A day of bladders.
New Thursday, new CBL case - a patient who can't urinate properly, has strong feelings of urine retention and has experienced nocturia (urination during the night) for the last few years. We establish a few potential causes, such as bladder cancer, kidney stones and the like, but eventually decided on an enlarged prostate. At the moment we're not sure whether or not it's cancer, but hopefully we'll get the results of a prostate exam and a blood test - looking for elevated levels of Prostate-specific Antigen (PSA). Also, apparently the maximum known bladder capacity is six litres. Yes.
Went back to the rainy main campus for some food - felt very nauseous last night when I got home and haven't eaten since yesterday afternoon. In the main grocery shop there is a stand that sells a matrix of breakfast sandwiches, from a complete 'breakfast-in-a-bap' situation down to each constituent item by itself, or any of the possible combinations. Pleasingly logical.
The final lecture of the day was really interesting - an introduction to the idea of patient-centred care. It was presented in 3 parts - concepts, ethics and practice. The ethics section was intriguing, because as far as I can tell the idea seems to draw from disparate normative ethical theories which sometimes clash with one another. I don't really know enough about philosophy to know whether you can cherry-pick from different theories, as seems to be the case here - more reading to be done.
The highlight was the final section, presented to us by a veteran GP, which simply focused on the humanity of patient interactions, and how to make a patient feel like their healthcare practitioner is taking an interest. Things like asking what they do for a living, what their children are like or even making jokes. It was nicely refreshing, given how regimented all the flow charts and tables can seem. Throughout my last degree, it always seemed that I was assimilating knowledge merely to pass my exams and get a degree, but in this case I suppose we're not simply training to get a degree, but training to be good doctors.