Clinician's Corner: Taking a good patient history

[@vincaalkaloids6732]

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]

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.

[@oliverallen5324]

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.

[@JufDanielle]

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]

Thank you, great tip :)

[@usamakhalaf3585]

Come to see your nice face

[@chukwuenyemblessing8433]

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

[@sobster123]

@@usamakhalaf3585 🤣🤣🤣🤣🤣

[@MusicLyrics-gf8oy]

That sounds too personal, to see you 🤧🤧

[@cindydavis7917]

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]

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]

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 ❤️

[@nevergiveup2198]

Omg the boy’s story made me cry

[@kaylaphlegar5473]

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]

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]

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

[@DoctorElliottCarthy]

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]

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]

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

[@rfakb3503]

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]

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

[@joannhoward2659]

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]

Most welcome, Jo Ann! 🥰

[@vidusha123]

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

[@fraugluecklich7211]

This made me cry. Thanks for the video!

[@BhoomRangbhoomi]

1.Listen 2.Empathize 3.Ideas concerns expectations

[@chinmayeechavan5724]

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]

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

[@DRSHIV-vr9je]

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

[@drmariaqadri]

ICE is the best tip. Thanks doc!

[@muhammadmajid7522]

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]

Thanks for the feedback, Muhammad! ❤️

[@kellymorris8255]

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:)

[@ViskayaNuebler79]

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?

[@neilpawar6386]

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

[@MultiKeivan]

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

[@osmosis]

Happy to help! 🥰

[@طيبةيونساحمدحسن]

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]

🙌🏼 👍🏽 👏🏻

[@emmanuelwisdom5675]

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

[@osmosis]

Our pleasure! 🥰

[@dr.p2126]

Very well explained! Great video.. kudos!

[@mrehteshamjavaid]

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

[@nichellejackson]

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

[@samianadir1356]

ICE was new to me. Thank you doctor🌸

[@osmosis]

Welcome, Samia! 🌟

[@josephphiri8893]

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

[@DoctorElliottCarthy]

Good luck on your attachments. Have fun :)

[@josephphiri8893]

Thank you very much, I believe I will do my best!

[@Raraonair]

Soo much needed this today :)

[@juanpedroquirozzendejas8278]

Amazing video, Dr. Desai!

[@nausheenhusain9867]

Thank you for these helpful tips 😊

[@olivermarchand1852]

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

[@averythor2331]

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

[@osmosis]

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

[@joseluislu5428]

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

[@medschoolradio]

Excellent advice, thank you!!

[@MundoGamesDo]

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

[@munnamulani391]

Thank you so much for doing the video sir❤

[@osmosis]

Our pleasure 🙌🏼

[@fakazaamapiano4042]

Thanks Doc I have appreciated your concerns and Tips

[@MohammedSham]

Thank you very much❤️

[@hermela4279]

Thank you so much DR.

[@KathleenHelenLisson]

Thanks!

[@Sithu-1112]

Thank you so much ❤

[@osmosis]

Most welcome! 💖

[@charissemarietoledo2820]

Thank you...very helpful 😀

[@nallamanusha7563]

I liked the childs concern part sir

[@madhawanagarwal1048]

Wonderful tips sir! Thank u

[@osmosis]

Most welcome! ❤️

[@doaaabuseif5861]

thank you for your great advises

[@mustafamukaram7412]

Thank you dr rishi

[@Carewed432]

Very nice ..... impressive and informative 👍

[@Mustafamohammed-us8zs]

It's a great one sir!

[@osmosis]

Glad you think so, Mustafa! 🥰

[@ahmedosman889]

Thanks , It was really helpful

[@osmosis]

Glad it helped, Ahmed! 😊

[@elizabethosborne3606]

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

[@moazyahia6394]

Amazing !

[@benzenebhanyankar4943]

Thank you Bhaiya ❤️

[@mellzdamon]

Amazing 👏👏👏

[@drmirza1475]

I absolutely loved this!

[@osmosis]

Thank you! 🙏🏽

[@trendingmedicos2572]

its a great video with good explanation...

[@osmosis]

Glad you think so! 😊

[@oliviabunbury7025]

I loved this!

[@mrd8300]

Very very useful.

[@osmosis]

Glad you think so! 😊

[@stevencool9657]

Thank you

[@osmosis]

You're welcome! 💕

[@amalomer3113]

Thank u

[@Nityaslive]

Amazing❤️

[@opticomar8515]

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

[@aryamonmukherjee5303]

Really?

[@bashairalhidri5955]

Thank you

[@eacataleya17]

Love this

[@osmosis]

Thank you! 💫

[@sarfo-ansahwonder6246]

Thanks

[@sasukeuchiha1718]

I realize abour the ICE too in my clinical practice

[@Anwar-iv7ig]

Thankkk uuu

[@mbbswhiteboard8767]

Good informative video

[@saadsohail9379]

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

[@afnanhanany7211]

great👍

[@PRIYAGUPTA-zy6sf]

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

[@lamyaald7852]

PRIYA GUPTA watch videos about cardiology examination & chest examination

[@thankmug4192]

Abstract: We need to communicate well

[@thankmug4192]

GREAT 💗💗

[@alexyazdi5453]

nice bro

[@karanbikramsingh5786]

And More medical students then the patients itself

[@Pixels_Neurons_Scalpels]

Thanks For the Video .👏👉

[@ellesrevisionsession]

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

[@rayanalfuhaid6232]

What's APRICOTS used for? Thank you :)

[@sharmeenobaid525]

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

[@joeyh5325]

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

[@sky_laithalhaidary4238]

Thanxxxxxxxxxx

[@sadiqnasiry]

Great

[@karanbikramsingh5786]

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

[@AI_Overlord]

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

[@Red-wh3ok]

How to approach a non cooperative child?

[@riffatawan6414]

JAZAKALLAH

[@favouronoriode3886]

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

[@cyrilltate7065]

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]

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

[@cyrilltate7065]

@@favouronoriode3886 No problem.

[@amirsaad8264]

I Ideas C Concerns E Expectations

[@silvotorestyles9728]

OSCES next

[@amp7930]

But what when AI robots can empathize?

[@marybfoc]

How to take a good nursing history

[@pw2l697]

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

[@hassanshahid5832]

Happened to me today I wanted to punch him soo bad

[@rayanrasul5176]

👏👏

[@hoodoo457]

Guy looks like the Indian version of Ronnie O'sullivan

[@طنطلطيفة]

💖💖💖💖

[@E.S-z4f]

😊

[@MuhammadAli-jd2ut]

ankh py moch

[@faisalakram4814]

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]

i got e first like