Family Medicine: Same old patients

After almost seven weeks at this clinic, there are a few patients that I've seen at least three times, and some of those came here today. One was a 10-month-old toddler who had fever and vomiting; he was pretty quiet until I started examining him, and then he couldn't stop screaming. Another was a lady who'd been here several times before b/c she had low appetite and sinus problems (same lady who burned her breast on a stove once). The last time I saw her, she'd said she hoped she wouldn't have to see me again (b/c there was a time she came 3 times in seven days and she knew that Dr. RR was probably fed up with her), so when she saw me today, she said, "You're still here?" Sure am. Today she presented with an open abscess on her butt; it smelled pretty awful. Even still, because it was open and draining, Dr. RR made no effort to I&D it. I diagnosed my first case of herpangina today; I saw blisters on the roof of the mouth but not on the hands or feet, and I remembered that hand-foot-mouth disease was caused by the Coxsackie virus so...I consulted Up-to-Date and herpangina popped up=)

My faux pas of the day: Dr. RR said that one of the presidents in his time had hyperthyroidism brought about by A-fib but didn't remember which one, so I started naming random presidents from the 40s and 50s. I think Dr. RR was born in the 50s though, b/c when I said, "Roosevelt," he exclaimed, "I'm not that old!" Uh oh. I hope he wasn't too offended.