My mom sent me a tiny man that I have to bury in the ground. Catholicism is wild
Wtf does this mean
Fuckin burn the witch just don’t forget to bury the effigy
Wtf does this mean
Fuckin burn the witch just don’t forget to bury the effigy
Being oversensitive to caffeine
Remember the time the Talosians agreed to help Michael to establish a telepathic bond with Spock to prevent him from not only going permanently insane from the mindmeld with the Red Angel, but to also get life altering information and only asked for Spock and Michael’s family drama in return?
Everyone was out there trying to save the universe while the Talosians were looking for reality TV.
Another request from dozmuffinxc which was ‘Your favorite book character(s) reading/reacting to their own novels’. Obviously that would be Crowley. And he’d probably hate it.
Patient whilst talking to me: nope, no health problems, never been in hospital, never seen a doctor ever ever ever
Patient whilst talking to the doctor I’m shadowing: yeah, last year I had two hip replacements, ten years ago I had a heart transplant, I take a million different pills and just about every member of my family was diagnosed with cancer before the age of 30
Doctor to me, later on: it’s really important that you learn how to take a good history
Me: …
I think we all had to deal with people like this. I usually go around it. If they say they have no previous or chronic conditions, I say ok, and then circle back by asking small, specific things patients tend to (usually by mistake) omit. Ask specific details. Ask about medications. Ask about injuries. Surgeries. About cancer. About specific illnesses. I usually get the answers I need that way.
I’ve found that patients often think if they are taking a pill for a problem it is no longer a problem. So they were diagnosed with high blood pressure but are on an antihypertensive? They don’t have high blood pressure. So usually I start with asking if they have any medical problems they’ve been diagnosed with, then ask about the medications they take, and then ask one more time about if anyone has mentioned that they may have high blood pressure or diabetes or high cholesterol, etc.
I personally like “have you ever spent the night in hospital?” And “how many times have you had TB?”
Also, if they say no surgeries and it’s a woman then I immediately ask about kids, because then I ask but was it a vaginal delivery or a c section? And then, even if they say no surgeries but yeah they’ve had 3 C’s…
I straight up ask them the same questions five times so that they invariably slip up and accidentally drop info that I latch onto and nag them incessantly about. =’)
I’ve streamlined by literally jamming different versions of the same questions together.
“Do you have any illnesses, any issues with your health at all, any medications?”
“Do you take any medications, any pills, any health supplements? Any alternative treatments?”
“Do you have any chronic issues, any prior issues with your health, any childhood issues you grew out of?”
“Any hereditary issues, such as cancer or cardiovascular. Like, such as issues with the joints, stomach, lungs, any clots? Are your kids and grandkids healthy?”
While this comes off as super weird written out, it usually sets up the proper scope of the question for my pts. I had one who happily brought up some kind of ginger juice shot when I asked about medications, which I never ever would have thought to ask about.
People ask my why I want to do primary care. I tell them I have no idea.
This is it. This is how it feels.