a typical day in a GP surgery

Goodmorning

and patient number 1:
‘What brings you here today?’
” it’s about the sinusitis and the cough…it’s not ever going to go away. and black stuff come up. i know what you are going to say…”
8orei tin me jinto yfaki to teleio o tzeremis ‘i wont say anything…you know!’
stop smoking :P

Patient 2: Testicular lump
enas typos 100 kila, geni pas ta 60ish.
o colleague mou taxa na tou kamei ‘interview’
skeftou na ishies mian maza ston orxi sou, na sou ekamnan ultrasound je na sou elalousan en nen tipote, ela 3ana piso ton Iouli. Na megalonei, na poneis alla to rantevou sou atou jiame ton Iouli..
Kalosorisate sto NHS. En 8a sas po gia to prama tou an8ropou, mporeite na fantasteite.

Patient 3: Shoulder injury
I seria mou gia ‘interview’. to kaimeno to geroui allasen tin lampa je eppesen pou tin karekla je eppese pas ton omo tou. Eshiei 5 vdomades en tou eperase, ta xapia pou tou edokan ti proigoumeni fora en ekaman diafora je 3ipna je mes tin nyxta pou to pono. Eshiei numbness stin mesa merka tou sherkou je sto mitsin to daktilon. En mporei na kamei me efkolia oulles tes kiniseis.
Epitelous ekama succesfully tin proti mou ali8ini diagnosi yayyyy. Mallon en paei polla kala to C8/T1 nerve tou. Neck xray and shoulder just to check for minor fractures on vertebrae or even more remotely the shoulder joint. To MRI en out of the question (pou en o monos tropos na deis sioura inta pou ginete, giati prepei prota na paei parapemptika se revmatologo (?!??!) pou na pei ‘nai dikaiologite to mri’, na 3anapaei ston GP, o GP na tou gra4ei parapemtpiko gia to MRI je na shiei waiting list 3 mines.
Gotta Love The NHS. Eutixos pou iparxoun je oi fisio8erapeftes pou kamnoun ti douleia tous mono me to XRAY.

Patient 4: Asthma/Hypertension on an elderly woman who calls 3 times / week in the surgery.
8elei na skotosei to giatro pou tis edoke b blockers je ekamen tin screw up me to asthma (men me rotate en 3ero akrivos intalois doulefkoun ta b blockers alla akouo ta sinexeia. sinao apories gia to kalojairi).

Patient 5: Stroke patient for follow up with his wife since he is having some memory issues
By far the most interesting prama pou eida sti zoi mou. Anoi3an oi ouranoi, eida to fos. To geroui irten mesa je itan i seira mou gia interview. I genaika tou vasika eferen ton giati 3ipna tin oulli nixta. 3ipna se akanonistes ores na kamei mpanio, na plinei ta dontia tou, na pli8ei ktl. Je jinei 3ipna gia na men ton afinei mono tou mpas je ppesei xame. To gerouin, proin anavatis eshei enan antixeira akkameno/kommeno pou alogo. I aristeri tou panta en adinami an je mporei na perpata ktl. Diskolefkete na kamnei store recent memories. I genaika tou en e3ou8enomeni.
O tzeremi kamnei tou tests gia mnimi p.x. day, date , where are you, what year is this, spell the word world backwards, remember these 3 items blah blah blah. TO geroui vriskei ta oulla extos pou to pos laloun to iatreio. Je ftanoume sto revalation…
draw the shape.
Itan 2 pentagona me tin korifi tous nan i mia mes to allo. To geroui ezografise ena tetragono je ena X.
OK kati paei la8o sto visual part tou egkefalou.
Lalei tou kleista ma8kia sou je en na sou jizo pas ta sherka sou je na mou laleis Yes opote me nio8eis. Tzizei pas to de3i sheri “yes”, 3anatzizei pas to de3i “yes”. tzizei pas to aristero …tpt, tzizei je pas ta 2 “Yes”, tzizei pas to de3i “yes”, pas to aristero tpt.
Meta rota tin intalos forei ta rouxa tou (giati eipen oti arke4e je forei ta pou monos tou) “he wears them upside down”
O tzeremi pio specific “do they hang off on one side?”
Yes lalei i genaika.
Does he only eat half his food?
yes lalei i genaika.
kamnei tou visual tests je kataligei oti eshiei ‘hemianopsia’ i.e. 8orei mono to miso kosmo! (in a way)
Je futhermore vasika antilamvanetai to miso tou eauto.
Efyen i fatsa mou.

Patient 6: 20 yo pregnant with thrush
nothing interesting, tesco cream didn’t work, go for a swab and come back. if nothing on results try tablets that do for pregnancy.

did some revision on examinations, efame to lunch mas, synolika eipiame 3 kafedes, ekamame mikro lecture gia murmurs ktl je efyameeeeeeeeeeee early yayyyyyyy.

kata ta alla exo aypnies polles, kriono para polla giati i 8ermansi sto domatio mou en vrazei, 3ipno pas tes 5 fores tin nyxta, gyrizo plevro, ishia, anapoda, kremoume pu ti lampa alla tipote.

keywords:

Hemianopsia

hemiagnosia

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14 Responses to a typical day in a GP surgery

  1. Dr Love says:

    Patient no.7

    Diabetic for years, thrush comes and goes very often. It cannot be treated with creams etc. (patient tried it already). What makes it come back?

