The other day in GP clinic

Today i came early again. Just in case because the doctor will evaluate my GP posting and part of it is my enthusiasm. Thus, i need to show him that i was really interested in learning J
However, Dr Rasmani opened his consultation room a little bit late. I brought my pharmacology lecture notes should it become handy when i need it especially when patients themselves say drugs names but i did not know anything about it. What a shame..Even a ‘pak cik’ aged more than 50 years old could remember sophisticated drugs name very well..atenolol, enalapril, captopril..These were the words that i heard from an old man today. I was blurred at that time and unable to recall what type of drug was it. Fortunately, i had the notes with me. At least i could flip through and refurbished my brain. It has been quite some time my brain did not have ‘defragmentation’.
One of the cases that i found interesting today was a man infected with cutaneous larva migrans (CLM). Previously this patient left hand was pricked by thorn while he was working in his orchid and had been treated only for the pricked wound. But few days later (today), he came again to the clinic complaining of itchiness and ulcer which migrating. Dr Rasmani quickly made his diagnosis of CLM after looking at history and observing the pattern of ulcer formed. The patient was treated with injection of steroid at the site of infection. According to Dr Rasmani, i was lucky because this was a rare case.
I managed to see how the real scabies, chicken pox, measles and herpes patients presented with and the appropriate managements. Apart from that, I had the chance to listen to a conversation about a patient asking for second opinion about contraceptive pills with the doctor. It was a new and educating experience for me. Furthermore, Dr Rasmani also gave us the opportunity to watch his negotiation with medicine suppliers.
Besides that, today i realised that how easy it was to get a Medical Certificate (MC). Throughout my life i had never known about MC nor asking for it. During this clinic posting i could see almost everyone would ask for MC even though for minor illness such as cough. Moreover some of them asked for MC because they wanted to take care of their sick spouses although they were healthy.
From my observation today, i could describe that most of patients that came to the clinic seeking for treatment were obese or overweight. Majority of them also came with chronic diseases like hypertension and diabetes. This really made me aware that we need to educate our society about healthy diet and exercise as we know it is preventable.
Overall, i understood that being a GP, we need to have at least some knowledge in all medical fields especially O&G and paediatric. This was because we would have patients from all kinds of background and presented with various signs and symptoms.
“This post seems to be so schematic”-mcm report je..skema...