Indexing Title: TMEDINA’s Medical Anecdotal Report [04-3]

MAR Title: “Cast Away”

Date of Medical Observation: May 4, 2004

Narration:

            It was a typical busy night in the Emergency Room, when a 23 year old male came in due to pain & swelling of his left forearm.

            And just like all the other patients who goes in, he was accommodated and dealt with accordingly. X-ray done revealed an incomplete fracture of the distal 3^rd of the ulna. And so a posterior mold cast was applied. I then advised the patient to come back after 3 weeks for a repeat x-ray that will determine the removal of the cast.

            On the day of follow-up, as he saw me with the x-ray result at hand, there was a look in his face that says…finally this cast will be removed.

            Upon learning that x-ray result showed minimal callus formation, which means he had to extend for another 2 weeks wearing the cast.

            Although hesitant and crestfallen at first, he eventually submitted to the plan after I have explained thoroughly the reason behind. Then he left, without saying a word. I was quite offended.

            After which he came back with a bag full of imported goodies and said thank you…….until then!

Insights: (Reinforcement, Stimulus, Discovery)

            Realization that every patient, although provided with the same level of care would have different response.

            Patients have their own little way of expressing their gratitude.

            Good follow-up care gives the patient a sense of security and well being.