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August 1973

The Pediatrician's Approach to His Patient

Author Affiliations

Children's Hospital of Los Angeles 4650 Sunset Blvd Los Angeles, CA 90027

Am J Dis Child. 1973;126(2):146-148. doi:10.1001/archpedi.1973.02110190128002

For some pediatricians it is the fun of practice to explore in conversation how a particular illness in this child at this moment has manifested itself idiosyncratically, and then to step into the situation to diagnose, treat, and help, in full understanding and awareness of the specific problem. Others (and these are the pediatricians who are more likely to write letters to the editor about their disenchantment with practice) complain of the monotony of seeing respiratory infections and behavior problems but do their best to shut themselves off from the "irrelevant" emotional, social, and human part of the child's and family's history which is precisely the part of the problem as well as the taking care of the patient, which never becomes monotonous or routine.

As technological features of medical care have been perfected, there has developed a mechanistic approach to patient care which leads the physician to covet a

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