Last week an 81 year old lady came to see me complaining of feeling a little tired and light headed about once a fortnight for a few minutes each time…. I tried to seriously address her concerns whilst wondering if at half her age there wasn’t something wrong with me… As I feel like this much more often!
Then later in the week an 83 year old came to see me and said “thanks old man” as he left! Crap I am less than half their age!! What hope do I have!?!?
One of my other “little old ladies” is just back from another exotic holiday… Hot air ballooning over Kenya!
It all seems grand… Until one of the benefit posse come to see me… Younger than me, but on crutches, under the pain clinic with no recognisable diagnoses but heaps of meds and enough benefits to afford a far nicer car than my humble nurse practitioner wages can afford!
I do worry about a bit of a organised crime link in some of our patient groups…. Now I’m by no means talking about the Mafia… I love the Mafia…. (Not really, but I don’t want to wake next to the head of an old nag….. (No jokes about being married!)).
We seem to have a group of benefit claiming families, with multiple health problems who all seem to be really good friends with each other… I’ll go into the waiting room and find several patients that sink my heart and are not related to each other… But only one has an appointment and whoever is being less disabled/demanding that week has driven the more poorly patient down to the surgery! Perhaps my organised crime theory is wrong and there is some kind of group of unlucky friends that are coincidentally all ill… Or perhaps a Facebook group called; The unfit and unwell of Sickton! A special group where these poor sickly individuals have all joined and that’s how they know each other….. If I was friends with them all I think I’d start being treated for paranoia symptoms…is there one fit one in the group slowly poisoning off all her friends – will I be next???….. urrrrrrrrrrrrrrrrrrrrrg
Paranoia and conspiracy theories aside….It make you wonder….Are these super grans beating the benefit families, simply because they are genetically stronger, or mentally stronger, or just goddam stubborn. Perhaps these poor young people with all their obesity and pain is simply induced by a life of poor motivation….There is nothing to do but smoke weed and get fat, and when you smoke a lot of weed, you can’t work so you get broke (financially) Broke v’s broken. Poor v’s poorly. Clever v’s just motivated .
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The Olympics start in London tonight!!! (Apart from the fact they have already started the footy, and already made a cock up showing the wrong flags…
It reminded me of last time with the increased accidents at home due to people competing with the TV
“I often joke that exercises isn’t necessarily good for you…which leads me to the report that states arm chair spectators of the Olympics have been trying to compete…apparently a company that repairs gadgets has received around 50 calls from people wanting to set up their rowing machines and exercise bikes so they can practice keeping up with the Olympians. My favourite quote in this article is from John Brewer of the Lucozade Sports Science Academy:
“There has to be a degree of realism and common sense”
As I get a tiny bit older (not old, just older), I realise my perception of time isn’t quite right. I see the patients date of birth and think…oooh they were born in 1994, and I look down the corridor expected some little kid with bunches and a cute smile. Instead I am grunted at by a spotty, 6ft teenager…
My heart sinks…I like seeing cute kids, they are easier to communicate with than teenagers. I realise the teenager is without parent….my heart sinks further… I realise the teenager has bought one or more friends with her, there is a dull thud as my heart sinks so far it falls out of my shoe.
This happens on a regular basis, these “kids” are sexually active… and they want to see me to talk about “it“…kill me, kill me now…
Actually that gives the wrong impression. I like educating people…
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Just thought I should pop by quickly to let you know I am alive and well.
After the initial trauma of moving, my new consulting room flooding, getting 2 complaint from patient in the first month (after not having any complaints in years). I have adjusted to the new way of life.
I have more time with my kids in the morning, (not sure if that is a perk some mornings – on the subject of perks… they have a proper filter coffee at my new surgery – oh blissful bliss!!) I get home earlier in the evenings and in the school holidays the family can meet me at lunch, without having to make a day trip out of it.
I have gone from being one of 3 NP’s to being the only NP, but I have learnt loads since being here. My new surgery is a teaching practice and so I crash in on some of the teaching from time to time and have fantastic light bulb moments…on the down side, they want me to do gynae stuff. I’ve made a career of avoiding it! (Pass the minors helmet!)
“Alright love looks like a bit of BV from here!”
But all in all, it’s going well. The big downside is I have a shorter lunch time and not allowed to blog according to the IT policy, and I certainly don’t have time outside work to blog. So as I warned post are going to be very thin on the ground, but I am too weak to break the bond completely. So maybe the occasional post might pop up!
Frankly darlings, I miss you!!!Read Full Post | Make a Comment ( 5 so far )
The demographic of your patients is an important factor, and the sooner you understand the basics of it the sooner you can understand how the general populous tick!
Every street, village, town, city, county and country have a different demographic. I think it is time I revealed a little about this one. Lets call it Sickton-on-the-Naze!
