OSCE

Had the OSCE, a practical exam to assess clinical method and communication skills. All in all: it went pretty bad. Messed up the BMI and blood pressure, the worst was urine analysis.

Me: Ok so we'll take a look at the urine. (turns back to patient) um. (turns to face patient) um, the urine is pretty dilute..
Patient: Wha..?
Me:The urine...its dilute...not concentrated...or anything....
Patient: Uh...
Me: Its good.
Patient: ...............Ok.
Me:.......k.

So stupid. Shouldn't have skipped the urinalysis workshop, didn't know anything about it. Didnt wear gloves, threw the dipstick into the bin before the results had time to appear on it and simply commented that it was ALL NORMAL. YOU ARE FINE.

Patient: Whew! Phew! I'm relieved. So why have I been peeing so much lately? My sister has diabetes and she had the same problem last week.
Me: Uh um...you've been drinking much?
Patient: Um, not really.
Me: Ok, um......I think its your kidneys..something..um..its filtering too much...uh.....yea you might wanna get it checked....but the urine seems normal so......

Dumb.

With the BMI I told him he had a healthy weight, eventhough really he was overweight.

Me: Your BMI is perfectly normal. So I'll get you to maintain the weight that you have now.
(Checks waist circumference)
Me: Ok, your waist circumference is above the healthy range, I might ask you to maybe reduce your weight.

So bad.




On the way back home I was holding a paperbag, inside were shoes and ipod. This annoying puppy from the neighbour's hse comes along and starts jumping to grab hold of the bag because it wants to fuckin play. The dog was no rottweiler but still, I'd appreciate some distance. It kept jumping for the bag, and reaching up for it. Such unnatural bipedalism. Kept biting the bag and at one point clenched the ipod inside until finally the bag gave way and the ipod fell through the bottom, onto the grass. All I thought was "Oh no, please don't, please, that thing is like family". It saw it (course it did) and started gnawing the thing. I got desperate. Running out of options, I resorted to the ol' slapping of the dog's head. I must have looked ridiculous, bending there, pounding it. I ask that you don't pity the dog and instead think of ipod wellbeing. The dog did let go at which point I quickly grabbed it (but not before exclaiming 'HA!' to illustrate smugness.) I'm holding all sorts of things now and the dog still follows and bites at the bag persistently. In the end took out everything from inside the bag, and threw the bag for the dog to catch. Which actually worked, it ran off with it. So annoying, really, I feel like I should write a note to the neighbour that just says:

'LEASH? XX'.

The ipods working fine, thankfully, its just..dirty.