The little girl had come in hurt and bleeding. No too bad, a small gash that was easily approximated and taped (gosh, I love steri strips). Next: the Tet tox. She doesn’t know about it yet. For a moment I consider not telling her at all, but she is old enough to feel betrayed. SoContinue reading “Finally had my “magical paeds moment””
The night before my first shift in general practice, I frantically messaged one of my doctor-heroes on Twitter (@sindivanzyl). I think I was hoping for a cheat sheet, something about hypertension and diabetes, but the one thing she emphasised was, “Please, please, always examine your patients.” For medical students that would probably sound absurd.Continue reading “The Best GP Advice I’ve Received: Part 1”
She was a healthy young woman who came to see me for a “complete check-up” before a holiday overseas. Although I tend to think “complete” check-ups are somewhat overkill, they do present a good opportunity for health promotion and disease prevention. As one does, I asked about sexual history and family planning. She hesitated justContinue reading “Doctor. Counsellor. Freedom Fighter.”
The best thing I can do for an “exciting” patient is recognise their condition and keep them alive until transfer. Give me patients that don’t need hospital admission and I can make them feel better now, and try to affect at least one health-related decision about their future.
One week of some GP locums and I am exhausted. I can spend 10 minutes per consultation if people have straight-forward tonsillitis or gastroenteritis. But what about the parents who are hesitant about vaccinating? I need more than ten minutes to make an impact. What about the woman whose pregnancy test was unexpectedly positive, and needsContinue reading “GP Work is Hard”
I just recently finished a four-month Family Medicine rotation. Our after-hours duties on Family Medicine are as casualty officers at the Accident and Emergency Departments of two different hospitals. Because A&E has high-intensity decision making, our shifts were not allowed to be longer than twelve hours (compare: 24 hour shifts in any other department).
I want to address some pertinent falsehoods about health and fitness, and why the disenfranchised have such a hard time of it.
Aren’t you ashamed? Destitute people pay exorbitant prices to see you, because they somehow think that they will get better service than in a state facility (can’t imagine where they got that idea).
Last night while on call I treated rubber bullet injuries. I treated MANY rubber bullet injuries. If you thought rubber bullets only cause bruising – well, you’d be wrong. They can penetrate. During my fourth year forensic pathology rotation, we did an autopsy on a man who died due to a rubber bullet embolism.
I had such a lovely experience last week. I was working Accident and Emergency overnight, as I have finally completed my surgical posting and moved on to Family Medicine. A mother brought her nine-month old baby in with a chronic cough. Now, it was probably the happiest baby I had seen all night and probablyContinue reading “Something Only Family Physicians Experience”