Rapid responses are electronic comments to the editor. They enable our users to debate issues raised in articles published on bmj.com. A rapid response is first posted online. If you need the URL (web address) of an individual response, simply click on the response headline and copy the URL from the browser window. A proportion of responses will, after editing, be published online and in the print journal as letters, which are indexed in PubMed. Rapid responses are not indexed in PubMed and they are not journal articles. The BMJ reserves the right to remove responses which are being wilfully misrepresented as published articles.
A sentient cloud looms above the cold steel table when performing
diagnostic studies upon children as traditional well-intentioned attempts
to engage in funny conversation aided by anatomically radiopaque teddies
are rendered instantly futile and the pseudoursines propelled clear across
both the IV stand and the wide-eyed parental icon (one patient or two?).
In an atmosphere increasingly charged by artificial political
correctness, it almost always works best to let the child initiate talk
when possible and then run with it, if you can. I always learn more: just
why exactly would a five year old prefer the Beatles over Britney Spears?
More importantly, will a discussion of a racy telly show help us all get
through the torturous vicissitudes of a voiding study without having to
consciously sedate the parent who seems in imminent danger of a vasovagal
episode? There is always common ground to be found: it just isn't that
common or as grounded in my reality.