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Dr-Awil Elite., Frankfurt (2026)

07/09/2026

𝐏𝐡𝐲𝐬𝐢𝐜𝐢𝐚𝐧–𝐏𝐚𝐭𝐢𝐞𝐧𝐭 𝐈𝐧𝐭𝐞𝐫𝐚𝐜𝐭𝐢𝐨𝐧.🔰🚻

𝐓𝐡𝐞 𝐩𝐚𝐭𝐭𝐞𝐫𝐧 𝐨𝐟 𝐭𝐡𝐞 𝐩𝐡𝐲𝐬𝐢𝐜𝐢𝐚𝐧’𝐬 𝐬𝐩𝐞𝐞𝐜𝐡 𝐜𝐚𝐧 𝐢𝐧𝐟𝐥𝐮𝐞𝐧𝐜𝐞 𝐢𝐧𝐭𝐞𝐫𝐚𝐜𝐭𝐢𝐨𝐧𝐬 𝐰𝐢𝐭𝐡 𝐭𝐡𝐞 𝐩𝐚𝐭𝐢𝐞𝐧𝐭.
Some important components of effective communication between patients and physicians.

✅There is evidence that scientifically derived and empirically validated interview skills can be taught and learned, and conscientious use of these skills can result in improved outcomes.

𝐅𝐨𝐫 𝐩𝐡𝐲𝐬𝐢𝐜𝐢𝐚𝐧–𝐩𝐚𝐭𝐢𝐞𝐧𝐭 𝐜𝐨𝐦𝐦𝐮𝐧𝐢𝐜𝐚𝐭𝐢𝐨𝐧 𝐭𝐨 𝐛𝐞 𝐞𝐟𝐟𝐞𝐜𝐭𝐢𝐯𝐞, 𝐭𝐡𝐞 𝐩𝐚𝐭𝐢𝐞𝐧𝐭 𝐦𝐮𝐬𝐭 𝐟𝐞𝐞𝐥 𝐭𝐡𝐚𝐭 𝐬𝐡𝐞 𝐢𝐬 𝐚𝐛𝐥𝐞 𝐭𝐨 𝐝𝐢𝐬𝐜𝐮𝐬𝐬 𝐡𝐞𝐫 𝐩𝐫𝐨𝐛𝐥𝐞𝐦𝐬 𝐢𝐧 𝐝𝐞𝐩𝐭𝐡 𝐚𝐧𝐝 𝐢𝐧 𝐜𝐨𝐧𝐟𝐢𝐝𝐞𝐧𝐜𝐞.

✅There is evidence that when patients are heard and understood, they become more vocal and inquisitive and their health improves. Participation facilitates investment and empowerment.

✅Good communication is essential to the maintenance of a relationship between the patient and physician that will foster ongoing care. When patients are ill, they feel vulnerable, physically and psychologically exposed, and powerless.

✅The physician, by virtue of his or her knowledge and status, has power that can be intimidating. It is essential that the physician be aware of this disparity and ensure that the “balance of power” does not shift too far away from the patient.

