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I’m a bonafide genius!

A couple weeks ago I had to do an OSCE where I interview a “patient” (actor) and conduct a short physical and then discuss what I think the problem is and what I want to do with the patient.

These “patient interactions,” as they call them, are recorded and we are required to come back and watch them and evaluate ourselves.

I hate watching myself on video. And today I just saw the video of me interviewing a patient who had a complaint of frequent falling. Got that? She came in complaining of falling.

Well I do the interview, asking about when the problem started and blah blah blah. Her three episodes of falling were sporadic, occurring at different times of the day and in different places. And it wasn’t because of any injuries.

Ten minutes later before I move on to the physical exam, I ask the patient, “Have you noticed any changes in balance?”

What the heck, Jeff?!? She has been complaining about falling and you ask if she has had a change in balance?!?

The patient sat silently and just stared — totally confused, I’m sure. And I, realizing what I had just asked her, quickly recovered and pretended like I was clarifying myself and asked if she had felt any dizziness, headaches, or nausea.

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  • David

    Jeff,
    This happens in the real world too. I think all doctors have a million other things going on in their head when dealing with non fatal symptoms. I bring my child in with a 103 fever and the doctor asks, “Has she had any fever recently….?”…Yes, and thats why I'm here…..
    On a business note, I have a medical supply client interested in paying you for some exposure on your blog. This client, JRS Medical is open to informative guest posts, advertorials, tutorials, sitewide hyperlinks, or even having you post a product review (for a small fee if needed) for the following types of terms at this time:

    * needles & syringes
    * medical supplies
    * discount medical equipment
    * Invacare (or names of other big brands in the medical industry)
    etc…..

    Let me know what options exist and if interested. We are also open to any other ideas you may have that work within your framework. Look forward to hearing back from you.

  • David

    I forgot, my e-mail dpatterson at elbrusconsulting (com)