.
while asking a query to Child health specialist pediatrician Mumbai...
You shouldnot post your query on any online medical advice forms in the following way.

1. should i go to a doctor?
== legally when you feel like going to a doctor for consultation of emergency or appointment, there is no second thought. Online doctors cant refuse your wish as the seriousness you describe or the doctor feels cant be assessed online without a video-call.

2. if the child has trauma , medicolegal issue, abuse, addiction, psychological element of the caretaker, its very important and binding that the emergency issues be tackled first. legal elements and psychological issues require a great follow up and cant be answered by email forms.

3. when child has any danger signs:
=== when a child has any danger signs or danger symptoms, its not wise to sit at home or expect a doctor to give remedy on phone or email. you may discuss hypothetical emergencies with doctor to get a general udnerstanding.

4. danger symptoms/life threatening issues
==== these issues should require earliest medical attention preferably at emergency room or casualty. common danger symptoms in child are: trauma, bleeding, fall, convulsion, unconscious, breathlessness, blueness, high fever, not feeding/drinking  well in 12 hours, not passing urine since 12 hours, non responsive child, lethargic child, persistent vomits, many loose motions, rsspiratory discomfort, choking , sudden weakness on any part of body etc such cases need preferably ER visit to rule out life threatening condition. once that is taken care of you may consult to discuss such issues and preparedness to face them in part at home.

5. when you feel like hiding some reports or details when some or any past history is there, please do not ask for advice if the transparancy is not there.

6. If you are a medico/doctor/nurse, please mention in your query to avoid advice to a nonmedico. if you dont wnat to mention , please dont ask a query.

7. IF YOU FEEL, YOU DONOT KNOW ANY DETAILS ABOUT A CASE, AVOID ASKING QUERY ABOUT SUCH A CASE WITH THIRD PARTY. LET THEM ASK THE QUERY DIRECTLY

ASK ANY QUERY WITH ANY HYPOTHETICAL OR VIRTUAL \NAME AND VIRTUAL SITUATION, ANSWERS TO SUCH QUERIES WILL ALWAYS BE ONE OF MANY POSSIBILITIES IN THAT SITUATIONS.




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डॉं कोंडेकर संतोष वेंकटरमण@मुंबई

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