Australian Doctor 1st September 2023 AD 1st Sept Issue | Página 14

Opinion

1 SEPTEMBER 2023 ausdoc . com . au
Guest Editorial

Was I a fool in seeking a second opinion ?

Reasons to cherish the kindness of specialists .
Dr Pam Rachootin GP in Adelaide , SA .

GROWING up , I vowed to be the perfect child . In fact , my family nickname was ‘ Perfect Pam ’.

PICTURE CREDIT
Alas , I eventually realised that
perfection was overrated and a
sure-fire way to set one up for
disappointment .
As I grew older , I modified my
strategy : I tried to do my best , fully
acknowledging that my best might
be light-years away from perfection .
I came to accept the idea of being
‘ good enough ’.
As a doctor , though , looking after
the health of others , the stakes are
high . I am cautious . I would rather
get a second opinion than miss
something — even if , in doing so , I
may look foolish .
The aim is to do the best for my
superlative quick thinking and char-
from irritable bowel syndrome .
And on administering the Kessler
In that case , could she please
patient regardless of whether or not I
ity , the specialist said it was an opti-
Alas , the pathologist worded his
Psychological Distress Scale ( K10 ): “ Is
move her hand in a circular motion
am discredited in the process .
cal illusion .
conclusion professionally : “ Common
this the fruit loop test ?”
over her crotch , after which her hand
So I have been quietly amused
My patient admitted that he
garden earthworm , sometimes enters
After a self-collected HPV test ,
would be scanned .
when patients report back to me
could see the ENT smiling through
cistern system .”
my 70-year-old patient commented :
Was that to detect molecular
about their specialist interactions .
his mask , and my patient totally
I immediately recognised my
“ Why , it is just like a COVID-19 test
traces of cocaine ? Gelignite ? Bacterial
One fellow had presented to me
cracked up .
deficiency and organised the
‘ down there ’.”
vaginosis ?
with unilateral tinnitus .
Just to be clear , before anyone
appropriate mandatory CPD via
But how can you keep a straight
My patient said she was not eas-
When I examined the ear in
face when a patient tells you the fol-
ily embarrassed , but simulating mas-
question , I saw the strangest sort of spherical blob .
The other ear was normal . I was perturbed by my initial finding and re-examined the ear in ques-
I recognised my deficiency and organised the appropriate mandatory CPD via ABC ’ s Gardening Australia .
lowing story of public humiliation .
She was at the airport and had set off the ‘ stand legs apart ’ body scanner . It had triggered in a sensitive area ; there was a circle on the screen
turbation in a public place thronging with people was not something she would normally choose to do .
She was told that apparently one in five women experience this .
tion . I confirmed the abnormality .
around her pudenda .
She asked for the reason .
I relayed my finding of the blob in
starts firing off , as my patient had
ABC ’ s Gardening Australia .
Did they think she was a septuage-
“ We think it could be something
my referral letter .
unilateral tinnitus , there was an
Of course , GPs are also required to
narian smuggling drugs vaginally or
to do with sanitary products .”
With the patient informed of my
indication to follow up with MRI
retain a sense of professionalism with
that her fashion accessories included
“ But I ’ m nearly 72 ,” she replied .
mysterious finding , he trotted off to the ENT .
anyway . The referral was not a total waste .
an assortment of utterances from their patients .
a clitoral ring ? She was told by the awkward
Well , I guess that is just another impediment to travelling these
Apparently , the examination by
On another occasion , I sent a
After advising someone to cut
female security guard that she had to
days .
the specialist was blobless .
worm that a patient had retrieved
down on drinking , he replied : “ What
be further investigated . Did she want
My patient queried him about
from the toilet that she attributed
use is drinking less if it doesn ’ t make
this done in a private room ?
my finding . In an example of
to be the cause of years of misery
you drunk ?”
Definitely NOT .
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