𝐈𝐧 𝐚𝐬𝐬𝐞𝐬𝐬𝐢𝐧𝐠 𝐭𝐡𝐞 𝐞𝐟𝐟𝐞𝐜𝐭𝐬 𝐨𝐟 𝐭𝐡𝐞 𝐩𝐚𝐭𝐢𝐞𝐧𝐭–𝐩𝐡𝐲𝐬𝐢𝐜𝐢𝐚𝐧 𝐢𝐧𝐭𝐞𝐫𝐚𝐜𝐭𝐢𝐨𝐧 𝐨𝐧 𝐭𝐡𝐞 𝐨𝐮𝐭𝐜𝐨𝐦𝐞 𝐨𝐟 𝐜𝐡𝐫𝐨𝐧𝐢𝐜 𝐢𝐥𝐥𝐧𝐞𝐬𝐬, 𝐭𝐡𝐫𝐞𝐞 𝐜𝐡𝐚𝐫𝐚𝐜𝐭𝐞𝐫𝐢𝐬𝐭𝐢𝐜𝐬 𝐚𝐬𝐬𝐨𝐜𝐢𝐚𝐭𝐞𝐝 𝐰𝐢𝐭𝐡 𝐛𝐞𝐭𝐭𝐞𝐫 𝐡𝐞𝐚𝐥𝐭𝐡 𝐜𝐚𝐫𝐞 𝐨𝐮𝐭𝐜𝐨𝐦𝐞𝐬 𝐰𝐞𝐫𝐞 𝐢𝐝𝐞𝐧𝐭𝐢𝐟𝐢𝐞𝐝.
𝟏. 𝐀𝐧 𝐞𝐦𝐩𝐚𝐭𝐡𝐞𝐭𝐢𝐜 𝐩𝐡𝐲𝐬𝐢𝐜𝐢𝐚𝐧 𝐚𝐧𝐝 𝐚 𝐡𝐢𝐠𝐡 𝐥𝐞𝐯𝐞𝐥 𝐨𝐟 𝐩𝐚𝐭𝐢𝐞𝐧𝐭 𝐢𝐧𝐯𝐨𝐥𝐯𝐞𝐦𝐞𝐧𝐭 𝐢𝐧 𝐭𝐡𝐞 𝐢𝐧𝐭𝐞𝐫𝐯𝐢𝐞𝐰.
𝟐. 𝐄𝐱𝐩𝐫𝐞𝐬𝐬𝐢𝐨𝐧 𝐨𝐟 𝐞𝐦𝐨𝐭𝐢𝐨𝐧 𝐛𝐲 𝐭𝐡𝐞 𝐩𝐚𝐭𝐢𝐞𝐧𝐭 𝐚𝐧𝐝 𝐩𝐡𝐲𝐬𝐢𝐜𝐢𝐚𝐧.
𝟑. 𝐏𝐫𝐨𝐯𝐢𝐬𝐢𝐨𝐧 𝐨𝐟 𝐢𝐧𝐟𝐨𝐫𝐦𝐚𝐭𝐢𝐨𝐧 𝐛𝐲 𝐭𝐡𝐞 𝐩𝐡𝐲𝐬𝐢𝐜𝐢𝐚𝐧 𝐢𝐧 𝐫𝐞𝐬𝐩𝐨𝐧𝐬𝐞 𝐭𝐨 𝐭𝐡𝐞 𝐩𝐚𝐭𝐢𝐞𝐧𝐭’𝐬 𝐢𝐧𝐪𝐮𝐢𝐫𝐢𝐞𝐬.

𝐚𝐥𝐥 𝐩𝐡𝐲𝐬𝐢𝐜𝐢𝐚𝐧𝐬, 𝐫𝐞𝐠𝐚𝐫𝐝𝐥𝐞𝐬𝐬 𝐨𝐟 𝐭𝐡𝐞𝐢𝐫 𝐠𝐞𝐧𝐝𝐞𝐫, 𝐧𝐞𝐞𝐝 𝐭𝐨 𝐛𝐞 𝐚𝐭𝐭𝐞𝐧𝐭𝐢𝐯𝐞 𝐭𝐨 𝐭𝐡𝐞𝐢𝐫 𝐬𝐭𝐲𝐥𝐞 𝐨𝐟 𝐬𝐩𝐞𝐞𝐜𝐡 𝐛𝐞𝐜𝐚𝐮𝐬𝐞 𝐢𝐭 𝐦𝐚𝐲 𝐚𝐟𝐟𝐞𝐜𝐭 𝐭𝐡𝐞𝐢𝐫 𝐚𝐛𝐢𝐥𝐢𝐭𝐲 𝐭𝐨 𝐞𝐥𝐢𝐜𝐢𝐭 𝐨𝐩𝐞𝐧 𝐚𝐧𝐝 𝐜𝐚𝐧𝐝𝐢𝐝 𝐫𝐞𝐬𝐩𝐨𝐧𝐬𝐞𝐬 𝐟𝐫𝐨𝐦 𝐭𝐡𝐞𝐢𝐫 𝐩𝐚𝐭𝐢𝐞𝐧𝐭𝐬.

✅Women tend to express their feelings in order to validate, share, and establish an understanding of their concerns or
establish a shared understanding of their concerns.

