Friday, February 4, 2011

How to evaluate a patient

Doctor: Where does it hurt?
Patient: Right now it doesn't. The pain is transient and mostly in my left foot.
Doctor: So, your hip hurts? When did that start?
Patient: About 2 years ago.
Doc: So, both of you hips hurt and you can't walk?
Pat: No, one hip hurts but I walk.
Doc: And your legs hurt so bad you can't walk.
Pat: I walked here. I can and do walk.
Doc: No, no. Your legs hurt so bad you can't walk. And both your hips are in pain.
Pat: Wrong. I'm not saying it again. My hip hurts because your therapist walked off and I fell over backward. My legs don't hurt. The bottom of my feet hurt.
Doc: Come back next week and don't get your foot wet.

The above is a pretty close transcript to my last encounter.

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