When the patient completely changes their story after you’ve already presented it to the attending
Posted Sep 27, 2017, 2:48 AM UTC
31340
Sometimes I send med students in to see korsakoff patients without letting them do a chart review or telling them first. Then we go in together to "review" their history taking abilities. I subsequently pretend to be mortified by them making things up before teaching them two things: I'm going to prank you, and all histories are subject to change without warning. Your supervisors know this, and most of us understand it's not reflective of your ability.
128
This is evil and hilarious. Did a student ever figure it out?
46
Before I tell them? Not yet. I make sure to tell them not to do an exam because I want to see it done in person. This prevents the enthusiastic ones from doing a MMSE and figuring out something isn't quite right. The closest any of them have come is saying that they had difficulty figuring out the timeline.
28
Wait, no one has even done an alert/oriented on them? Once your patient is clearly bonkers their history is worthless, might as well check their orientation. I wouldn't really consider that part of the exam in that case.
2
They do eventually. That's actually one of my favorite teaching points for those cases. "Go ask them where they are right now." "They said at home. I re-oriented them to 'the hospital." "Excellent. Okay... Go ask again. Right now." "They said 'at our aunt's house." "Exactly. You can literally wait 30 seconds and ask them the exact same question, same wording and everything, and you'll get a different response every time. That's what confabulation looks like."
12
You bastard! Well done.
3
You are the resident i want to be
2
I'm a simple man. I see The Good Doctor memes on this sub, I upvote.
THIS SHIT IS GONNA BE A GOLD MINE
107
BUY! BUY! BUY!
8
Positive Attending Sign
91
One time I talked to a patient without having time to look at his chart first. While in there we talk about how a tractor fell on him a month ago and he is going through a lot of MSK pain. The doctor comes in the room.. talks to him about his alcoholism the entire time and his hospital admission for pancreatitis just before the tractor incident. Never once mentioned that to me. Also he was seen for the tractor stuff at a different system so when I got out of the room and opened his chart I saw nothing related to what we talked about and thought I went in the wrong room.
33
Historical alternans.
27
[deleted]
-2†
Grabbed onto the typo and missed an opportunity
3
Good bot
2
Thank you Fox800 for voting on PORTMANTEAU-BOT.
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3
Good bot
2
We are truly in the golden age of med school memes.
22
[deleted]
12
Any attending that doesnt remember this happening to them is a bad teacher. Theyre not your boss, theyre your teacher. Youre a student, not an employee. Dont let it get go you, just keep busting ass.
48
This literally was the story of my life yesterday, on an audition rotation at that. I swear they thought I was an idiot.
7
LET THE MEMES BEGIN.
7
Bravo
5
I've had this happen quite a lot. Never had an issue with an attending because they all knew patients lie, esp to students/staff...until this one time when after we came out of the room, the attending screamed at me why I lied on my H+P. Had to explain to her that I wasn't lying etc. Glad I never had to work with her again.
4
The great memepocalypse, foretold in the book of revelations.
The good doctor giveth!!!!
3
Literally happened to me today, so frustrating
2
It’s always the sweet grandmas. The fucking Mabels and Ediths.
2
[deleted]
1
Everytime it happens, silently thinking this on the inside. http://gph.is/Ncpybr
1
My cousin does this to med students all the time when he's in the hospital just for shits and giggles.
-17
That can actually be dangerous. There are times where attendings/residents listen to medical students, particularly if it's later on and you are not with the patient. Don't want misinformation about your care, ever, regardless of how harmless it seems
21
The attendings and residents know him well and know he fucks with the med students.
-4
Attending here.
We were med students and residents too. We know this happens all the time, don't panic and certainly don't try to correct the patient inside of the room. If we think its important we will ask a few questions to clarify, otherwise we can talk about it outside.
"timeout, bitch you said the pain started yesterday"
I read that in Scary Terry's voice.
aww, bitch!
And I said ^^^^biiiitch
A+ reference
Bitch hold on
Thank you for being a teacher. You're a rare commodity - I hope your students appreciate it!
[removed]
Does it help if I make an audible "HMM" and pretend to start jotting down notes?
Oh my god I still do this
Ha - amazing. I don't plan on stopping.