✅Different styles of communication may affect the physician’s ability to perceive the patient’s status and to achieve the goal of optimal assessment and successful treatment.
The intimate and highly personal nature of many gynecologic conditions requires particular sensitivity to evoke an honest patient response.

𝐒𝐭𝐲𝐥𝐞

🔰The art of communication and persuasion is based on mutual respect and fosters the development of the patient’s understanding of the circumstances of her health.

🔰Insight is best achieved when the patient is encouraged to question her physician and not pressured to make decisions.
Patients who feel “backed into a corner” have the lowest compliance with recommended treatments.

🔰Following are techniques to help achieve rapport with patients:
𝟏. 𝐔𝐬𝐞 𝐩𝐨𝐬𝐢𝐭𝐢𝐯𝐞 𝐥𝐚𝐧𝐠𝐮𝐚𝐠𝐞 (𝐞.𝐠., 𝐚𝐠𝐫𝐞𝐞𝐦𝐞𝐧𝐭, 𝐚𝐩𝐩𝐫𝐨𝐯𝐚𝐥, 𝐚𝐧𝐝 𝐡𝐮𝐦𝐨𝐫).
𝟐. 𝐁𝐮𝐢𝐥𝐝 𝐚 𝐩𝐚𝐫𝐭𝐧𝐞𝐫𝐬𝐡𝐢𝐩 (𝐞.𝐠., 𝐚𝐜𝐤𝐧𝐨𝐰𝐥𝐞𝐝𝐠𝐦𝐞𝐧𝐭 𝐨𝐟 𝐮𝐧𝐝𝐞𝐫𝐬𝐭𝐚𝐧𝐝𝐢𝐧𝐠, 𝐚𝐬𝐤𝐢𝐧𝐠 𝐟𝐨𝐫 𝐨𝐩𝐢𝐧𝐢𝐨𝐧𝐬, 𝐩𝐚𝐫𝐚𝐩𝐡𝐫𝐚𝐬𝐢𝐧𝐠, 𝐚𝐧𝐝 𝐢𝐧𝐭𝐞𝐫𝐩𝐫𝐞𝐭𝐢𝐧𝐠 𝐭𝐡𝐞 𝐩𝐚𝐭𝐢𝐞𝐧𝐭’𝐬 𝐰𝐨𝐫𝐝𝐬).
𝟑. 𝐀𝐬𝐤 𝐫𝐞𝐩𝐡𝐫𝐚𝐬𝐞𝐝 𝐪𝐮𝐞𝐬𝐭𝐢𝐨𝐧𝐬.
𝟒. 𝐆𝐢𝐯𝐞 𝐜𝐨𝐦𝐩𝐥𝐞𝐭𝐞 𝐫𝐞𝐬𝐩𝐨𝐧𝐬𝐞𝐬 𝐭𝐨 𝐭𝐡𝐞 𝐩𝐚𝐭𝐢𝐞𝐧𝐭’𝐬 𝐪𝐮𝐞𝐬𝐭𝐢𝐨𝐧𝐬.

𝐓𝐡𝐞 𝐦𝐚𝐧𝐧𝐞𝐫 𝐢𝐧 𝐰𝐡𝐢𝐜𝐡 𝐚 𝐩𝐡𝐲𝐬𝐢𝐜𝐢𝐚𝐧 𝐠𝐮𝐢𝐝𝐞𝐬 𝐚 𝐝𝐢𝐬𝐜𝐮𝐬𝐬𝐢𝐨𝐧 𝐰𝐢𝐭𝐡 𝐚 𝐩𝐚𝐭𝐢𝐞𝐧𝐭 𝐰𝐢𝐥𝐥 𝐝𝐞𝐭𝐞𝐫𝐦𝐢𝐧𝐞
𝐭𝐡𝐞 𝐩𝐚𝐭𝐢𝐞𝐧𝐭’𝐬 𝐥𝐞𝐯𝐞𝐥 𝐨𝐟 𝐮𝐧𝐝𝐞𝐫𝐬𝐭𝐚𝐧𝐝𝐢𝐧𝐠 𝐚𝐧𝐝 𝐡𝐞𝐫 𝐚𝐛𝐢𝐥𝐢𝐭𝐲 𝐭𝐨 𝐬𝐮𝐜𝐜𝐞𝐬𝐬𝐟𝐮𝐥𝐥𝐲 𝐜𝐨𝐦𝐩𝐥𝐞𝐭𝐞
𝐭𝐡𝐞𝐫𝐚𝐩𝐲

✅The term compliance has long been used in medicine; it suggests that the patient will follow the physician’s recommendations or “orders.” The term is criticized as being overly paternalistic; an alternative term, adherence to therapy, is preferable.

