Tuesday, 12 October 2010

It's boring being a GP

'GPs just see sore throats and issue sick certificates'. It's a popular view of the great British public. Not greatly disimilar from some hospital consultants who caution their juniors not to waste their skills on general practice (I have a mole in the hospital in the form of my FY2 daughter Hannah!!).

Well I had a quiet duty morning today seeing only 10 patients-here they are.

Patient No 1. A 55 year old lady with a 4 week history of left periorbital pain with associated watering of the eye. Probably Cluster migraine- a rare and nasty form of migraine
Patient No 2. A 47 year man with a recent diagnosis of depression. Its come completely out of the blue since he admits he's a classic 'rugby type' into a fast paced life. We discussed his insomnia and the journey he is now embarking on.
Patient No 3. A 36 year old lady with a herpes simplex rash in her cheek. She's getting married in 2 weeks so anxious to look her best.
Patient No 4. A 75 year old man with a past history of pleurisy 50 years ago, 'I nearly died', worried about his cough. He left with reassurance and a 'delayed script' for antibiotics.
Patient No 5 A 36 year old mum with a sore throat-for the last 12 hours-ok, ok we do see some.
Patient No 6. A 50 year old professional musician with 38 hours of shortness of breath. He's got a loud systolic murmur, tachycardia and abnormal ecg. Probably mitral valve disease. Normally fit guy, off to hospital he goes.
Patient No 7 A 35 year old lorry driver who comes to discuss the mri scan of his neck. He has numbness in his arms and may need surgery.
Patient No 8 A 25 year old with pain on swallowing. He has small aphthous ulcers on his posterior pharynx. No previous history. Possibly viral. But not tonsillitis!
Patient No 9 and 10  Oh dear...I've forgotten already!


Variety is indeed the spice of life.

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