Al worried about trimming his nasal hair!
Sickton-on-the-Naze is an old village that has gradually grown into a town. Traditionally the general population is not very mobile – regardless of age. I mean this in two ways…
Firstly – Literally not mobile – Zimmerframes. There is a LOT of old folks around here. This is because very few people leave the area so they grow old here, it also has a high elderly population as people come here to retire.
Secondly – socially mobile. It’s kind of miles from anywhere, so the folks that grow up in Sickton-on-the-Naze, seem to stay here. They don’t seem too bothered about getting a driving licence, the driving test centre is miles away. If someone decided to leave and go to college it’s considered a major event.
Due to the culture of not leaving town, people don’t seem to consider it. They stay here with the crap jobs, little chance of promotion, and little expectation.
Before I start to sound too snobby I would just like to clarify something – I love it here. From a clinicians point of view it is an interesting place to work. The people in general are lovely. Sure we have a fair few drug addicts and lots of little old ladies and even a few little old lady drug addicts! It makes for an interesting day.
The sad thing is that we seem to have a lot of young women who are stuck here and really should be bound for better things, but just don’t consider it. With obviously some exceptions, the young men seem to be unmotivated and quite ugly, but do alright for themselves in the love stakes as the young women don’t considering casting their love net a little further out to sea. So if you are an ugly bloke with poor prospects who wants a pretty girlfriend, this really is the place for you.
We also have a few great stereotypes and they probably exist in every surgery across the country.
We have the Colonel.
His grandfathers grandfather founded the town and half the streets are named after his dogs. He went into the military and enjoyed blowing things up, and still sometimes forgets that he has left active service and thinks that motability scooters are enemy tanks and takes pot shots at them with his air rifle.
We also have several old ladies who previously had high powered jobs, in the times before ladies were supposed to have high powered jobs. The type of woman the Colonel likes to call “Bloody lesbians”, despite the fact they are infact widows. Now with free time on their hands and their minds still agile they decide they can take on the world again and “fight for the little people”.
“Unhand me…I’m not a lesbian!”
We also have a few eccentric old ladies. One of which brings all the Doctors a banana every-time she passes by, and writes messages to them on the skin. Then there is the lady who denies she has dementia and every-time you mention it to her, she informs you that “nobody ever mentioned it before”. My personal favourite is a eccentric variant of the previously mentioned high powered ladies, that are waiting for a good murder for them to solve…
.…”Why won’t anyone come on holiday with me?”
oooh, and the 78 year old nurse who still receives a wage from a nursing home where she helps “the old people”, some of which are considerably younger than she!
…and that is why I love my job!
Just added my “Rate this” stars at the top…feel free to use them, so I can get a bit of feed back into what type of post you like best! I’m insecure and need your help!Read Full Post | Make a Comment ( 1 so far )
You know it’s time to have a break from work when your 3 year old hurts her ankle and says she got a sore lateral malleolus…
So we decided to go away, I thought this week I’d stay away from any physiology and anatomy and tell you about my holiday instead…
We decided to go abroad, and with airport parking so expensive we decided to get to the airport by train. My daughter was keen to go on the underground, so we went on the Eustachian Tube then somehow connected with the Fallopian Tube and finally Central Line to Standstill airport.
The London airports are named after the villages they have ruined, rather than other airport which are named after famous people like John Lennon airport in Liverpool, or the John F Kidney airport. Airports make me nervous…it’s all to do with the use of the word “Terminal”…as in…not going to live.
The flight was smooth, with Wallace and Grommet as the in-flight film. We arrived on our Mediterranean island hopping holiday. We were spending the first half on the larger island of Labium Majus, and then going on a Crus to Labium minus. My wife was sure if we spent enough time on the island we were bound to find the right spot eventually. We bought an atlas and a tourist guide that had an in- depth appendix.
Whilst away we tried several of the local dishes, such that lovely filled pasta – alveoli and that lovely Spanish fish and rice dish – patella, and drank some lots of wine, including a superior vena cava, much better than the inferior cava in the supermarket! I orta try that again.
Mostly it was a lovely holiday, the only complaint was at the first hotel was noisy as there were some building works going on, and they started early every morning, I was told not to complain about it as the builders had a mental foramen in charge, and I didn’t want to get on the wrong side of him.
We had a nice relaxing holiday, perhaps next year we’ll go through the carpal tunnel to France.
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I should know better but last week I said it was “Quiet”.
I’ve worked in health care long enough to know that this means there will be an impending disaster. In the Emergency Department, staff would be disciplined for even using the Q word. The use of this word or similar normally meant that the “hot phone” was about to ring, (and no it wasn’t “The banker”)
If a butterfly flaps it’s wings in China the repercussion will be a tornado somewhere else in the world. (Trust me Emergency nurses know all about Chaos theory…)
Whereas if a Nurse says the Q word in hospital the subsequent repercussions will include a multi-car pile up and 5 cardiac arrests before the next shift starts.
