Clinician's Corner: Taking a good patient history

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  • Опубликовано: 22 ноя 2024

Комментарии • 147

  • @oliverallen5324
    @oliverallen5324 6 лет назад +153

    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 лет назад +180

    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 лет назад +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 лет назад +273

    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 лет назад +4

      Thank you, great tip :)

    • @usamakhalaf3585
      @usamakhalaf3585 4 года назад +1

      Come to see your nice face

    • @chukwuenyemblessing8433
      @chukwuenyemblessing8433 3 года назад +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 года назад

      @@usamakhalaf3585 🤣🤣🤣🤣🤣

    • @MusicLyrics-gf8oy
      @MusicLyrics-gf8oy 4 месяца назад

      That sounds too personal, to see you 🤧🤧

  • @nevergiveup2198
    @nevergiveup2198 3 года назад +21

    Omg the boy’s story made me cry

  • @cindydavis7917
    @cindydavis7917 6 лет назад +98

    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 лет назад +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.

  • @ritikanahavre2348
    @ritikanahavre2348 4 года назад +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 ❤️

  • @kaylaphlegar5473
    @kaylaphlegar5473 4 года назад +31

    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 года назад +6

    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 года назад

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

  • @DoctorElliottCarthy
    @DoctorElliottCarthy 6 лет назад +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.

  • @rfakb3503
    @rfakb3503 3 года назад +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.

  • @BhoomRangbhoomi
    @BhoomRangbhoomi 3 года назад +2

    1.Listen
    2.Empathize
    3.Ideas concerns expectations

  • @IviweSongongo
    @IviweSongongo Год назад +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  Год назад

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

  • @norfarahhidayah
    @norfarahhidayah 4 года назад +3

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

  • @joannhoward2659
    @joannhoward2659 Год назад +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  Год назад +1

      Most welcome, Jo Ann! 🥰

  • @fraugluecklich7211
    @fraugluecklich7211 5 лет назад +5

    This made me cry. Thanks for the video!

  • @vidusha123
    @vidusha123 6 лет назад +7

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

  • @chinmayeechavan5724
    @chinmayeechavan5724 3 года назад +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 года назад

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

  • @DRSHIV-vr9je
    @DRSHIV-vr9je 6 лет назад +13

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

  • @drmariaqadri
    @drmariaqadri 5 лет назад +5

    ICE is the best tip. Thanks doc!

  • @ViskayaNuebler79
    @ViskayaNuebler79 5 лет назад +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?

  • @averythor2331
    @averythor2331 5 дней назад

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

    • @osmosis
      @osmosis  18 часов назад

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

  • @neilpawar6386
    @neilpawar6386 6 лет назад +3

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

  • @emmanuelwisdom5675
    @emmanuelwisdom5675 4 месяца назад

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

    • @osmosis
      @osmosis  4 месяца назад

      Our pleasure! 🥰

  • @muhammadmajid7522
    @muhammadmajid7522 2 года назад +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 года назад +1

      Thanks for the feedback, Muhammad! ❤️

  • @nallamanusha7563
    @nallamanusha7563 2 года назад

    I liked the childs concern part sir

  • @طيبةيونساحمدحسن
    @طيبةيونساحمدحسن 2 года назад +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 года назад

      🙌🏼 👍🏽 👏🏻

  • @olivermarchand1852
    @olivermarchand1852 4 года назад +3

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

  • @samianadir1356
    @samianadir1356 2 года назад

    ICE was new to me. Thank you doctor🌸

    • @osmosis
      @osmosis  2 года назад +1

      Welcome, Samia! 🌟

  • @MundoGamesDo
    @MundoGamesDo 6 месяцев назад +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

  • @dr.p2126
    @dr.p2126 4 года назад +2

    Very well explained! Great video.. kudos!

  • @mrehteshamjavaid
    @mrehteshamjavaid 6 лет назад +2

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

  • @nichellejackson
    @nichellejackson 3 года назад +1

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

  • @juanpedroquirozzendejas8278
    @juanpedroquirozzendejas8278 3 года назад

    Amazing video, Dr. Desai!

