Clinic reflection / Theory of technique revision

Today I was overwhelmed by panic, which with hindsight was unnecessary. A patient presented having been referred by us 6 months ago and sent away. She had since had all relevant medical investigations and had brought the results with her, including a recommendation for surgery - which she did not want. It was a complicated history and she was in a lot of pain, but I should not have felt out of my depth at all - but I did. She was quite unwell and was limping. When all the information was digested, it appeared that the most likely explanation for her various symptoms was that her large fibroids were compressing the femoral nerve. It was a frustrating case, as she did not want surgery, because she had suffered through previous surgeries, but it was likely to be the most successful course of action. I felt deeply sorry for her. When I had time to reflect, I realised that in future I should wait until all the information is gathered before I panic - meaning I over reacted to her appearance, initial presentation etc, before finding out that she had been fully screened and had brought the results of imaging. I think I was worried about having to perform several dcp exams under time pressure and being grilled about numerous differentials - and neither situation arose. However, I am glad I have included reviewing dcp procedures in my LPA!

Theory of technique - Q&A CCA prep (Keep it simple)!