Tuesday, March 2, 2010

Disconnection Letter Format

The perception of the disease

I am making the last rotation of the race (yes, just good, but more of that later). All 6 students have to pass it or yes for Family Medicine, and the truth is that, although I have had a doctor from now on I will refer to as the bland , I is looking to experience the less interesting.
has nothing to do with consultations in specialties in which he had been so far. Normally, as I noted, the patient will go to the specialist scared shitless and quite shy, but her family doctor shows you more or less as it is. Thus, it is interesting to observe people's reactions to problems, different ways to cope with illness and life in general. I will put 4 examples of "model patients" (I think that rather extreme) about what I'm saying

1. The anxious
Chaval 19. Longer history than many of those ladies says Facebook living in the clinic. Frightened face. "I'm fatal, my throat hurts a lot, I have not slept at all and it hurts to drink water" .
you look at the throat. Rojic enough. But no more. Or plaques, or fever, or vesicles, or anything. A home with ibuprofen. " But how will that be?" Nothing else? Then I searched out interne t horrible things throat gets very huge and has sleazy. " As this consultation to be easy, I had to make me, I explain that if you search online you will most spectacular pictures possible, and blablabla ... Total, to be unimpressed with the face of thinking that we're cheating. "But if I come back for emergency worse, right?" "Yeah man, do not worry, you go quiet"

2. The happy and carefree
Lord 53. Bulgarian to that accent so distinctive and difficult to reproduce in writing: "Ten problem go ass" . We tell you specify more, please. "Blood. Blood in poop. In ass" . We asked if you have hemorrhoids, and in turn ask us what it is, and the dull explains that these are things that cause rectal bleeding. "That, that! Blood! Ass!"
proceed to physical examination and found that no visible hemorrhoids. "And since when does this happen?" asked. "Three, four years" . crossed with the dull eyes and I ask the patient: "And how it has taken so long to come to the doctor?" .
"My wife, who left in peace until I come, I do not bother me." Fall of eyelids, eyes, digestive derive a y. .. Next, please.

3. The one who says things clear (if provided by a good friend)
Caballero 69, accompanied by his grandson, 10. "Does it matter that the grandson with me?" at all, missing more. Sit nice, and other cucamonas the child. "Well, Don Fulgencio, tell us what brings you here" .
"Well, look, doctors , libido, I have no idea where he is. I have no sexual appetite or makes me hard" . To all this, the child remains indifferent to means, because look at his grandfather with a strange face. "Hey le the doctor says, do not you feel uncomfortable talking about these things in front of the boy?" . "The truth is yes, but as I pulled his daughter, and I have to take care of" . We were finally able to pass the child into the hall with some markers courtesy of the representatives of the morning and continue the consultation. And that was 69 years old is true, is not embellish the story.

4. The absentee
Young 27. Comes to renew your floor. Before entering, at the request of dull, we echo a look at his record of temporary disabilities. For about 7 years he will take you longer low for quite trivial problems. Comes with a good face, probably because it has broken its record: it takes 87 days down a labeling process in the computerized medical record as "bronchitis." The individual patient was not ours, but another doctor currently on vacation. The dull asks if it comes to catching discharge. "Yes but no" . Arched eyebrows. "I want to start working, but I would like it was for Monday to get used to the idea, if you please. Is that in two months and do not want to contract out the boss mosquee ". As we were Tuesday and prefer bland " Yes, Bwana " than any minimum confrontation, go to your request and our friend is gone and us were commenting that their leader should be expecting the contract end date as rain in May ...

PS In "the bullshit of the moment", interview an entire super-fan of television. But if any reader would acknowledges, is that it is even more geek he ...

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