  • @joseluislu5428
    @joseluislu5428 3 года назад +1

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

  • @kellymorris8255
    @kellymorris8255 4 года назад +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:)

  • @mustafamukaram7412
    @mustafamukaram7412 3 года назад

    Thank you dr rishi

  • @hermela4279
    @hermela4279 3 года назад

    Thank you so much DR.

  • @nausheenhusain9867
    @nausheenhusain9867 3 года назад +1

    Thank you for these helpful tips 😊

  • @opticomar8515
    @opticomar8515 6 лет назад +1

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

  • @elizabethosborne3606
    @elizabethosborne3606 2 года назад

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

  • @madhawanagarwal1048
    @madhawanagarwal1048 2 года назад +1

    Wonderful tips sir! Thank u

    • @osmosis
      @osmosis  2 года назад

      Most welcome! ❤️

  • @josephphiri8893
    @josephphiri8893 6 лет назад +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

  • @Raraonair
    @Raraonair 3 года назад +1

    Soo much needed this today :)

  • @fakazaamapiano4042
    @fakazaamapiano4042 3 года назад

    Thanks Doc I have appreciated your concerns and Tips

  • @medschoolradio
    @medschoolradio 5 лет назад +2

    Excellent advice, thank you!!

  • @munnamulani391
    @munnamulani391 9 месяцев назад

    Thank you so much for doing the video sir❤

    • @osmosis
      @osmosis  9 месяцев назад

      Our pleasure 🙌🏼

  • @doaaabuseif5861
    @doaaabuseif5861 6 лет назад +1

    thank you for your great advises

  • @sasukeuchiha1718
    @sasukeuchiha1718 3 года назад

    I realize abour the ICE too in my clinical practice

  • @Sithu-1112
    @Sithu-1112 2 месяца назад

    Thank you so much ❤

    • @osmosis
      @osmosis  2 месяца назад

      Most welcome! 💖

  • @MohammedSham
    @MohammedSham 4 года назад +1

    Thank you very much❤️

  • @KathleenHelenLisson
    @KathleenHelenLisson 3 года назад

    Thanks!

  • @PRIYAGUPTA-zy6sf
    @PRIYAGUPTA-zy6sf 5 лет назад +1

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

    • @lamyaald7852
      @lamyaald7852 5 лет назад

      PRIYA GUPTA watch videos about cardiology examination & chest examination

  • @benzenebhanyankar4943
    @benzenebhanyankar4943 3 года назад

    Thank you Bhaiya ❤️

  • @charissemarietoledo2820
    @charissemarietoledo2820 6 лет назад +1

    Thank you...very helpful 😀

  • @ahmedosman889
    @ahmedosman889 2 года назад

    Thanks , It was really helpful

    • @osmosis
      @osmosis  2 года назад

      Glad it helped, Ahmed! 😊

  • @moazyahia6394
    @moazyahia6394 5 лет назад +2

    Amazing !

  • @bashairalhidri5955
    @bashairalhidri5955 5 лет назад

    Thank you

  • @stevencool9657
    @stevencool9657 5 месяцев назад

    Thank you

    • @osmosis
      @osmosis  5 месяцев назад

      You're welcome! 💕

  • @Carewed432
    @Carewed432 4 года назад

    Very nice ..... impressive and informative 👍

  • @trendingmedicos2572
    @trendingmedicos2572 3 года назад

    its a great video with good explanation...

    • @osmosis
      @osmosis  3 года назад

      Glad you think so! 😊

  • @Mustafamohammed-us8zs
    @Mustafamohammed-us8zs Год назад

    It's a great one sir!

    • @osmosis
      @osmosis  Год назад

      Glad you think so, Mustafa! 🥰

  • @drmirza1475
    @drmirza1475 3 года назад

    I absolutely loved this!

    • @osmosis
      @osmosis  3 года назад +1

      Thank you! 🙏🏽

  • @oliviabunbury7025
    @oliviabunbury7025 3 года назад

    I loved this!

  • @mrd8300
    @mrd8300 Год назад

    Very very useful.