So yes…I should know better, I’ve even discussed the topic before in P=Q-D/C/BM (and you thought chaos theory was confusing).
Anyhow the short and curlies of it are this…it’s been busy, I’ve got myself paperwork and chores and precious little time to do much else….alas here endeth the blog for this week….but if you want a giggle and some education I particularly liked this post from Rob this week…so if you are quie…..not too busy, have a read…
or nose through the archives…how about “Do no Harm!”
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I haven’t much to tell, which reminds me of the day
My mother said “if you have nothing clever to say.
Say Nothing”. She sometimes could be a bit that way!
So Max is still here, although perhaps just a little faint.
I still have tales to tell, and many of them quaint.
The weather here is terrible, the rain has been pouring,
It’s made many brains show more than a little flawing.
The effect of the dampness is not endearing.
A patient last week reported having “Blurred hearing”
Another worried about a “Barrow meal”, surely he meant barium,
Apparently the prospect was quite a scary ‘un.
But alas it is not just the patients suffering from this.
When I reported that my patient had “Arthrio-ostritis!”Read Full Post | Make a Comment ( 4 so far )
I’ve been too busy to blog this week…apologies. But just to give you a little humour, I’ve got a case history for you…
An Irish woman presented to ask about reviving her husband’s libido.
Max: ‘What about trying Viagra?’
Patients wife: ‘Not a chance, he won’t even take an aspirin.’
Max: ‘Not a problem, give him an ‘Irish Viagra’. Drop the Viagra tablet into his coffee. He won’t even taste it. Give it a try and call me in a week to let me know how things went.’
It wasn’t a week later when she called back and Max directly inquired as
to her progress.
Patient’s wife exclaimed, ‘Oh, faith, bejaysus and begorrah! T’was horrid! Just terrible. I did as you advised and slipped it in his coffee and the effect was almost immediate.
He jumped straight up, with a twinkle in his eye and with
his pants a-bulging fiercely! With one swoop of his arm, he sent me cups
and tablecloth flying, ripped me clothes to tatters and took me then and
there passionately on the tabletop! It was a nightmare, I tell you, an
Max ‘Why so terrible, Did you mean the sex your husband provided wasn’t good?’
Patients wife: ‘Twas the best sex I’ve had in 25 years! But sure as I’m
sittin’ here, I’ll never be able to show me face in Starbucks again!’
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This week more examples demonstrating that you’ll be lucky to get through life alive if you pay too much attention to the latest research…
The good news is…that power naps may boost your memory.
6 minutes sleep can apparently get those old memory cells boosted. Great I could do with a better memory. I’ll just read the newspaper to relax and then settle down for a quick 6 minute power nap.
I pick up the newspaper and read:
So, I could have a power nap, remember things I would have otherwise forgotten, but be unable to tell anyone about it due to my slurred speach! Great!
Apparently the team behind the research advised that we should be checking out older people who have a tendency to fall asleep in front of the TV during the day…. Oh my god! If the government catches wind of this, I’ll have to go tapping on windows and checking vital signs of anyone dozing off during the afternoon edition of “Doctors“, I can see the QOF form now:
Pt unresponsive as had stroke: Yes…….. No………
Pt unresponsive as crap programme bored them to sleep: Yes…… No……..
Pt dead as gave up the will to live due to poor quality day time TV: Yes……. No……..
Doctor give government cash as Nurse Practitioner ticked the right boxes: Yes………. Yes………..
Pay rise given to Nurse Practitioner for doing the work: No……….. No……………
After doing those I’d need a glass of wine… after all we all know it’s good for you (Experts at five universities found that people who drank more than two glasses of red wine a day had 44% fewer colds than teetotallers) or is it….
After one drink, blood vessels are more “relaxed” or dilated, which reduces the amount of work the heart has to do. (Great….) But, (oh there had to be a “but” didn’t there) after two drinks, the heart rate, amount of blood pumped out of the heart, and action of the sympathetic nervous system all increase. Thanks Dr. John Floras, Director of Cardiology Research at the Peter Munk Cardiac Centre, and at Mount Sinai Hospital,
Sod the wine – it’s too confusing, get me a whisky….The British Medical Association apparently states that 30 grams of alcohol a day can protect against heart disease – That’s four shots of Scotch! That’ll be fine.
Hic! Scotch can’t be bad for you……..
Meanwhile in my office:
Phone call of the week: A patient rang up with a 24 hour ECG in situ wanting to know if he could use his mobile phone!
“I don’t know, do you know where the “on” button is?”Read Full Post | Make a Comment ( 1 so far )
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