Clinician's Corner: Taking a good patient history

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  • Опубліковано 29 гру 2024

КОМЕНТАРІ • 149

  • @oliverallen5324
    @oliverallen5324 6 років тому +155

    All great.
    When you take notes and end with, “Let me read over what I have so we’re on the same page. I want to be sure I’m getting the whole story.”
    That’s saved me in EMS, and is serving me in medical school.
    This is on time. Thanks again.

  • @vincaalkaloids6732
    @vincaalkaloids6732 6 років тому +182

    True. I believe empathy is the key ingredient that is missing from our history-taking. Often we physicians just interact with patients coldly, showing no visible concern etc. It is the human touch, the human element that sets the patient's mind at ease, makes them feel secure with their doctor. With so much hatred and wars and bloodsheds going on in the world, we doctors could play at least a small role in comforting our patients by, as Dr. Rishi pointed out, showing empathy and, above all, use a soft tone in our voice when talking to the patient. It makes a world of difference, I tell you.

    • @DoctorElliottCarthy
      @DoctorElliottCarthy 6 років тому +6

      The emotion that is consistent in basically every single patient we see is fear. People are unwell and scared of what it might mean. Empathy is key to trying to alleviate that and build trust.

  • @JufDanielle
    @JufDanielle 6 років тому +274

    Wonderful tips, thank you! My tip: I always start the conversation with ‘why have you come to see me today?’ . Adding a little emphasis on today: why not yesterday? Or last month? What triggered somebody to come to me today? I have found this to be a way to get to the motivations, fears, social surroundings, etc, relatively easy and early on in the conversation.

    • @ellesrevisionsession
      @ellesrevisionsession 6 років тому +4

      Thank you, great tip :)

    • @usamakhalaf3585
      @usamakhalaf3585 4 роки тому +1

      Come to see your nice face

    • @chukwuenyemblessing8433
      @chukwuenyemblessing8433 3 роки тому +3

      Yes! Great too. I was taught to say this in med school in Nigeria.
      What brought you to the hospital today. Today?

    • @sobster123
      @sobster123 3 роки тому

      @@usamakhalaf3585 🤣🤣🤣🤣🤣

    • @MusicLyrics-gf8oy
      @MusicLyrics-gf8oy 6 місяців тому

      That sounds too personal, to see you 🤧🤧

  • @ritikanahavre2348
    @ritikanahavre2348 4 роки тому +13

    The same empathy point was taught to us ...as a ug medical student . What we can give to a patient a smile,a reassurance that they are going to be alright ❤️

  • @cindydavis7917
    @cindydavis7917 6 років тому +100

    Thank you so much for this video, this will actually help me get rid of my nerves and actually focus on the patient. I am naturally an empathetic person but sometimes med school brings the worst out of you due to testing/stress. So I appreciate it

    • @DoctorElliottCarthy
      @DoctorElliottCarthy 6 років тому +7

      Practical exams can be really stressful, especially as you feel like you're acting. Everyone goes through it and as long as you apply it in real life then that's all that matters.

  • @nevergiveup2198
    @nevergiveup2198 3 роки тому +21

    Omg the boy’s story made me cry

  • @kaylaphlegar5473
    @kaylaphlegar5473 4 роки тому +32

    I really loved the personal story about the patient act you shared. That really put things into perspective and shows the true importance of checking in with your patient to see how they are really feeling.

  • @ZVMed
    @ZVMed 2 роки тому +7

    This was beautiful. Especially your talk about making sure to appreciate what your patient is worried about... not just what the clinician is worried about!!

    • @osmosis
      @osmosis  2 роки тому

      We're glad that you appreciate this video, Zach! Thanks! 💕

  • @DoctorElliottCarthy
    @DoctorElliottCarthy 6 років тому +13

    It can be as much (if not more) about your observation skills and using silence effectively to elucidate the answers you're looking for. This is especially true in my specialty of psychiatry.

  • @IviweSongongo
    @IviweSongongo Рік тому +4

    Hey there I am a first year medical student in Nelson Mandela University, South Africa. Thank you for this video it has helped me prepare for my practical session with a simulated patient. I have picked up quite a lot of points and I will keep them for as long as I go into this medical course. Really appreciate it .😁

    • @osmosis
      @osmosis  Рік тому

      Thanks for letting us know, Iviwe! Glad to help! ❤️

  • @rfakb3503
    @rfakb3503 3 роки тому +8

    I think that the importance of obtaining a patient's medical history is to gather subjective data from the patient and/or the patient's family so that the health care team and the patient can collaboratively create a plan that will promote health, address acute health problems, and minimize chronic health conditions.

  • @norfarahhidayah
    @norfarahhidayah 4 роки тому +3

    I had my theory and digital osce today. My interactive osce exam is tomorrow and this bring tears on me. Thank you. :")

  • @vidusha123
    @vidusha123 6 років тому +7

    It really brought tears to my eyes. Thank you! I’ve been going through this in the wrong way.

