Consultation

My tutor still sick la.. so another my favourite GP do my assessment consultation today.. morning oredi sat with her in her clinic.. not bad la, not super good but not super bodoh..

Lunch time, i went n look at the reception clinic book-in, to see who are my patients this evening...

3 patients.. dono y they come in for la..

First guy 4 days ago went into A n E, sudden onset occipital headache while playing football.. no trauma.. they do all the CT n lumbar puncture, all no prob.. send him home.. so i guess he sure come today with the headache kot..

SO I rush home, go n read all i noe about headache lo.. his 1 probably Tension Headache kot.. so read from aetiology to management plan n all..

The other 2 patient not much 2 read la, cos no history, so taktau.. 1 refered from optometrist with haemorrhage in her eyes..

This headache guy came in:::::

'Last wednesday, i had this headache...'

Yes liaoo.. Tension headache.. i oredi prepare to explain to him liao, reassure him, say due to stress, neck posture, etc.. can refer physio, rest, bla bla...

Manatauuuu...

He got this other headache on thursday totally different from the wednesday 1..
Final Diagnosis isss: LUMBAR PUNCTURE INDUCED HEADACHE...

babii.. kausai betul.. patient clearly read from internet liao n come in with all the info, i pula bodo bodo dono wad to do..

Luckily Mrs Nice tutor help me out n acknowledge that it was a difficult case la..

2nd Patient:
Ok, ada haemorrhage, check BP n all lo.. simply ngap the lifestyle change bla bla.. ask her got take alcohol, smoking, bla bla.. that 1 also kantoi treatment abit, cos supposed 2 refer to nurse to monitor bp, but i terus discuss with patient how she feel about taking medication..haha...

3rd Patient: some bodoh rash...

Feedback: Paling lawak statement:

' There is 1 technique that I think you use very well that I myself sometimes cant...'

WHOAA... i so kembang laa.. i tot wad..

' U r good at appropriate silence, giving patient chance to talk and tell u everything.. I notice you manage to get alot of info from them this way.. '

WAKAKKAA... lawakss.. I sometimes memang look at patient let them sendiri tell 1 ma, or I sometimes memang dono wad to say n buy some time to think ma.. din noe it was an 'effective technique'

Memang some of the GP's problem, like to potong the patient n talk too much la..haha...

Overall quite ok la.. got some kritik n some good points also.. I puas liao..hehe..