I think people need to understand that this is actually an OSCE station in which the setting is a patient who has uncontrolled hypoglycemia(the patient had visited a few times meaning there are no other options available), and the task is to convince/insist the patient informs DVLA regardless of his current economic situation. Of course in a real-life scenario, the doctor would've tried many different treatment options before forcing the patient to stop driving. This is just an example of a specific OSCE station to test the doctor's knowledge regarding the DVLA and her ability to convince the patient while suggesting different options for him.
I think she is not quite working together with the patient as well as she could be and sounds a bit accusatory, but good coverage of all the relevant topics.
There's no debate or persuasion needed as the law is clear cut. Drivers need to inform the DVLA of their insulin use and if they are in hypoglycaemic episodes, and there is a duty on the part of the doctor to ensure that the DVLA knows. The driver is breaking the law and has shown his disregard for the saftey of other road users by ignoring the doctor's instuctions. As the patient has already had an opportunity to inform the DVLA, her approach is morally/legally/empathetically sound.
The patient shows no sign of being willing to change the diet or smoking so I think the doctor isn’t involving the patient in this instance. If this were a different type of patient (more aggressive) they wouldn’t take this well!
i feel like instead of being like "you can never drive again and you HAVE to stop driving like right now " she should first adjust the insulin dose, work on weight loss and smoking cessation and THEN if he is still have hypo episodes that's the time to think about stopping driving - especially when it's literally his work and his only source of income. no point having "amazing" glucose control if you're going to be homeless on the streets and going to die of some other infection instead -_- cuz even me like I would be so scared hearing that I have to stop driving and change my job like within a week- that's ridiculous.
Do you study medicine/are you a practising clinician? It's not up for debate - the law is clear. Drivers need to inform the DVLA of their insulin use and if they are in hypoglycaemic episodes, and there is a duty on the part of the doctor to ensure that the DVLA knows. On the other hand, the patient has shown his disregard for the saftey of other road users by ignoring the doctor's instuctions. As the patient has already had an opportunity to inform the DVLA, her approach is morally/legally/empathetically sound.
Unfortunately, this patient may need to be moved to diabetic pills...vs the insulin. Insulin is necessary for diabetis 1 because it's not produced. The patient is correct and the doctor may need to be retrained or pick another profession. Why didn't she correct his sugar level?
I think people need to understand that this is actually an OSCE station in which the setting is a patient who has uncontrolled hypoglycemia(the patient had visited a few times meaning there are no other options available), and the task is to convince/insist the patient informs DVLA regardless of his current economic situation.
Of course in a real-life scenario, the doctor would've tried many different treatment options before forcing the patient to stop driving. This is just an example of a specific OSCE station to test the doctor's knowledge regarding the DVLA and her ability to convince the patient while suggesting different options for him.
Very well done. Task was achieved and empathy and support demonstrated. It is never an easy discussion
Thanks for your comment!
very helpful discussion, especially highlighting the need to inform the DVLA about insulin use. Thank you
Thanks for your comment?
Very helpful, but please make the time not more than 7 minutes.
Difficult patient🙂😊😊 Excellent approach👏👏👏👏. Thank you so much I learnt alot from this counselling session
Like for this amazing actor..
My OSCEs are Friday, wish I'd found these sooner. Favourite explaining examples
Thanks, upload daily if possible
I think she is not quite working together with the patient as well as she could be and sounds a bit accusatory, but good coverage of all the relevant topics.
She’s like that on other videos as well
shes just doing her job
Agreed. If my doctor did that I would feel hopeless
There's no debate or persuasion needed as the law is clear cut. Drivers need to inform the DVLA of their insulin use and if they are in hypoglycaemic episodes, and there is a duty on the part of the doctor to ensure that the DVLA knows. The driver is breaking the law and has shown his disregard for the saftey of other road users by ignoring the doctor's instuctions. As the patient has already had an opportunity to inform the DVLA, her approach is morally/legally/empathetically sound.
she needs to save him and other people just that but in the another hand the patient loss his job , yeah she is very strict
What if ptn stopped insulin to continue driving against medical advice
'YOU NEED TO STOP SMOKING!'
This doctor is rude! This is not a helpful way to counsel a patient - poor Mr Leith.
It's difficult being a doctor sometimes
The patient shows no sign of being willing to change the diet or smoking so I think the doctor isn’t involving the patient in this instance. If this were a different type of patient (more aggressive) they wouldn’t take this well!
Well there goes his job 😅
😃😀
i feel like instead of being like "you can never drive again and you HAVE to stop driving like right now " she should first adjust the insulin dose, work on weight loss and smoking cessation and THEN if he is still have hypo episodes that's the time to think about stopping driving - especially when it's literally his work and his only source of income. no point having "amazing" glucose control if you're going to be homeless on the streets and going to die of some other infection instead -_- cuz even me like I would be so scared hearing that I have to stop driving and change my job like within a week- that's ridiculous.
I disagree with you.
It wasn't a week though. He got told at his last appointment
Do you study medicine/are you a practising clinician? It's not up for debate - the law is clear. Drivers need to inform the DVLA of their insulin use and if they are in hypoglycaemic episodes, and there is a duty on the part of the doctor to ensure that the DVLA knows. On the other hand, the patient has shown his disregard for the saftey of other road users by ignoring the doctor's instuctions. As the patient has already had an opportunity to inform the DVLA, her approach is morally/legally/empathetically sound.
u guys need good microphone
fruits are not recommended in diabetes
Not good at all👎🏻
Unfortunately, this patient may need to be moved to diabetic pills...vs the insulin. Insulin is necessary for diabetis 1 because it's not produced. The patient is correct and the doctor may need to be retrained or pick another profession. Why didn't she correct his sugar level?
Cooked response 😂
They alluded to metformin and other pharmacology not achieving control. Insulin is not uncommon when past intervention fails.