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(student) Dr. Wonzan M.D. (week five 1/11/10)

OK!

So this week was quite tame. Nothing too hectic happened. It was a nice and quick week. Mainly involved increasing my social contacts and sharpening my history taking skills and revising for the exams I have in about 1 months time. Some might think that asking a patient what is wrong with them is easy but they would be very wrong.

The patient will have preconceptions on what is wrong with them and will therefore tend to only tell you part of the story. I have had patients who have were worried about their lungs and failed to tell me that they have also had a heart attack previously. When taking a history you have to squeeze as much useful infrmation out of the patient as possible to help diagnose them. The HUGE number of diseases cannot be identified (even if you do a whole battery of tests) without a good history.

But anyway, the highlight of this week for me was interviewing a heavily pregnant woman about her ulcerative colitis. This is a disease that affects many people and it causes them to need to go to the toilet 6-7 times a day on average and up to 30-40 times a day when they get a flare up (wiki it). But after taking her history and stuff I asked when her baby was due.......she said tomorrow! And then she held her belly and closed her eyes and made a pained face..........I SOOO thought she was about to go into labour but LUCKILY she didn't. I was the only one there at the time and I would have to have help her deliver it O__O. Nerve racking stuff!

Well, hope you are all well dear readers, till next time!