Diary of a Family Physician

 

Am Fam Physician. 2020 Dec 15;102(12):758.

Annette Chavez, MD, FAAFP, FAAHPM

Family physician and owner of Carillon Family Practice, Dayton, Ohio. Send correspondence to achavez676@aol.com


Annette Chavez, MD, FAAFP, FAAHPM

Family physician and owner of Carillon Family Practice, Dayton, Ohio. Send correspondence to achavez676@aol.com

9:00 a.m.

I am not an early riser, so this is when my office hours begin. My third-year medical student is already examining our first patient. This month, my student has performed two knee injections, a suture placement after excision of a squamous cell carcinoma, his first venipuncture on a real person (me), and numerous flu shots.

9:30 a.m.

A patient donates 25 beautifully handmade masks. We will give these to patients who do not have their own. We see patients with COVID-19 symptoms in the parking lot. I have tested 200 people in all sorts of weather while wearing full personal protective equipment; 21 have tested positive. Three were college students, one of whom was a premed student set to take his MCAT exactly 14 days from the day he was tested.

10:15 a.m.

I perform a wellness exam on a 16-year-old football player. He has a leg length discrepancy because of a congenital posteromedial tibial bowing of his left leg. He had epiphysiodesis (surgical ablation of the growth plate on his longer leg to allow the shorter leg to catch up) on his right leg. He is now almost 5'11” and his final growth trajectory places him at 6'2”.

10:45 a.m.

A 50-year-old presents with an angry felon on his thumb. I see a small collection of pus on the finger pad and drain it. I show my premed medical assistants how I perform a digital block. The patient is a church musician, and I express concern for his ability to perform for livestream services. He assures me that he can improvise using only four fingers on that hand.

1:30 p.m.

A woman presents for a hypertension check. I examined her earlier this year after she was

Author disclosure: No relevant financial affiliations.

Send Diary of a Family Physician submissions to afpjournal@aafp.org.

This series is coordinated by Sumi Sexton, MD, editor-in-chief.

 

 

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