Seriously though, the diet counselling would have been a lot more professional and measurable if she was just reffered to a dietitian in the first place. She didn't even set specific goals hen it came to what foods to include. Also "what diet do you have" is not a way of assessing the diet... jesus christ.
@@adamdaly79 Not all health systems are set up to have dietitians to refer to. In my country, referral to a dietition is appropriate for a patient in the hospital setting. It isn't used much in the community setting, however. It seems this doctor in the video is in a general practice setting.
Just FYI - Needs Faecal Blood Test, also needs to rule out rectal bleeding, and haematuria, also need to 100% clarify if the bleeding per vaginum was definitely menses or any IMB - I assume we are all meant to assume this was all done in the first consultation. Question about vegetarianism after being told about the bacon sandwiches was embarrassing, and fails to demonstrate active listening. Also didn't discuss how to take the iron tablets (alternate days might be good).
Cooking bacon butties is not equal to eating them. She may well have been just cooking them for her family and not herself, as she just said "On a weekend, we always have a good breakfast, always cook bacon butties". It was a reasonable question to check. Good point about the iron tablets tho!
The patient was very responsive and it makes for a nice interview. But I often try to engage patients like this with minimal response from the other side. That makes the interview much more difficult.
Very nice interview ! We do the same thing in our daily practice when we try to give the medical informations to the patients using the most easy way to explain and make sure the patients got and understood what we said . Well for me it will be difficult to keep the same pace of speech as in this interview cuz english is not my mother language and that what make me worry when I will do the PACES exam in the future ...God help me
You can press the button named CC on the left lower hand corner of the video menu, when you move the mouse over the video screen. Then TH-cam itself will prepare the subtitles using voice recognition. It is not perfectly accurate, but it is accurate enough to help.
I agree as well. It was like the doctor took charge of everything. Should involve the patient more in decision making and what she wants from this consultant iob
This really annoys me how does one sit like a dummy or figurine during a consultation no patient is looking at crossed arms or legs , I find it really awkward .While preparing for exams many of my friends sat with their hands or their laps said to be an "open" position ,I
Wonderful communication, well organised content, simple words and easy understanding by patient
Patient: I have bacon butties every week
Doctor:... cAn I aSk If YoU'rE a VeGeTaRiAn
Seriously though, the diet counselling would have been a lot more professional and measurable if she was just reffered to a dietitian in the first place.
She didn't even set specific goals hen it came to what foods to include. Also "what diet do you have" is not a way of assessing the diet... jesus christ.
@@adamdaly79 Not all health systems are set up to have dietitians to refer to. In my country, referral to a dietition is appropriate for a patient in the hospital setting. It isn't used much in the community setting, however. It seems this doctor in the video is in a general practice setting.
Just FYI - Needs Faecal Blood Test, also needs to rule out rectal bleeding, and haematuria, also need to 100% clarify if the bleeding per vaginum was definitely menses or any IMB - I assume we are all meant to assume this was all done in the first consultation. Question about vegetarianism after being told about the bacon sandwiches was embarrassing, and fails to demonstrate active listening. Also didn't discuss how to take the iron tablets (alternate days might be good).
Cooking bacon butties is not equal to eating them. She may well have been just cooking them for her family and not herself, as she just said "On a weekend, we always have a good breakfast, always cook bacon butties". It was a reasonable question to check. Good point about the iron tablets tho!
Very nice interview, communication, explanations and caring
The patient was very responsive and it makes for a nice interview. But I often try to engage patients like this with minimal response from the other side. That makes the interview much more difficult.
Dr need to talk more slowly and explain in layman terms rather than gabbling
Very nice interview ! We do the same thing in our daily practice when we try to give the medical informations to the patients using the most easy way to explain and make sure the patients got and understood what we said .
Well for me it will be difficult to keep the same pace of speech as in this interview cuz english is not my mother language and that what make me worry when I will do the PACES exam in the future ...God help me
Needed to explore other causes of anemia such as blood loss in the stools, hematemesis, haematuria, IBD, thyroid disease etc..
she did, menorrhagia - vWD can occur in up to 15% of women and lead to the anaemia
@@hdalts Plus fibroids,endometrial cancer
She explained towards the end that if the anaemia didn't resolve with changed diet, they would do further investigations...
O
Can someone to write their conservation or to add subtitle to this video?
You can press the button named CC on the left lower hand corner of the video menu, when you move the mouse over the video screen. Then TH-cam itself will prepare the subtitles using voice recognition. It is not perfectly accurate, but it is accurate enough to help.
I can see no communication skills at all. I made double of this and failed my exam because of communication skills.
May i ask which exam you talking about?
I agree as well. It was like the doctor took charge of everything. Should involve the patient more in decision making and what she wants from this consultant iob
come on... it's totally routine, examiners need budgets who is better and richer than doctors to supply?
nice
great
Noemi
why should a posmenopausal woman become anaemic? this doctor would fail her osce :D
Good conversatio, but the way they speak and their voice tone are so annoying😣😣
0:15 the doctor crosses legs and arms. FAIL.
This really annoys me how does one sit like a dummy or figurine during a consultation no patient is looking at crossed arms or legs , I find it really awkward .While preparing for exams many of my friends sat with their hands or their laps said to be an "open" position ,I
She was polite and welcoming and had her hands gently poised on her lap
Not across her chest !
Very good patient rapport