Wednesday, August 11, 2010

A "London" Day

Today was full of jobs that reminded me of working in London.

We started with a run of the mill back pain. The lady had been doing some gardening, had bent over, and felt her back "go". When we arrived, she was on the kitchen floor, unable to move because of the pain. A community responder had already arrived (to "stop the clock") and was offering sympathetic words and making encouraging noises. A few whiffs of entonox later, and we had the patient on her feet, and out to the ambulance. We took her to hospital for further assessment and treatment.

The next job was given as a 20 year old girl, ?stroke. It turns out she had numbness on the right side of her face, right arm, and the sole of her right foot was numb. She was still able to walk about on it ok, and insisted on walking to the ambulance. We left her at hospital having a CT scan arranged.

Next, the poor patient of a crap doctor. Every area has a crap doctor, and in a rural service, it seems every village and small town has a crap doctor. This was a doctor's urgent into A&E for an elderly lady with an ankle injury. The doctor thought it was broken. We were half way there when control informed us the doctor had upgraded the call to an emergency and we were to run on blue lights. When we arrived, the poor lady with her broken ankle was walking happily off to go to the toilet. I don't know what sort of assessment the doctor did, but he/she certainly didn't think to ask if the patient could bear weight on it. I told her it was highly unlikely she'd done anything too drastic. Apparently the doctor had visited and had said something along the lines of "Oh, it looks like you've done something to that - I'll call an ambulance." The ankle was swollen, and at first I thought it was a sprain, but when I touched it, it was very warm, so I now think she had an infection. Unfortunately I didn't get the opportunity to follow it up later.

We finished the day going to a 17 year old who'd taken an overdose of 15 paracetamol. It turns out she's doing a holiday job and the romances weren't what she thought they'd be.

All in all, a day of easy jobs, and all of them reminded me of the kind of calls I was missing in London. I know someone will comment that we only did four jobs, but we ran 15 - 30 miles for each one. Where I am now, the calls tend to be of a more genuine nature, apart from one in my first week here, which I shall write about at some point in the future - it's another crap doctor story...


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