Fingering..........

24.11.08
At work now. Not busy.
I have to write down this story. I am not sure if I should but I will. Yesterday at the end of my shift i examined a guy, way beyond 50 of age, complaining of chest pain. He came in wearing a cowboy hat with zebra printing, yellow in color, looked hideous on him. Noticing his large plastic bag which contained clothes I asked him where he was going. "From A to B, doctor". I asked what for, out of curiosity. Bluntly he answered "because i am looking for a woman, doctor. Each time i see a woman my penis got an erection." He said it out loud . Shocked by his answer I said "You are a dirty old man" straight to his face. Likewise he was speechless for a moment but managed to grin at me which surprised me. I expected him to punch my face or swear at me for calling him that way. He then continued the conversation about how much he liked sexually women from different ethnicities which disgusted me. I had to walk away from him to avoid further irreverent remark about women. Some of the nurse came to me right away to get confirmation of what they had heard. They all looked disgusted and in agreement with me for calling him that to his face. Thinking back I shouldn't have uttered that remark to him but I just couldn't help myself. At least the nurses they all were on my side. I have to be careful with my mouth next time.


This is the thing working in a&e where I get a chance to see different kind of people from different background which requires me to adopt different ways reacting to situation. Good communication is the key to get things done the way it should be done. Lack of it we could end up with unforgivable mistake. Sometime unforgettable situation.


I remember two days ago, I saw this guy with a swelling underneath his scrotum. After examining him I found out the severity of his condition which needed a review by the surgical team. So came in the surgical house officer. He put his glove on and told the patient he wanted to see the lump without telling the patient first how. Half naked, lying on the trolley he grabbed his thighs with his hand and pulled it up to his belly and spread it open like a woman trying to give birth. And there you go, looking at him exposing clearly a large lump between his balls and his asshole (we call anus), dark red color and bleeding. Not a good sight. The problem is, that was not the way to do it. The surgeon could have explained it better.


This reminds me the incident 3 years ago when I was a registrar in psychiatry. I was asked to do a rectal examination on a guy with an anal pain. Right the minute I said I wanted to examine his back passage, without waiting further instruction, he quickly pulled down his pants while standing, bent down, put his hands on each butt, spread it open and said "I am ready doctor". I immediately said "No, no, not that way. You have to lie down on the bed on your side curled like a baby and I will cover you except your butt then I put my finger with a jelly on it."


I still laugh every time the incident cross my mind. The same effect it had on me when a friend of mine, also a doctor told me he had to see a patient complaining that something stuck in his back passage. After an xray comfirming the location of the foreign body, the surgical team finally managed to extract the thing. Guess what, it was a vibrator and it was still vibrating when they took it out. Yes i said it right, it was a he. Don't asked me how the vibrator got in up there. Again, use your imagination, and please don't be judgemental. Accident happens!