✅This term still implies that the physician will dictate the therapy.A more collaborative approach is suggested by the phrase successful use of therapy, which can be credited mutually to the physician and the patient.

𝐓𝐡𝐞 𝐩𝐫𝐞𝐬𝐞𝐧𝐭𝐚𝐭𝐢𝐨𝐧 𝐬𝐭𝐲𝐥𝐞 𝐨𝐟 𝐭𝐡𝐞 𝐢𝐧𝐟𝐨𝐫𝐦𝐚𝐭𝐢𝐨𝐧 𝐢𝐬 𝐤𝐞𝐲 𝐭𝐨 𝐢𝐭𝐬 𝐞𝐟𝐟𝐞𝐜𝐭𝐢𝐯𝐞𝐧𝐞𝐬𝐬.
✅As noted, the physician should establish a balance of power in the relationship, including conducting serious discussions about diagnosis and management strategies when the patient is fully clothed and face-to-face with the physician in a private room.

✅Body language is important during interactions with patients. The physician should avoid an overly casual manner, which can communicate a lack of respect or compassion.

✅The patient should be viewed directly and spoken to with eye contact so that the physician is not perceived as “looking off into the distance.”

𝐋𝐚𝐮𝐠𝐡𝐭𝐞𝐫 𝐚𝐧𝐝 𝐇𝐮𝐦𝐨𝐫.

𝐇𝐮𝐦𝐨𝐫 𝐢𝐬 𝐚𝐧 𝐞𝐬𝐬𝐞𝐧𝐭𝐢𝐚𝐥 𝐜𝐨𝐦𝐩𝐨𝐧𝐞𝐧𝐭 𝐭𝐡𝐚𝐭 𝐩𝐫𝐨𝐦𝐨𝐭𝐞𝐬 𝐨𝐩𝐞𝐧 𝐜𝐨𝐦𝐦𝐮𝐧𝐢𝐜𝐚𝐭𝐢𝐨𝐧.

✅It can be either appropriate or inappropriate. Appropriate humor allows the patient to diffuse anxiety and understand that (even in difficult situations) laughter can be healthy.

✅Inappropriate humor would horrify, disgust, offend, or generally make a patient feel uncomfortable or insulted.

✅Laughter can be used as an appropriate means of relaxing the patient and making her feel better.

✅Laughter is a “metaphor for the full range of the positive emotions.”
It is the response of human beings to incongruities and one of the highest manifestations of the cerebral process.

✅It helps to facilitate the full range of positive emotions—love, hope, faith, the will to live, festivity, purpose, and determination.

✅Laughter is a physiologic response, a release that helps us feel better and allows us to accommodate the collision of logic and absurdity.

✅llness, or the prospect of illness, heightens our awareness of the incongruity between our existence and our ability to control the events that shape our lives and our outcomes.

✅We use laughter to combat stress, and stress reduction is an essential mechanism used to cope with illness.

24/08/2026

𝐂𝐨𝐦𝐦𝐮𝐧𝐢𝐜𝐚𝐭𝐢𝐨𝐧 𝐒𝐤𝐢𝐥𝐥𝐬.👨‍⚕️🚻

✅It is essential for the physician to communicate with a patient in a manner that allows her to continue to seek appropriate medical attention.

✅The words used, the patterns of speech, the manner in which words are delivered, even body language and eye contact, are all important aspects of the patient–physician interaction.

✅The traditional role of the physician was paternalistic, with the physician expected to deliver direct commands or “orders” and specific guidance on all matters.