  • @joannhoward2659
    @joannhoward2659 Рік тому +1

    As an NP student, this video reinforced my need to stay focused and present when actively listening. I will need to work on keeping my questions to a minimum and summarizing - will need practice on that. Thank you so much for this highly informative approach to obtaining much needed data to properly care for my future patients!

    • @osmosis
      @osmosis  Рік тому +1

      Most welcome, Jo Ann! 🥰

  • @fraugluecklich7211
    @fraugluecklich7211 5 років тому +5

    This made me cry. Thanks for the video!

  • @BhoomRangbhoomi
    @BhoomRangbhoomi 3 роки тому +2

    1.Listen
    2.Empathize
    3.Ideas concerns expectations

  • @chinmayeechavan5724
    @chinmayeechavan5724 3 роки тому +10

    I'm a second year medical student , and I'm just being posted to surgery wards .....this video was really really helpful ... especially the 'ICE' .thank you !

    • @osmosis
      @osmosis  3 роки тому

      Hi Chinmayee! Glad we were able to help! Best of luck! :)

  • @DRSHIV-vr9je
    @DRSHIV-vr9je 6 років тому +13

    Thank you for your valuable tips.i will try my best.

  • @muhammadmajid7522
    @muhammadmajid7522 2 роки тому +3

    Awesome.. I love the way you explained you handle your patients ❤❤❤ I've nothing to say over you said .. I just want to say thanks to you Sir..

    • @osmosis
      @osmosis  2 роки тому +1

      Thanks for the feedback, Muhammad! ❤️

  • @drmariaqadri
    @drmariaqadri 5 років тому +5

    ICE is the best tip. Thanks doc!

  • @kellymorris8255
    @kellymorris8255 4 роки тому +4

    This is awesome! thank you for sharing. These 3 strategies are at the core of motivational interviewing and getting the client to change talk. Empathizing, open-ended questions, affirmations, reflections and summarizing. As clinicians, these factors are key as we enter into a partnership WITH the client (not FOR) encouraging them to take charge of their own health. And it builds a healthy, therapeutic and trusting relationship. Thanks for this summary! So great:)

  • @طيبةيونساحمدحسن
    @طيبةيونساحمدحسن 2 роки тому +2

    its so amazing , i totally agree with u , and thats exactly what i do
    i always start to ask the pt what he fell and listen carfully for him later on i summerized to the pt what he said and if i had any mistake they will correct it 4me

    • @osmosis
      @osmosis  2 роки тому

      🙌🏼 👍🏽 👏🏻

  • @MultiKeivan
    @MultiKeivan 29 днів тому

    Thanks a lot for this valuable medical content. I will watch it as many times as I can. Again thanks a lot

    • @osmosis
      @osmosis  14 днів тому

      Happy to help! 🥰

  • @neilpawar6386
    @neilpawar6386 6 років тому +3

    Thanks for your valuable guidance...Will try to apply them in my internship days...

  • @emmanuelwisdom5675
    @emmanuelwisdom5675 6 місяців тому

    Thanks a lot for these golden tips. I'll be sure to share them with my colleagues.

    • @osmosis
      @osmosis  6 місяців тому

      Our pleasure! 🥰

  • @dr.p2126
    @dr.p2126 4 роки тому +2

    Very well explained! Great video.. kudos!

  • @MundoGamesDo
    @MundoGamesDo 7 місяців тому +1

    That's difficult to do as a brazilian student, because my university ask me to fill out an entire anamnesis list. I know, it is kinda counter-productive, but I have to do their way, at least while as a student

  • @olivermarchand1852
    @olivermarchand1852 4 роки тому +3

    Well said Doc, goes to show you can't learn all from books. Actively learning vs passively learning

  • @nichellejackson
    @nichellejackson 3 роки тому +1

    Thanks. These tips are amazing. Will be adding to my practice.

  • @mrehteshamjavaid
    @mrehteshamjavaid 6 років тому +2

    Thank U! it's very practical Approach... I will make sure from now On

  • @ViskayaNuebler79
    @ViskayaNuebler79 5 років тому +2

    I think your patients are truly blessed to have you as a physician, Dr. Desai!
    How has implementation of the electronic medical record changed the interview process and how can physicians maintain the same level of intimacy while ensuring they take accurate and careful notes?

  • @samianadir1356
    @samianadir1356 2 роки тому

    ICE was new to me. Thank you doctor🌸

    • @osmosis
      @osmosis  2 роки тому +1

      Welcome, Samia! 🌟

  • @joseluislu5428
    @joseluislu5428 3 роки тому +1

    I think, it's also important to redirect the conversation when the patient is repeating the same things

  • @josephphiri8893
    @josephphiri8893 6 років тому +3

    Woooo,this is good and I am going for Clinical ttachments next week!
    My history taking will be perfect.
    Thanks osmosis for your help

  • @averythor2331
    @averythor2331 Місяць тому

    Could you please do a video regarding how to present your history and clinical findings to your consultant or examiner ?