    H apantisi m: Firstly, diabetes is an autoimmune disease indicating a strong immune system which “attacks itself”. Secondly, diabetes weakens the immune system causing yeast infections and an uncontrolled diabetes makes it coming back.

    Swsta? ;)

    Polla interesting mera as well as interesting subject. Areski m polla i anosologia. en to kalitero m! :D

    • RoAm says:

      well en 3ero apolitos tipote peri tou 8ematos alla fantazomai e3artatai pou to history.
      p.x. elegxei sosta to diabete? if no then maybe the glucose levels favour candida proliferation….
      gia to autoimmune issue den exo idea pos paei. The closest i ve been to autoimmune is the biochemical structure of antibodies!

      pe mou tin apantisi pou en na sas tin dokoun :P

  2. flegomenos says:

    πολλά ενδιαφέρον το σάητ σου, και απο επιστημονικής πλευράς!!!

    Γιατί τόσο greeklish?

    Όι ότι είμαι αρμόδιος, πάντως, το να γράφεις ιατρικά θέματα στα αγγλικά στα greeklish, φατσάρει να υποβιβάζει τον τρόπο που αντιλαμβάνεσαι και διαθέτεις την πληροφορία και σε μη ιατρικό κοινό

    all my best

    • RoAm says:

      en volefkoun ta ellinika giati en 3ero tous iatrikous orous sta ellinika. Itan na prepei ka8e llio na kamno αλλαγή πληκτρολογίου στα ελληνικά.

      giati nomizeis oti an kapios grafei greeknglish ypovivazei to tropo pou antilamvanete(!)?

  3. flegomenos says:

    όταν έγραψα αγγλικά εννοούσα με αγγλικούς χαρακτήρες, dld greeklish

  4. flegomenos says:

    εν που μου άρεσε το μπλοκ σου και έγραψα το σχόλιο, όι να νομίσεις ότι είχα προσβλητικές διαθέσεις

  5. melina says:

    to loipon
    b-adrenergikoi ipodoxeis, iparxoun stin kardia stous pneumones kai allou. stin kardia prokaloun au3isi tou kardiakou ri8mou kai au3isi tis sistaltikotitas tou miokardiou. (8etiki inotropos kai xronotropos drasi)

    stous pneumones i diegersi ton b ipodoxeon prokalei diastoli ton leion miikon inon ton brogxon => brogxodiastoli.

    oi b – blockers anastelloun tous b ipodoxeis prokalontas miosi tou ri8mou kai tis dinamis sistolis ara miomeni artiriaki piesi,enw stous pneumones prokaloun sispasi ton lion miikon inon kai vrogxospasmo (pou einai enas apo tous 3 basikous paragontes tou as8matos)

    me lia logia, an xereis oti enas as8enis sou exei as8ma kai dias tou b-blockers, mallon en ta paeis je polla kala me tin iatriki. plus, enen kan farmako protis grammis gia tin ipertasi oi b-blockers anymore.

    auta, sorry giato lecture, e8imi8ika tes palies kales meres :P

    • RoAm says:

      thanks mate! sampos je en na ta 8imume os ta avrio. tora asxoloume me plantar ligaments :p
      actually simera eixame lecture gia cardiovascular drugs when and which to use.
      eshiei enan kalo algorithm. tora na sou to pe4o molis evro to ppt presentation.

  6. Dr Love says:

    hehe, roam now i understand where we come in!! gmt…simplironei o enas ton allon in science.. ;p Emeis mathenoume ta anagkastika ws theoria but never applied! thats the difference mate ;p

    No offence, melina telio to mini lecture s alla prosopika thewrw ta ellinika polla ksenerwti glwssa se mathimata science! :D

  7. RoAm says:

    yes gi auto je edkiale3a stin teliki to medicine.
    oulla kala je agia me tin epistimi alla ti na to kamo to ‘epistimonas’ aman en mporo na kamo kati ameso?
    vasika en 8ema xaraktira i guess…
    i know i know we could argue for hours oti en oi epistimones mes ta labs pou fkalloun ta farmaka ktl ktl ktl but i could never lock myself in 4 walls.
    telika einai ontos egoistikoi oi logoi pou dkialeoume ‘karieres’. tssssssssss

    pantos i fysiki sta ellinika akouete mou 20000000 fores pio intellectual je diskoli :p ta ellinika re paidi mou prosdidoun enan extra varos :P

  8. Dr Love says:

    HAHAHA!! alithkia touto me ta ellinika, simfwnw.

    Alla, in the end who teaches you the basics to become what you want and the basics of understanding life? ;p hehe… :D

  9. RoAm says:

    well if we have to go waaaaay back it was the actual physicians who took interested in physiological processes etc. but anyway yes i see your point and we appreciate it!
    if only you could actually ‘make’ cures for all the things you allow us to diagnose with your novel and wonderful techniques
    e.g. Patient X i am sorry but you have MS. We can detect it but we cannot treat it.
    Patient Y i am sorry but you have cancer. we can detect it, we can TRY and eradicate it but…..
    ps: im not offending or anything apla kapou exasame to paixnidi

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