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On My Mind
May 2005

The Examination

Arch Pediatr Adolesc Med. 2005;159(5):414. doi:10.1001/archpedi.159.5.414

Using the language of play and metaphor builds relationships and enables physicians to examine young children in ways that create positive experiences.

“No doctor! No doctor!” exclaims my next patient, his small hands pressed tightly over his ears, a determined scowl on his face. Ryan is 2 years old. I smile at him and say, “Hi.” “No doctor!” he replies. After talking with his mother and letting him get used to me, I approach him slowly. He looks at me with big blue eyes beneath his brown, spiking crew cut.