Today I leave for a two week family medicine rotation in a small rural town in the Western Cape.
This year, family medicine will supposedly be a lot more fun than in third year. Calls will be a mish-mash of every rotation. Lady in labour? We catch it (yay!). Stitches, we do it (uh-oh…).
Here’s something I have learned about family medicine:
If a young lady of reproductive age enters the consulting room with her mother and claims to have a headache, you politely ask the mother to leave the room. You can then expect the girl to admit that she actually has a discharge.
It sounds terribly stereotypical, doesn’t it? But in primary care this is such a common finding. Several times last year I would do a full headache workup, find nothing, counsel the patient, prescribe analgesics and tell her to return should it not improve. And, just before she gets up she would say, “uhm, doc, there’s this discharge…”