    • @osmosis
      @osmosis  Год назад

      Glad you think so! 😊

  • @sarfo-ansahwonder6246
    @sarfo-ansahwonder6246 3 года назад

    Thanks

  • @amalomer3113
    @amalomer3113 Год назад

    Thank u

  • @thankmug4192
    @thankmug4192 5 лет назад +4

    Abstract: We need to communicate well

  • @saadsohail9379
    @saadsohail9379 6 лет назад +2

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

  • @ellesrevisionsession
    @ellesrevisionsession 6 лет назад

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

  • @karanbikramsingh5786
    @karanbikramsingh5786 6 лет назад +2

    And More medical students then the patients itself

  • @eacataleya17
    @eacataleya17 Год назад

    Love this

  • @mellzdamon
    @mellzdamon 6 лет назад +1

    Amazing 👏👏👏

  • @nityakishoriradhe
    @nityakishoriradhe 3 года назад

    Amazing❤️

  • @karanbikramsingh5786
    @karanbikramsingh5786 6 лет назад

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

  • @AI_Overlord
    @AI_Overlord 3 года назад

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

  • @mbbswhiteboard8767
    @mbbswhiteboard8767 4 года назад

    Good informative video

  • @Anwar-iv7ig
    @Anwar-iv7ig 3 года назад

    Thankkk uuu

  • @Red-wh3ok
    @Red-wh3ok 6 лет назад +1

    How to approach a non cooperative child?

  • @marybfoc
    @marybfoc 4 года назад

    How to take a good nursing history

  • @afnanhanany7211
    @afnanhanany7211 4 года назад

    great👍

  • @alexyazdi5453
    @alexyazdi5453 3 года назад

    nice bro

  • @Pixels_Neurons_Scalpels
    @Pixels_Neurons_Scalpels 5 лет назад

    Thanks For the Video .👏👉

  • @amirsaad8264
    @amirsaad8264 4 года назад +1

    I Ideas
    C Concerns
    E Expectations

  • @favouronoriode3886
    @favouronoriode3886 3 года назад

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

    • @cyrilltate7065
      @cyrilltate7065 3 года назад

      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 3 года назад

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

    • @cyrilltate7065
      @cyrilltate7065 3 года назад

      @@favouronoriode3886 No problem.

  • @silvotorestyles9728
    @silvotorestyles9728 6 лет назад

    OSCES next

  • @sky_laithalhaidary4238
    @sky_laithalhaidary4238 3 года назад

    Thanxxxxxxxxxx

  • @amp7930
    @amp7930 6 лет назад +3

    But what when AI robots can empathize?

  • @sadiqnasiry
    @sadiqnasiry 4 года назад

    Great

  • @thankmug4192
    @thankmug4192 5 лет назад

    GREAT 💗💗

  • @riffatawan6414
    @riffatawan6414 2 года назад

    JAZAKALLAH

  • @sharmeenobaid525
    @sharmeenobaid525 6 лет назад +1

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

    • @joeyh5325
      @joeyh5325 4 года назад +1

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

  • @pw2l697
    @pw2l697 4 года назад +5

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

    • @hassanshahid5832
      @hassanshahid5832 4 года назад +2

      Happened to me today I wanted to punch him soo bad

  • @hoodoo457
    @hoodoo457 4 года назад

    Guy looks like the Indian version of Ronnie O'sullivan

  • @E.S-z4f
    @E.S-z4f Год назад

    😊

  • @rayanrasul5176
    @rayanrasul5176 Год назад

    👏👏

  • @MuhammadAli-jd2ut
    @MuhammadAli-jd2ut 2 месяца назад

    ankh py moch

  • @طنطلطيفة
    @طنطلطيفة 3 года назад

    💖💖💖💖

  • @faisalakram4814
    @faisalakram4814 4 года назад

    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😃

  • @rayhaanbeekawoo9577
    @rayhaanbeekawoo9577 6 лет назад

    i got e first like

  • @shivaprasadn6748
    @shivaprasadn6748 2 года назад

    Sorry it's not good at all

    • @osmosis
      @osmosis  2 года назад

      Thanks for the feedback! We'd like to know more about how we can improve, if you can, please email us at support@osmosis.org. ❤️