Tuesday, 8 May 2018

A flea in his ear.....

I sent my patient away with a flea in his ear the other night. (Semi) literally.

Dr Google seems to have immense faith in the ability of the humble doctor to solve - well, anything really. Take - ooh, I don't know - the moment a moth flies into your ear. "Entice it out with a bit of grass," says one website. "Float it out with olive oil," advises another. And of course, if these efforts don't work, "Go and see your doctor." But bear in mind that you've now stolen their first line of attack!

Still, I suppose I have funky crocodile forceps and an otoscope, and access to an ENT registrar in Aberdeen. What I don't have however is an iron nerve when the moth has been flattened against the tympanic membrane. Or suction. So after multiple efforts I finally admitted defeat, and provided the only option I could: a begging letter to my training practice asking them to take the patient on as a temporary resident the next morning (he was only here for a day...) and try to succeed where I'd failed.

I like to imagine that all the olive oil we'd put into his ear made the ear canal so slippery that the moth started to slide out while he slept - but I imagine the truth is that the GP who saw him was just better at this sort of thing than I am. Fortunately I'll be visiting the practice next week - time to get a quick lesson in moth removal!

At the other end of the scale, I finished my nights with a trauma call - a car crash with 2 casualties coming in together. I'd hate you to think it's all moth removal and swimming....

Meanwhile the weather is warming up and we're starting to get some distance in in the sea - there are various plans afoot for swims round islands (it'll need to get a good bit warmer still....), SwimRuns between & across islands - and a visit from my family next month!

Not to mention that there are orcas in the local bays at the moment. Not that I've seen them yet, but they're something to look out for. (From the shore. Obviously.)

 Dr Alison Lievesley, ST1, Balfour Hospital, Orkney

Tuesday, 1 May 2018

Looking for a fun day out this weekend? Better get a moooove on to the Rora Dairy...

Rora Dairy is just short trip away from Peterhead where you could under take your GP training. The well equipped Health Centre includes all the usual GP services and also has a casualty and X-ray facilities. The GPs also provide a GP services to HMP and YOI Grampian.

This family fun day is raising money for the ANCHOR unit (Aberdeen and North Centre for Haematology, Oncology and Radiotherapy) at Aberdeen Royal Infirmary. As a GP trainee based in Aberdeen you may have the opportunity to rotate through the ANCHOR Unit.


Tuesday, 24 April 2018

‘Do you fancy going up Lurchers after work?’

Dr Stuart Connolly, our ST1, peered round the doorframe.  He had looked at the forecast, a beautiful calm spring evening with the hope of a sunset ski down Lurchers Gully. 

20 mins drive up the mountain road from Aviemore Medical Practice and we were in Cairngorm Ski Area car park booting up.  I’d met some friends from town on my way up who were similarly chasing an evening ski tour.  A computer programmer and horticulturalist moved up from the central belt for the lifestyle. 

The Kingussie Medical Practice ST1, Dr Tash Burley, met us at the car park and we headed round past the iconic cliffs of Schnechda and Coire an Lochan.  The snow was spring goodness of the buttery variety with a few catchy sastrugi.  The big open gully made for big wide arching turns.  The spring time sun was setting at 8pm with a warm orange red glow over the mountains and we watched Aviemore sparkle below.

‘We shouldn’t really tell anyone how good GP training is up here’ I said to big grins.  ‘No, to think I’d reduced a shoulder dislocation after my morning clinic, had a great 3 hour tutorial with my educational supervisor, and then whizzed up here.  No, we should keep this quiet.’ 

All agreed we headed down to a fish supper at the happy haggis. 

Dr Tessa Pirie, GPST3, Aviemore Medical Practice 2018.