I really should talk about what I see in a regular clinic day in family medicine. It’s easy to write about, and it helps me review what I learned. Clinic hours are 8-5pm with a 1hr break. Life can become a little rote — often times it’s just a simple check-up or 5-minute problem, but sometimes you are the one who makes the critical decision to send the patient to the ER. No matter what, though, each patient is different — that by itself usually keeps things interesting ^_^.
- Campylobacter-positive bloody diarrhea. We are taught that the bacteria Campylobacter usually comes from chicken. The man did eat some Mighty Wings from McDonalds prior to symptoms, so was that the source? We’ll never know.
- Severely dehydrated person. And it wasn’t because she wasn’t drinking water. The water she was drinking just wasn’t being absorbed because of her (watery) diarrhea. She also sweats a lot during her work. A combination of these factors likely contributed to the critical point that sent her to the hospital.
- Deaf patient. She was just here for a check-up, but the entire interaction was interesting since there was a professional hand language interpreter in the room.
- Headache. One of the many bread-n-butter cases for family medicine. End of day headache around the temples that is easily relieved with aspirin. Not a migraine, but rather something we call “tension headache.”
- Drug-seeking behavior. It feels bad to not trust a patient’s complaint, but sometimes it’s obvious. The patient presented with back pain. We couldn’t give her narcotics for the pain, but we could give her assistance with physical therapy or toradol shot (for temporary relief). She refused the aid (unusual for someone who wants to feel better), and she made sure to ask what was in the shot before she said “no.” I made me wonder, though, if maybe we should’ve confronted her on her narcotic-seeking history. That way we would address the real psychological problem we saw.
- Finding hyperkalemia by chance. One patient in the hospital had received blood labs for a skin infection. By chance, they found the patient in hyperkalemia and later atrial fibrillation. Atrial fib can kill you by sending blood clots to the brain, but we would never have known without this random test since the patient never felt anything out of place. Always believe in luck! haha
Just hit “Z + Tab” (in that order) by accident. MIND BLOWNNNNN.
4438 McKinney Ave, Ste 150
Dallas, TX 75205
Oooh, Origin! You have impressed me. Their food and coffee are great! They brew Cultivar Coffee, which might be my favorite coffee in Dallas. I got the drip with a little shot of milk on the side. Delicious way to start the…
2625 Old Denton Rd, #320
Carrollton, TX 75007
A new Korean restaurant in new K-town!
It’s really cute inside and outside. I love the wood decor with green plants. And the cups of water come in jars!
The menu is simple, but it was so hard deciding what to…
In third year, you finally see the diseases you had only previously read about in books. You learn how to recognize when someone is sick, when to be scared. Just as important, though (as I’ve realized), is learning what healthy or “normal” looks like in a person. Try finding that in a textbook.