✅ Although they may not have equivalent medical expertise, they do expect to be treated with appropriate deference, respect, and a manner that acknowledges their personhood as equal to that of the physician.

✅Doctor–patient communication is receiving more attention in medical education and is being recognized as a major task of lifelong professional learning and a key element of successful health care delivery.🚻

✅Patients with rare or unusual conditions sometimes have more specific medical knowledge of a given medical problem than the physician does. When this is the case, the physician must avoid reacting defensively.🧕

✅The patient often lacks broader knowledge of the context of the problem, awareness of the variable reliability of electronic sources of information, the ability to assess a given study or journal report within a historical context or in comparison with other studies on the topic, knowledge of drug interactions, an ability to maintain objective intellectual distance from the topic, or essential experience in the art and science of medicine.

✅The physician possesses these skills and extensive knowledge, whereas the patient has an intensely focused personal interest in her specific medical condition.👨‍⚕️

✅ Surveys of physicians’ perceptions of the impact of Internet-based health information on the doctor–patient relationship found positive and negative perceptions; physicians express concerns about a hindrance to efficient time management during an office visit, but a positive perception of the potential effects on the quality of care and patient outcomes.🚻

#𝗰𝗼𝗺𝗺𝘂𝗻𝗶𝗰𝗮𝘁𝗶𝗼𝗻𝘀𝗸𝗶𝗹𝗹𝘀

24/08/2026

UTRASOUND FINDING/FETAL HYDROCELES?

22/08/2026

COMMUNICATION DOCTOR TO PATIENT.⤵️

🔊📞Good communication is essential to patient assessment and treatment.

✅ The patient–physician relationship is based on communication conducted in an open, honest, and careful manner that allows the patient’s situation and problems to be accurately understood and effective solutions developed collaboratively.

🔊❗Good communication requires patience, dedication, and practice and involves careful listening and attention to verbal and nonverbal communication.

✅The foundation of communication is based on four key skills:
●empathy,
●attentive listening
●expert knowledge
●the ability to establish rapport.

✅These skills can be learned and refined.

✅When the initial relationship with the patient is established the physician must vigilantly pursue interviewing techniques that continue to create opportunities to foster an understanding of the patient’s concerns.

✅Trust is the fundamental element that encourages open communication of the patient’s feelings concerns and thoughts rather than withholding information.

✅Although there are many styles of interacting with patients, each physician must determine and develop the best way that she or he can relate to patients.

✅Physicians must convey that they are able and willing to listen and that they receive the information with utmost confidentiality.

✅The concepts of medical professionalism initially codified in the Hippocratic Oath demand that physicians be circumspect with all patient-related information.

✅The Health Insurance Portability and Accountability Act (HIPAA), which took effect in 2003, established national standards intended to protect the privacy of personal health information.

✅Initial fears expressed about the impact of HIPAA regulations and the potential for legal liability led to discussions of appropriate
communication and physicians’ judgments based on the ethical principles of confidentiality in providing good medical care.

16/08/2026

Ma isku aragtay madax xanun iyo barar wajiga iyo luga ah xiliga uurka/Have you ever see this sings like swelling face and feet during pregnancy ❓

15/08/2026

✅ Cashar: Sababaha loo sameeyo Qalliinka Hooyada (Caesarean Section – C/S)🤰

Marka la yiraahdo❗“Hooyada qalliinka ayaa loo sameeyay”, waxaa jiri kara sababo kala duwan.✅

✅Sababahaas waxaa loo qaybin karaa❗❗

3 qaybood waaweyn✅✅.

🕹 1. Sabab ka timid hooyada (Mother)

Kuwaan waxaa ka mid noqon kara🤰🤰

✅CPD (Cephalopelvic Disproportion):⤵️

Madaxa ilmaha iyo miskaha hooyada isma waafaqaan, sidaas darteed ilmuhu si caadi ah uma soo mari karo.

✅Two previous scars:⤵️

Hooyadu horey ayay u yeelatay laba qalliinka C/S ah.

✅Prolonged labour:⤵️

Fooshu muddo dheer ayay socotay, laakiin dhalmadu ma horumarin.

