In the setting that I work in, it is seldom that my patients and I speak the same language. This seems a bit strange when I sit and think about it, but I have become so used to it that it feels completely normal now. This hurdle can usually be easily overcome with the use of an interpreter, but even then there can still sometimes be a language barrier (problems usually arise due to differences in pronunciation). Where I work, interpreters take the patients' presenting complaints before they are seen by a doctor. And I have seen some strange interpretations of presenting complaints!
Here are just a few examples and my proposed management plans:
If a patient has had a "missed courage" (miscarriage) is it okay for me to tell her the story of the little engine who could?
If someone is "feeling noiseous" (feeling nauseous) should I advise them not to be a disruptive element?
If a patient is having "pain when pussing urine" (pain when passing urine) do I really have to do dipstix or an MCS? Isn't the pus evidence enough?
If a man has "haemorrhoids on the penis" (I don't know how they came up with that one!) does that mean he's homosexual?
And if you have to have a cough, isn't it better if you're "coughing a beat"? (coughing a bit). I, for one, would love to hear that!
Lastly, I once had a complaint that read ""shortage of blood while preeking". (What?) I have no idea! Nobody could figure this one out. Even the patient was shocked to find out she'd been preeking.
Thursday, September 27, 2007
Saturday, September 8, 2007
I've been feeling very depressed about my weight lately as it's been picking up. This became evident when I started having difficulty fitting into one of my favourite pairs of pants. I decided to start watching my weight but to my dismay, the next time I wore these pants, they were so tight that I could not even close the buttons anymore! Now I became really depressed about it. But then the other day, I decided to wear a pair of pants I hadn't worn in a long time (out of desperation) - we had been away on a short holiday and I didn't have any other clean pants to wear to work. I was sure they would no longer fit me (I hadn't worn them since before I fell pregnant with my baby!). There's no way they'll fit I said to myself, but as I've already mentioned, I was desperate! So imagine my surprise when they fit me perfectly! Yes, it was then that I realised that my other pair of pants had been shrinking in the wash!!!