Monday 1 July 2013

GP Surgery Day 2 - An Elderly Population

Today I traveled down to one of the surgery's partner clinics in a tiny little village about 10 miles toward to coast in a very wealthy but to a part of Cornwall with a HUGE elderly population.
I sat in on consultations for most of the day as well as doing home visits to patients who were not able to make it to the surgery.

The surgery was tiiiiiny! It consisted of one consultation room, a tiny waiting room and a little dispensary as the town did not have one! (cute)

Few facts about today:

Average age = 72
Most Common Reason for Appointment = Arthritis, chest infection, heart issues and sore knees!
Procedure I Saw Most of Today = Cortisone steroid injections in the knee.
Most Prescribed Drug Today = Amoxicillin + Flucloxacillin
Youngest Patient = 62 female with sore knees after having both half knees replaced.
Oldest Patient = 98 year old man with a chest infection
Most Interesting Case = 77 year old male with an atrial flutter, which can been identified by a "saw tooth" looking pattern in an ECG trace

Example of a "saw tooth" pattern in ECG

The doctor supervising me mentioned that he hardly "cures" anything anymore, it is more managing the wear and tear seen in the elderly that come into the surgery, trying to manage their symptoms and pain.

Aaaaaannd on a negative note, I've managed NO revision today, been busy napping this evening.

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