06-26-2008, 06:23 PM
Ok Let see God_blessme ,
One case on doorway it was only written " needs doctor letter to go back to work " , when asked the complaints he spoke so fast i just understood few as pounding of heart, blackouts...... i got bit nervous.......then i ask Qs related to CVS and CNS... but not to the mark and in PN forgot to write Syncopal attack ( Cardiogenic) rather wrote MI,TIA and other.... didnot do gait n motor system n Plantar but did closure in time...
Wait a minute , did you do physical exam on Him or what ???
Tell me what exactelly you ask Him ??
It is ok to get nervous and to ask Him 2 times or to just say -could you clarify it for me bc I remeber that one pt I coudn't undrstund that he was saying antacids and I ask Him 3 time -could you reapet that plz , and what do you mean not to the mark ???
and why you were thinking to check the gait in this pt ?
Do NOT seems nothing to worrry about the one baove ,but answer my questions that I ask you,Ok....
another case was pt with sickle cell with pain......in my whole encounter he never said he was better, i tried to show empathy for 3,4 times but..... even he didnot tell me his past history of Sickle cell anemia????????
It si OK if he didn't say he was better and did you ask Him if anything help or what aggrevat ehis situation and did you ask Him about the PAST H/O ???and if you did and if he didn't answer it-did you ask Him again or maybe he didn't tell you about previous epizodes bc sickle cell when you hav eit you hva eit for life, so please clarify what do you mean that he didn't tell you and don't get panicky about that bc if he didn't tell you something that means it was not on his "script " and you should ask something more relevant...
Another female case of insomnia also spoke so fast i have to say her sorry , can u plz repeat me few times....THAT IS OK....
Another case of man 30 yrs with stomach problems?? was not showing any reactions in his face throughout encounter, seeemed to b IBS.it si OK that He didn't show reaction -HOW ABOUT YOU -WHAT WAS YOUR REACTION TO THIS ?????
forgot to mention pt about Pelvic examination in Stress continence casse. but wrote on Patient note.VERY GOOD IF YOU PUT IT ON THE PT NOTE -that is very, very good-I did even put to reapet abdominal exam in one cas ebc I didn't do it -I forgot
Didnot do forward bending test to LBP case and also forgot to counsel regarding LBP??
Did you do STRAIGH LEG TEST ?? this is mor eimportant and what about the counselling ???
It is important to counsell about smoking, sex and etoh, and about pain if you didn't tell them to either excersize or whatever is not going to be such crime.....
So you will have 1 point less let say if you didn't do SRLeg test
Couldnot do fundoscopy in one case of HTN.-one point less for that bc this was important but as long as you did counsell here on smoking (if he /she was a smoker ) or LDL, Diet and excersize then you will still be fine...minus 1 point here..
otherwise rest was ok. tried to maintain eye contact. and follow CIS steps. few sps asked me 1 or 2 times coz they couldnot understand me????
I hav eone lady ask me 3 times -what you are saying but you see it was OK...
My answer to you is that you hva eosme minuses here and tehre but this is normal...
Tell me how did you feel when you exit the Exam -I want to know your first impression afther the exam -the first 5 min,NOT the hours and days afther days when we think could of , should of....
I am positive that you will PASS on SEP, CIS and I need to know how you were doing with the PN and Data Gathering -so I will try to tell you my final answer...and you hav eto let me know and remeber I am NOT saying just to mak eyou feel better..this is my honest feedback..
Jovanat..
Thank you for your trust
One case on doorway it was only written " needs doctor letter to go back to work " , when asked the complaints he spoke so fast i just understood few as pounding of heart, blackouts...... i got bit nervous.......then i ask Qs related to CVS and CNS... but not to the mark and in PN forgot to write Syncopal attack ( Cardiogenic) rather wrote MI,TIA and other.... didnot do gait n motor system n Plantar but did closure in time...
Wait a minute , did you do physical exam on Him or what ???
Tell me what exactelly you ask Him ??
It is ok to get nervous and to ask Him 2 times or to just say -could you clarify it for me bc I remeber that one pt I coudn't undrstund that he was saying antacids and I ask Him 3 time -could you reapet that plz , and what do you mean not to the mark ???
and why you were thinking to check the gait in this pt ?
Do NOT seems nothing to worrry about the one baove ,but answer my questions that I ask you,Ok....
another case was pt with sickle cell with pain......in my whole encounter he never said he was better, i tried to show empathy for 3,4 times but..... even he didnot tell me his past history of Sickle cell anemia????????
It si OK if he didn't say he was better and did you ask Him if anything help or what aggrevat ehis situation and did you ask Him about the PAST H/O ???and if you did and if he didn't answer it-did you ask Him again or maybe he didn't tell you about previous epizodes bc sickle cell when you hav eit you hva eit for life, so please clarify what do you mean that he didn't tell you and don't get panicky about that bc if he didn't tell you something that means it was not on his "script " and you should ask something more relevant...
Another female case of insomnia also spoke so fast i have to say her sorry , can u plz repeat me few times....THAT IS OK....
Another case of man 30 yrs with stomach problems?? was not showing any reactions in his face throughout encounter, seeemed to b IBS.it si OK that He didn't show reaction -HOW ABOUT YOU -WHAT WAS YOUR REACTION TO THIS ?????
forgot to mention pt about Pelvic examination in Stress continence casse. but wrote on Patient note.VERY GOOD IF YOU PUT IT ON THE PT NOTE -that is very, very good-I did even put to reapet abdominal exam in one cas ebc I didn't do it -I forgot
Didnot do forward bending test to LBP case and also forgot to counsel regarding LBP??
Did you do STRAIGH LEG TEST ?? this is mor eimportant and what about the counselling ???
It is important to counsell about smoking, sex and etoh, and about pain if you didn't tell them to either excersize or whatever is not going to be such crime.....
So you will have 1 point less let say if you didn't do SRLeg test
Couldnot do fundoscopy in one case of HTN.-one point less for that bc this was important but as long as you did counsell here on smoking (if he /she was a smoker ) or LDL, Diet and excersize then you will still be fine...minus 1 point here..
otherwise rest was ok. tried to maintain eye contact. and follow CIS steps. few sps asked me 1 or 2 times coz they couldnot understand me????
I hav eone lady ask me 3 times -what you are saying but you see it was OK...
My answer to you is that you hva eosme minuses here and tehre but this is normal...
Tell me how did you feel when you exit the Exam -I want to know your first impression afther the exam -the first 5 min,NOT the hours and days afther days when we think could of , should of....
I am positive that you will PASS on SEP, CIS and I need to know how you were doing with the PN and Data Gathering -so I will try to tell you my final answer...and you hav eto let me know and remeber I am NOT saying just to mak eyou feel better..this is my honest feedback..
Jovanat..
Thank you for your trust