My bleep went off around an hour ago. Dialled switchboard to reply.
Switch: Switchboard...
Me: Hi..bleep *** obs and gynae SpR please
Switch: I have a call from a GP for advice please...
Me: OK.. Hello G'monin...its the obs and gynae reg here...
GP: Hi..i am 'so and so' and have a lady here with abdominal pain mainly at the supra pubic region. She has had previous laparotomy for ovarian cyst in year 2001 (6 years ago!) and 3 months back had a scan which showed a haemorrhagic cyst but was discharged later with conservative treatment. No surgical intervention.. 'mumble mumble with patient in the background'...
Me: And the urine is clear of any infection?
GP: Yes i have tested it. And...i think she ought to be seen by gynae because she has this cyst..
Me: ???? Huh..but what makes you think its the cyst that is causing her this pain? It can be anything at all right? And moreover haemorrhagic cyst tends to settle. Do you think we should think about other diagnosis as well or perhaps have a surgical review?
GP: Well..it must be since she had previous cyst problem (clearly quite annoyed with me)
Me: 'thinking to myself...what a lot of rubbish!' But we cannot be sure of that. It still can be a surgical case.
GP: Well..i am sure its a gynae case because yada yada yada (giving me a rubbish percentage for repeat ovarian pathology).
Me: No i think she should come to A+E and to be reviewed by the doctor there and then we shall decide whether she need a gynae review...
GP: 'mumble mumble' fine! ..'click' (and he put the phone down)
Me: (%$&*!)
15 minutes later i get a call from A+E:
A+E: did you just received a call from a GP?
Me: Yes i did...
A+E: We do not do triaging here in A+E (WHAT?? then WHAT does the A+E Do???)
Me: Then, can't the doctor there see first before referring because abdominal pain can be of any pathology..
A+E: Well..we don't do that..its for you to see and decide...
Me: Whatever (flabbergasted!!!)
so...what does the A+E doctors do then? and does it mean that all women with abdominal pain is due to ovarian cyst until proven otherwise?? Even if she has previous cyst problem it does not automatically means she has gynae problems now.
??????????????????
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2 comments:
Kelian...mebbe the system kat UK tu lain kot..kakkakkaka..joking..Mebbe they are just plain lazy to see the case...and since it was already 'discussed' with you , it's more convenient to just ask u to see lor..nemind nemind..here..have a cup of leong cha..
eve: hmmm i think it is plain laziness. You can have sometimes patient referred to you but the GP has not even seen the patient. But on the other hand there are those who are really good and genuinely asking for advise. sigh..its alright..just to bear another few more months and head back home! heheh
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