    • @osmosis
      @osmosis  Місяць тому

      Thanks for your recommendation! Our team will be taking this into consideration. Have a wonderful weekend! 💖

  • @nausheenhusain9867
    @nausheenhusain9867 4 роки тому +1

    Thank you for these helpful tips 😊

  • @Raraonair
    @Raraonair 3 роки тому +1

    Soo much needed this today :)

  • @juanpedroquirozzendejas8278
    @juanpedroquirozzendejas8278 3 роки тому

    Amazing video, Dr. Desai!

  • @nallamanusha7563
    @nallamanusha7563 2 роки тому

    I liked the childs concern part sir

  • @hermela4279
    @hermela4279 3 роки тому

    Thank you so much DR.

  • @fakazaamapiano4042
    @fakazaamapiano4042 3 роки тому

    Thanks Doc I have appreciated your concerns and Tips

  • @Sithu-1112
    @Sithu-1112 3 місяці тому

    Thank you so much ❤

    • @osmosis
      @osmosis  3 місяці тому

      Most welcome! 💖

  • @MohammedSham
    @MohammedSham 5 років тому +1

    Thank you very much❤️

  • @munnamulani391
    @munnamulani391 10 місяців тому

    Thank you so much for doing the video sir❤

    • @osmosis
      @osmosis  10 місяців тому

      Our pleasure 🙌🏼

  • @medschoolradio
    @medschoolradio 5 років тому +2

    Excellent advice, thank you!!

  • @charissemarietoledo2820
    @charissemarietoledo2820 6 років тому +1

    Thank you...very helpful 😀

  • @doaaabuseif5861
    @doaaabuseif5861 6 років тому +1

    thank you for your great advises

  • @madhawanagarwal1048
    @madhawanagarwal1048 2 роки тому +1

    Wonderful tips sir! Thank u

    • @osmosis
      @osmosis  2 роки тому

      Most welcome! ❤️

  • @mustafamukaram7412
    @mustafamukaram7412 3 роки тому

    Thank you dr rishi

  • @opticomar8515
    @opticomar8515 6 років тому +1

    Plz we need physical examinations for cardiovascular system it is so difficult and thank you 🙏

  • @benzenebhanyankar4943
    @benzenebhanyankar4943 3 роки тому

    Thank you Bhaiya ❤️

  • @elizabethosborne3606
    @elizabethosborne3606 2 роки тому

    My tip would be not to have prejudices during hx taking.. it somehow prevents you from exploring more possibilities.

  • @KathleenHelenLisson
    @KathleenHelenLisson 3 роки тому

    Thanks!

  • @Carewed432
    @Carewed432 4 роки тому

    Very nice ..... impressive and informative 👍

  • @Mustafamohammed-us8zs
    @Mustafamohammed-us8zs Рік тому

    It's a great one sir!

    • @osmosis
      @osmosis  Рік тому

      Glad you think so, Mustafa! 🥰

  • @mrd8300
    @mrd8300 Рік тому

    Very very useful.

    • @osmosis
      @osmosis  Рік тому

      Glad you think so! 😊

  • @moazyahia6394
    @moazyahia6394 5 років тому +2

    Amazing !

  • @ahmedosman889
    @ahmedosman889 2 роки тому

    Thanks , It was really helpful

    • @osmosis
      @osmosis  2 роки тому

      Glad it helped, Ahmed! 😊

  • @stevencool9657
    @stevencool9657 6 місяців тому

    Thank you

    • @osmosis
      @osmosis  6 місяців тому

      You're welcome! 💕

  • @PRIYAGUPTA-zy6sf
    @PRIYAGUPTA-zy6sf 5 років тому +1

    sir please make the lecture on use of stethoscope... I want to learn it's use

    • @lamyaald7852
      @lamyaald7852 5 років тому

      PRIYA GUPTA watch videos about cardiology examination & chest examination

  • @oliviabunbury7025
    @oliviabunbury7025 3 роки тому

    I loved this!

  • @bashairalhidri5955
    @bashairalhidri5955 5 років тому

    Thank you

  • @mellzdamon
    @mellzdamon 6 років тому +1

    Amazing 👏👏👏

  • @amalomer3113
    @amalomer3113 Рік тому

    Thank u

  • @drmirza1475
    @drmirza1475 3 роки тому

    I absolutely loved this!

