I am currently on my GP placement in my FY2 year. It’s fun. I like GP. I like the patient interaction, independence and doing lots of diagnosing…

And of course, I like the entertainment. Here is a summary transcript of a consultation I had yesterday…

DoctorGood Morning! How can I help you today?
Patient[17 year old boy] I’ve been having some problems with my stomach…
DoctorAh OK, do you want to tell me a bit more about it?
PatientI’ve been getting some diarrhoea and vomiting. It usually lasts for a one or two days, then gets better again. I get stomach pains and headaches too, and I feel really generally unwell with it.
DoctorHow long has it been happening for?
PatientFor a few months now. It seems to be getting worse
DoctorWhen was the last time it happened?
PatientA few days ago. I’m better again now.
DoctorIs there anything that seems to bring it on?
PatientHmm I don’t think so. It seems random. It does tend to happen on weekends though.
DoctorDo you do anything different at weekends to during the week?
PatientNot really. I sometimes go out or go to a party.
DoctorDo you drink much at these parties?
PatientNot really. Not much
DoctorHow much is not much?
PatientAh, not much. I’m not really a big drinker.
DoctorHow much is not much?
PatientWell I used to drink a lot more. Maybe like a bottle of vodka and ten pints of beer.
DoctorAh ok. You drink a bottle of vodka and ten pints of beer and the next day you feel awful and vomit everywhere?
PatientYes. Is it serious?
DoctorNo. Its hangovers.

[Image: from flickr – CC license]