Different time, different patient groups.

In my clinical work in pediatrics for nearly forty years, I found some interesting phenomena.

That's about the group problem of seeing a doctor. In different periods, some interesting changes have taken place.

For those of us born in the 1950s, there are usually several children at home, ranging from two to seven or eight.

In our family, I have three sisters, two sisters and six children. Unfortunately, my parents sent my third sister away because her family was poor. After I went to college, I got in touch with my third sister, who also had the same blood relationship and had contacts.

For our generation, after I graduated from school and went to work, all the people who came to see me were our own children.

However, due to the "family planning" at that time, most of my peers had one child and two children, no more than a quarter.

Because of the "one-child policy", classmates, friends, relatives and acquaintances. Among peers, and children with doctors are all their own children. When these children grow up, they seldom get sick, and we seldom meet each other, even for more than ten years.

Sometimes my peers will introduce my brothers and sisters' children and come to see me as acquaintances.

As long as you know the peers above, you basically know or know their brothers and sisters. This is an interesting phenomenon.

When children of our age grow up, get married and have children, the family planning policy will still be implemented. Because of their age, some children of our peers have already missed the best childbearing age when they began to liberalize the two-child policy.

However, there are still some children who, after 35 years old or even over 40 years old, still have to risk their lives, seize the tail of the "two-child policy" and have a second child.

The difference between the first child and the second child is more than ten years old, or even more than twenty years old. They are not like brothers and sisters at all, but more like two generations.

Children of the same age come to see me when they are sick, and now their grandchildren still come to see me.

But few children of the same age, some over forty years old, will come to me with a second child. I sometimes mistake them for the children of these children, even joking.

In other words, among the grandchildren of the same age, there are people who are more than one child apart in age. If it was before liberation, it should be a great-grandson. This is another interesting phenomenon.

Another interesting phenomenon is that almost all people in their thirties are two children. Sometimes they will register together to see a doctor, take medicine together, and even have infusion treatment together.

Some rural children, about twenty-five, are already parents of two children. When they came to take their children to see a doctor, the grandparents of the sick children had just turned fifty.

These people just caught up with the good policies of the country, really enjoyed the dividend of the "two-child policy" of the country, and were the beneficiaries of Mr. Yin Chu's population policy in Ma Lao.

Although the country now encourages triplets, some places give some preferential policies to parents who give birth to triplets, such as giving parents maternity leave, giving housing subsidies, giving children preferential treatment in school and so on.

However, I haven't seen a doctor for a triplet, which is another interesting phenomenon. It is estimated that I will never meet such a small patient in my life!

Different times and different policy changes will produce different phenomena, which are also the same on the population issue, but this is a man-made factor, not a natural phenomenon. This problem deserves our deep thought.