doctor: good afternoon. how are you today?
patient: i'm fine doc. how are you?
doctor: i'm fine, thank you. so what seems to be the trouble today? it says here that you were referred to me by dr. v. is that correct?
patient: uh, yes it is. i have two questions for you doc.
doctor: ok, let's take them in order then. first question?
patient: uh, ok. about six months ago, i woke up one morning and noticed a large patch of hair was missing from my leg... right here, near the ankle.
doctor: let me take a look at that.
(pause)
doctor: hmmm. that's odd. do you wear socks?
patient: well, in the winter i do. doesn't everybody?
doctor: probably. does it hurt there?
patient: no.
doctor: does it itch?
patient: no.
doctor: does it burn occasionally?
patient: no.
doctor: so... what's the problem then?
patient: a large chunk of hair fell out of my leg, doc! that's not normal, is it?
doctor: well, no. it isn't.
patient: so, can you tell me why it happened then?
doctor: well, no. i can't. i mean, there could be any number of reasons for sudden hair loss.
patient: such as?
doctor: well... it could be due to stress. or poor circulation. or an allergy. or an injury. or tight socks.
patient: so... which one is it?
doctor: well, i don't know. you said it happened six months ago. that's a long time ago.
patient: but can't you tell me why you think it may have happened?
doctor: i just did. it could be stress or poor circulation or...
patient: ok. ok. i get it.
doctor: next question then?
patient: alright, about two years ago, i noticed a slight discolouration in the same area of my leg. see... right here. near the ankle. all these brown spots right here.
doctor: hmmm. that's interesting.
patient: so, what do you think it could be?
doctor: hmmm. i don't know exactly.
patient: well, don't you have any ideas? i mean, like uh, liver spots or age spots or varicose veins?
doctor: well, varicose veins are usually purple and they tend to protrude quite a bit. age spots and liver spots are essentially the same thing.
patient: so could they be age spots?
doctor: maybe.
patient: maybe?
doctor: maybe.
patient: well, isn't there a test or something to confirm whether they're age spots?
doctor: uh, no. not really. do they hurt?
patient: no.
doctor: do they itch?
patient: no.
doctor: do they burn occasionally?
patient: no.
doctor: hmmm.
patient: so, uh, how do you know then whether or not they're age spots?
doctor: well, we can usually tell just by looking at them.
patient: so then? are they age spots?
doctor: i can't tell.
patient: well, could it be something else then?
doctor: maybe.
patient: could they be related to the missing chunk of hair?
doctor: oh, i don't think so. but, uh, maybe.
(pause)
patient: ok, while i got you here doc, i may as well ask. now perhaps i'm goin' out on a limb here, but i was just wondering: could all of this - the hair loss, the spots - could all of this be a sign of skin cancer?
doctor: oh, i don't think so. i mean, uh, maybe. but i don't think so.
patient: maybe?
doctor: maybe. but i don't think so. anything else then?
patient: maybe?
Saturday, May 29, 2010
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i think it is time to get a new doctor.
ReplyDeletei think it is time to get a new leg lotion.
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