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Indexing Title: JGGuerra’s Medical Anecdotal Report (06-02)

Indexing Title: JGGuerra’s Medical Anecdotal Report (06-02). MAR Title: OPD case in the ER Date of Observation: February, 2006. Narration.

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Indexing Title: JGGuerra’s Medical Anecdotal Report (06-02)

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  1. Indexing Title: JGGuerra’s Medical Anecdotal Report (06-02) MAR Title: OPD case in the ERDate of Observation: February, 2006

  2. Narration • One night, while on duty, as I was happily enjoying a minute of rest at the ER pantry with my co-residents, I was called by a medical clerk to see an OPD patient who decided to drop by at the ER. I practically had to force myself to stand up and put on a fake smile as I walked my way to the emergency room.

  3. Don’t these patients have anything better to do than go to the ER past everybody’s bedtime just so they could have the doctor check on their ingrown toe nail that had been there for days? So when I got my way to the ER, I saw a 30-something female, looking so healthy and comfortable, complaining of swelling on the right toe.

  4. I was sure that this is just another patient who was too lazy to line up at OPD during the day and so, decided to come in as an ER patient at night. • Patients are smarter these days. They know that they’ll get faster medical attention at the emergency room where they could not be shooed away to come back at OPD.

  5. So I took my seat as I planned to begin my quick history. The quicker, the better. But before I could say anything, a woman seated on the chair opposite my patient started gushing, “Sya yun. Sya din yung doctor ko,” as she looked at her husband who was standing beside her for confirmation.

  6. This turned out that I treated her for cellulitis few weeks ago. The husband just smiled at me. She then turned to me, “Doc, naaalala mo pa ako, ako yung nagpunta dito, yung namamaga ang kamay… kasama ko sya, ako nagdala sa kanya” while pointing to my patient. Sure, I remember her.

  7. She used to have an insect bite on her middle finger and she was concerned about her finger being all red and swollen. BUT, not in an infected sort of way, with no pus or anything, just a swollen insect bite. She was an OPD case seen at the ER too.

  8. I remember also taking a quick history and a making quick prescription of an anti-inflammatory drug, or did I also prescribed a week of Cloxacillin? I am not sure. But I remember being annoyed that she came in at around midnight because of an insect bite that she had early during the day.

  9. Then there she was, in front of me again, bringing in an OPD case just like she once was, AT NIGHT. But as she continued to rave about me being her doctor and how I had managed to treat her to both her husband and the patient, I could not help but feel nice, inspite of the situation. I went on with my history and PE and did partial ungectomy.

  10. After explaining my regimen of antibiotics and pain reliever meds, they were ready to go. Before they left, the woman thanked me over and over. In between, I would hear her whisper to the patient, “ siya din yung doctora ko, buti na lang sya din ngayon, tingnan mo magaling na kamay ko o. Ayan inumin mo yan, sundin mo yan”. As I watched them leave, I let out a little smile.

  11. Insights: ( Discovery, Stimulus, Reinforcements / (Physical, Psychosocial, Ethical) • I realized that patients will always be annoying but they will always be a part of a our life as residents in training. They will bug us with the littlest worries and scare us with the most difficult of conditions. And they seem to follow us everywhere—they are like stains, they stick to your clothes and they go home with you.

  12. They are not like paperwork that you deal with in the office and forget about at night. They are bigger responsibilities than that.

  13. And being all that, patients make a physician. You do not become a doctor from merely learning medical jargon in school for years. You become one once you have patients to treat and be responsible for, and you grow as a doctor by learning from each of your patients, whether he is an OPD or an ER case.

  14. We should learn the importance of treating all of our patients well. Even if they annoy us, we must always try not to let that get in the way of our interaction with them. Always console ourselves by thinking that they came not to make our life miserable or make our duty unbearable, but rather, they are there because they believe.

  15. This may not be true all the time, but who knows, it just might be. So always put on a good front and be a great doctor to your patients, even if all you had to prescribe were ascorbic acid, paracetamol and eight glasses of water a day. • So when does a doctor know when he’s doing alright as one? When a patient would look at him and proudly say, “doctor ko yan..”

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