    • @osmosis
      @osmosis  3 роки тому +1

      Thank you! 🙏🏽

  • @sarfo-ansahwonder6246
    @sarfo-ansahwonder6246 3 роки тому

    Thanks

  • @sasukeuchiha1718
    @sasukeuchiha1718 3 роки тому

    I realize abour the ICE too in my clinical practice

  • @eacataleya17
    @eacataleya17 Рік тому

    Love this

  • @trendingmedicos2572
    @trendingmedicos2572 3 роки тому

    its a great video with good explanation...

    • @osmosis
      @osmosis  3 роки тому

      Glad you think so! 😊

  • @Nityaslive
    @Nityaslive 3 роки тому

    Amazing❤️

  • @karanbikramsingh5786
    @karanbikramsingh5786 6 років тому +2

    And More medical students then the patients itself

  • @Anwar-iv7ig
    @Anwar-iv7ig 3 роки тому

    Thankkk uuu

  • @karanbikramsingh5786
    @karanbikramsingh5786 6 років тому

    But how can you try to clear crowding when there is less paitents

  • @saadsohail9379
    @saadsohail9379 6 років тому +2

    this videa help me alot INSHAALLAH...thank you so much

  • @mbbswhiteboard8767
    @mbbswhiteboard8767 4 роки тому

    Good informative video

  • @thankmug4192
    @thankmug4192 5 років тому +4

    Abstract: We need to communicate well

  • @afnanhanany7211
    @afnanhanany7211 4 роки тому

    great👍

  • @ellesrevisionsession
    @ellesrevisionsession 6 років тому

    I’d add that acronyms help me remember what I need to ask e.g. APRICOTS and SOCRATES

  • @Pixels_Neurons_Scalpels
    @Pixels_Neurons_Scalpels 5 років тому

    Thanks For the Video .👏👉

  • @Red-wh3ok
    @Red-wh3ok 6 років тому +1

    How to approach a non cooperative child?

  • @favouronoriode3886
    @favouronoriode3886 4 роки тому

    I did not really understand the concept of expectation in the ICE

    • @cyrilltate7065
      @cyrilltate7065 4 роки тому

      I think it means what the patient expects. Their treatment, what kind of medicine they will need, how they will feel when the treatment is over... At least that's what I understood. I'm still in my first year of uni though, so take it with a grain of salt.

    • @favouronoriode3886
      @favouronoriode3886 4 роки тому

      @@cyrilltate7065 thank you tho...it was helpful

    • @cyrilltate7065
      @cyrilltate7065 4 роки тому

      @@favouronoriode3886 No problem.

  • @sharmeenobaid525
    @sharmeenobaid525 6 років тому +1

    thanks , ps i hate taking histories , but u man it less painful and logicall 😯🤓

    • @joeyh5325
      @joeyh5325 4 роки тому +1

      English is my second language, so I am always nervous about taking histories.

  • @alexyazdi5453
    @alexyazdi5453 3 роки тому

    nice bro

  • @thankmug4192
    @thankmug4192 5 років тому

    GREAT 💗💗

  • @AI_Overlord
    @AI_Overlord 3 роки тому

    I must be the only one looking for an actual breakdown of the CC, PMHx, SHx, FHx, etc...

  • @sky_laithalhaidary4238
    @sky_laithalhaidary4238 3 роки тому

    Thanxxxxxxxxxx

  • @sadiqnasiry
    @sadiqnasiry 4 роки тому

    Great

  • @amp7930
    @amp7930 6 років тому +3

    But what when AI robots can empathize?

  • @marybfoc
    @marybfoc 4 роки тому

    How to take a good nursing history

  • @amirsaad8264
    @amirsaad8264 4 роки тому +1

    I Ideas
    C Concerns
    E Expectations

  • @silvotorestyles9728
    @silvotorestyles9728 6 років тому

    OSCES next

  • @riffatawan6414
    @riffatawan6414 2 роки тому

    JAZAKALLAH

  • @pw2l697
    @pw2l697 4 роки тому +5

    And what if patient changes his/her history infront of attending 🙄😑

    • @hassanshahid5832
      @hassanshahid5832 4 роки тому +2

      Happened to me today I wanted to punch him soo bad

  • @hoodoo457
    @hoodoo457 4 роки тому

    Guy looks like the Indian version of Ronnie O'sullivan

  • @rayanrasul5176
    @rayanrasul5176 Рік тому

    👏👏

  • @طنطلطيفة
    @طنطلطيفة 3 роки тому

    💖💖💖💖

  • @E.S-z4f
    @E.S-z4f Рік тому

    😊

  • @MuhammadAli-jd2ut
    @MuhammadAli-jd2ut 3 місяці тому

    ankh py moch

  • @rayhaanbeekawoo9577
    @rayhaanbeekawoo9577 6 років тому

    i got e first like

  • @faisalakram4814
    @faisalakram4814 5 років тому

    Listen the story and enqiure the cause which they never tell properly...thats the basic rather than empathy which can deviate us to their wrong story sometimes😃