PCCMCR & typos

all my cases are written up on line and sent to my tutors via a website that outlines the "patient centred clinical medicine case report"...
as I was typuing sa bit tooq uickly a second ago I realised I had typed Balclutha as Blaclutha repeatedly.

I don't know. It seemed funny at the time. :)

By the Clutha.

Meanwhile in Dannevirke...

Rachel and Hillsy are taken up in their GP's plane...

PPCS. The Meatworks.

It's been a while since I posted anything. But we're still here :)
Here are a couple of shots from when we went to the Meat works (another occupational health visit) two weeks ago.
They cut cows with chainsaws....!
The nurse showing us around thought we would turn vegetarian. I'm tempted.
It was a helpful visit though - the works employ around 900 people, and we see a lot of them coming through, sore wrists, cut fingers etc. There's no such thing as 'light duties' per se, even if they are prescribed by a doctor. It's hard work.

Crook

Generalism is a speciality but it can be done badly.
One of the southland GPs (not one that teaches us) has a reputation for sending patients into the hospital with next to no history or clinical details, simply saying "they're crook."

Legend has it that a few years ago he sent someone in with the note- "Patient crook. Probably terminal."

He was admitted, a better (!) history taken, a full overview done. Nursing and medical officer consensus was that, actually, the guy was probably doing just fine. Nothing stood out.

The patient died the next day.

Again- it's legend- and i guess indicative of the whole skill of 'gut instinct' / years and years of experience knowledge that people build. This GP could be considered adequete, even maybe good or brilliant, if he was willing to communicate.

Being crook - it's a wide spectrum disorder :)

Assessments

this is more for Bryce's benefit.
all 12 of us round the country will be going through our first assessment soon.not sure what it's like at the other centres, but our Doc here is just as nervous about organising the whole thing as we are about having to do it.

it's a mixed bag. We could get tested from any field. And it's almost guaranteed we'll know nothing.
such is the risk and frustration of a simultaneous subject curriculum. (i.e. learning obs and gynae and orthopedics etc all-at-once instead of in seperated runs)

this is also why i'd never say that a GP isn't a specialist. Generalism is a specialty. anyway...

will keep you posted

Illegally Blind

Met a lady today - legally blind with cataracts. Didn't get around to getting them seen to until she started mistaking people for furniture at work. Had volunteerily stopped driving 8 months ago...
"There's a few people I'd like to run over, but I'd like to know I'm doing it"