✅Induction failure:⤵️

Foosha la kiciyay (induction), laakiin fooshu si fiican uma bilaaban ama dhalmadu ma horumarin.

✅Dhiig-kar (Hypertension):⤵️

Dhiig-karka uurka, gaar ahaan marka uu daran yahay, wuxuu noqon karaa sabab qalliinka loo sameeyo haddii dhalmada caadiga ahi khatar noqoto.

🕹 2. Sabab ka timid mandheerta (Placenta)

Waxaa ka mid noqon kara:

✅Placenta previa:⤵️

Mandheertu waxay ku taallaa meel hoose oo ay daboolayso ama u dhowdahay afka ilmo-galeenka, taas oo dhalmada caadiga ah khatar ka dhigi karta.

✅Placental abruption:⤵️

Mandheertu waxay ka go'daa gidaarka ilmo-galeenka ka hor dhalmada.

✅Vasa previa:⤵️

Xididdada dhiigga ee ilmaha ayaa ku yaalla meel u dhow afka ilmo-galeenka, waxayna halis geli karaan marka biyuhu furmaan.

🕹3. Sabab ka timid ilmaha (Fetus)

Waxaa ka mid noqon kara:

✅Fetal distress:⤵️

Ilmuhu wuxuu muujinayaa calaamado muujinaya inuusan si fiican u helayn oxygen.

✅Twins:⤵️

Uur mataano ah, gaar ahaan haddii booska ilmaha ama xaaladda uurku aysan ku habboonayn dhalmo caadi ah.

✅Malposition/Malpresentation:⤵️

Ilmuhu si aan ku habboonayn ayuu u jiifaa, tusaale ahaan:

✅Breech:⤵️

Dabada ama cagaha ayaa hoos u jeeda halkii madaxa.

✅Transverse lie:⤵️

Ilmuhu dhinac ayuu u jiifaa.

✅Brow presentation:⤵️

Foodda ilmaha ayaa soo horreysa.

✅Hand/arm presentation:⤵️Gacanta ama cududda ayaa soo hormarta.

✅Big baby (Macrosomia):⤵️

Ilmuhu aad ayuu u weyn yahay, taas oo mararka qaarkood dhalmada caadiga ah ka dhigi karta mid khatar ah.

🚻🚼 🧠 Habka ugu fudud ee loo xafido⤵️

✅Sababaha C/S = 3 qaybood:**

🕹1. Hooyo → CPD, Scars, Prolonged labour, Failed induction, Hypertension✅

🕹2. Mandheer → Previa, Abruption, Vasa previa✅

🕹3. Ilmo → Fetal distress, Twins, Malposition, Big baby✅

🔊🔔Xusuusnow:⤵️

Qalliinka C/S mar walba hal sabab oo keliya ma laha; dhakhtarku wuxuu go'aanka ku saleeyaa xaaladda hooyada, ilmaha iyo mandheerta iyo heerka khatarta dhalmada caadiga ah.

Dr-Awil Elite. Fadlan lawa daag Asxabta

13/08/2026

💎Su'aal Caafimaad 📢🤰?.

Part-One:- Sabaha ugu badan ee Hooyada Qallinka logu sameeyo/Indications of C/S?👇❓.

Fadlan lawa daag Asxabta ✅🖐.❗❗.
.
.

15/07/2026

Calaamadahan soo socda hadaa isku aragto iska baar xanunka sonkorta?📢
✅1:- Haraad badan.
✅2:- Gaajo badan.
✅3:- Kaadi badan.

✅Fadlan share gare

15/07/2026

Ma ogtahay in Xanunka Thyriod-ka uu keeno Dalmo la'aanta?.

Haa🖐. Ama. Maya 🖐

Commentiga aan kaa arko⤵️

13/07/2026

Hooyouurleh oo cabirka dhiigu intaa marayo (pregnancy mother her GA 35wk5day) BP 168/121mmHg❗.
●Maxaay Baritan u bahantahay ?
●maxay dawo u bahantahay?

Dr-Awil Elite.

07/09/2026

24/08/2026

24/08/2026

22/08/2026

16/08/2026

15/08/2026

13/08/2026

15/07/2026

15/07/2026

13/07/2026

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