Transcript Diapozitiv 1

55-years old woman says that she
is getting tired. She has
problems waking up in the
morning and can hardly do
any housekeeping. Her
husband has died a month ago
because of myocardial
infarction. Her daughter has
married and has moved away.
A 75 years old man has not been
in practice for more than two
years. During his last visit, his
blood pressure was 190/120
mm Hg. He says that he has
no more medications. He is
dirty and is smelling of
alcohol. He has obviously
been drinking before coming
to see me.
A boy’s mother called me in the
middle of the night when I was
not on duty and said over the
phone that her son has locked
himself in a room. He is 24 years
old and has already been
hospitalised for schizophrenia. He
has not been taking his
medication recently.
She needed advice what to do. Last
time, it was necessary to call the
police and to hospitalise him
against his will.
She is 42 years old and has
osteoporosis. Her blood sugar
is 6,2 mmol/l, her blod
pressure is 150/95 mm Hg.
She also has chronic low back
pain.
She has tried to lose weight
repeatedly, without success.
She says that she needs
medication for osteoporosis,
for her diabates and
hypertension.
By the way, she would also like
sleeping pills and somtehing
to control her headaches.
He is 70 years old and has
hypertension which is well
controlled. He comes for a
referral note to a famous
professor of cardiology. His
daughter, who is a nurse in a
big hospital, has arranged the
consultation.
This 74 years old patient is in final
stages of prostate cancer. He
has had problems with his
eyesight due to cataract. After
long waiting, he can now be
operated, but he is very
weak.
This 35 year old immigrant came
to my practice and told me
that she feels bad. She is
febrile (38,5) an has signs of a
lower respiratory tract
infection. She has been
smoking since she was six.
There is no medical record.
She has no health insurance
and the card she is using is her
sister’s.
A 33 years old sales
representative from a
pharmaceutical firm offers
you to promote their new
drug by giving a lecture at a
meeting of doctors. I would be
handsomely rewarded.
The content of my presentation is
already made.
A manager, aged 55 years, has
divorced and remaried with
his secretary, who is 25 years
younger than him. Three
months ago he was diagnosed
with ALS and the progress of
the disease is rapid. He has
started a course of
homeopathic treatment. This
treatment is expensive, but
the patients says that he is
feeling much better.
Objectively, there are no signs
of improvement.
He only needs a certificate for
sick leave.