paul...m wrote: ↑Sat Apr 03, 2021 6:09 pm
Suppose its better to see a picture of someones piles rather than looking at some unwashed rear end.

I don't very often in my job get to see the photos but occasionally I do. Some are not for the squeamish I can assure you! The poor girls have to open the photo in order to attach it to the patient record and on occasion I hear some gipping noises from the office! The GPs don't seem to be fazed by it which is just as well.
So a lovely patient turned up last week. I missed the start of it but watched it on CCTV afterwards. He came into the practice fine but was getting increasingly agitated as he waited. We discovered subsequently he was on Spice. He had a pot on his leg and was on crutches.
To cut a long story short he eventually threw one of his crutches at the receptionists who are luckily protected by a glass screen and then proceeded to bash the glass doors into the surgery with his crutch, swearing and shouting at the same time. I was called and went down to speak to him.
He was, even in my limited experience, obviously 'on something'. He was just shouting and swearing and I couldn't work out what his problem was.
I advised him that he needed to sit in the foyer to calm down and once he had calmed down we would see if we could help him. He did so and we immediately locked the internal door and called the police. He was arrested.
We could see from his record that he had been in prison previously. We have a prison not far from where the practice is and many of the rehabilitation residences are in the town centre right where the practice is so we get many of these patients.
The next day a man (we never found out if he was even our patient) turned up and wanted to see a GP because his toe was sore. He was advised that it wasn't a walk in service and he couldn't just turn up. He told the Receptionist that she was a 'waste of f****** time' and went to sit in the foyer. I was called and went to speak to him. He showed me his toe which looked black and very nasty, but evidently hadn't got like that overnight.
Me: "You need to go to the Urgent Care Service, we are not a walk in centre"
Him: "I can't walk"
Me: "Well how did you get here then?"
Him "I got a taxi"
Me: "Well get a taxi to the urgent care centre"
Him: "I've got no money"
Me: "Sorry but that isn't my problem."
And yes it sounds harsh but he had sworn at the Receptionist and refused to give his name so I doubt he was our patient. Urgent Care is the only place for him.
There's never a boring day!