oh dear, i think i’m dreading tomorrow’s FULL day posting at the clinic… 9 to 5 leh! pengz liao. i really really think i’m going to hate it in there! i just feel i don’t belong inside that cluttered up place with posters ranging from hormone replacement therapy to weight loss programmes to the 6-in-1 vaccine. AHHHH!

i read some part of the ‘primer’ notes, it’s fine and i agree with what they say inside. haha yeah, so COFM-ish. but i totally CANNOT accept the way a GP has to think and react.

things i don’t like to make myself do:
- treat symptomatically…
eg.
pt: doc, i have a cough, runny nose, some sore throat and a fever…
doc: ok, i’ll give you some panadol, something to clear your nose, something for the cough and lozenges. i won’t give you antibiotics because this is a virus. (and out goes the patient)
- having to bargain and hassle with the drug rep like you’re talking about fish in the market… haiz… have to calculate the profits and negotiate for discounts or freebies or ’splitting’ the stock with others…
- be stuck in a clinic ALL day long, with NO one else to see except patients, patients and more patients… and occasionally, getting 2 medical students to come brighten up your day (i hope)
- nag nag and nag more at recalcitrant, non-compliant patients
- be writing out unnecessary medication (eg. panadol, which i’m sure the patient has at home) or perhaps giving everyone who has the flu some flu medicaiton, regardless of whether the patient really needs it or not…

i hope that tomorrow i get some hands-on, get to clerk patients and interact more with them, or i’m just going to slide off the examination couch (yes, i’m perched high up on that couch ALL day long… butt going to get contact bed sores…) … and that tomorrow we’ll manage to find both case reports!

yay! one thing for sure though, this clinic has quite a heavy patient load… it was non stop flow all the way… saw a big bunch of URTIs inclusive of pharyngitis, AR…. a couple of eczemas (it’s surprisingly common!), kids with flu/fever… a couple of those with viral GE… 2 accidents, trigger fingers… vaccinations… even one high CA125! quite a gd variety… but… it’s SOOOO boring!

save me from the deathly claws of COFM… begone begone begone!

btw, what the hell is ASTHEMIA??? and er… klatskin’s tumour some kind of GB CA.