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> One question I have frequently found helpful at clarifying the reason for a ED visit after several days of illness or after previous ED visits is to ask the parents, "What has changed or worsened to make you come (back) today? What worried you more today than, say, yesterday?"
--> I wish I had someone like you to instruct me when I was starting up!!!
It took me years to learn that trick!
As an addendum, one must sometimes be careful as to how to phrase this question. The way stated above is just about perfect. But some people make the mistake (as I used to) of starting with something like "what made you come today?" Although the word "today" is said with emphasis, hoping to draw out the symptoom or sign which made the day of presentation worse, patients often miss this and take the defensive position, believing that the physician/nurse is hinting they should not have come. Once they are up that path, it's a struggle!
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