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Old 11-02-2013, 09:58 AM
 
Location: Montreal, Quebec
15,080 posts, read 14,333,584 times
Reputation: 9789

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Quote:
Originally Posted by Iluvmycountry View Post
I could use your two examples ie: no sleep and rashes on your a$$ (were the dollar signs a clue) as to your type of work. Ok j/k but I have had many the same complaints from patients in the ER. LOL

Sorry it makes no sense and I do agree. Often times one symptom is in relation to another and they should be discussed together.

All I can say is I didn't make this up. I am thinking of taking a picture next time I go in but at this point in my career I work for the state and for lack of better job description I am the police for the hospitals and all patient care facilities. I could get in trouble doing that without just cause. Calif has some very unnecessary laws and regulations so no.....
Oh, I'm not doubting you. I do believe it. When I worked in palliative care in the US, I saw many things that didn't make much sense to me. This is just one of many.
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Old 11-02-2013, 10:48 AM
 
18,805 posts, read 8,481,648 times
Reputation: 4131
Quote:
Originally Posted by Iluvmycountry View Post
I've told many patients who ask, find a real good primary who will look you in the eyes, actually touch the patient and listens to your every word. Of course I tell them but don't get off about what your aunt had made for dinner, or what the neighbor did. Keep it on topic.
Well, I let my assistant listen to every word, then I come and and listen to everything that relates to their medical complaints.

We used to care for a lovely Medicare patient, older lady who talked in stream of consciousness. It made it difficult to get a quick and pertinent history. But after a while we grew to love her, and as her rambling discussions were so amusing, I would leave the exam room door open for the staff to hear. Mostly social nonsense, not personal medical concerns. This lady simply would never stop if left to her own process! In fact if we weren't busy we'd see how far and long she'd go. 10 - 20 minutes easy!

All was well until one day she drove right through our front wall and into the waiting room of our office with her old Olds 98! Luckily no one was hurt. Funny she never talked about the accident after that!
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Old 11-03-2013, 06:28 AM
 
Location: California
884 posts, read 716,800 times
Reputation: 294
Quote:
Originally Posted by Hoonose View Post
Well, I let my assistant listen to every word, then I come and and listen to everything that relates to their medical complaints.

We used to care for a lovely Medicare patient, older lady who talked in stream of consciousness. It made it difficult to get a quick and pertinent history. But after a while we grew to love her, and as her rambling discussions were so amusing, I would leave the exam room door open for the staff to hear. Mostly social nonsense, not personal medical concerns. This lady simply would never stop if left to her own process! In fact if we weren't busy we'd see how far and long she'd go. 10 - 20 minutes easy!

All was well until one day she drove right through our front wall and into the waiting room of our office with her old Olds 98! Luckily no one was hurt. Funny she never talked about the accident after that!
That was a great story. I can see the faces of some elderly ladies I've met in my career who would fit your description well. Once you realize it doesn't hurt their feelings to leave the room and let them continue, you cant help but smile. That 20 minute must be a record!!
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