Diagnoses Naughty
Sarah Ahmed
He’d only been in this job for a year
Still bright eyed and eager
Like the first day of
Primary
Secondary
Medical
School
Sometimes he wondered if the NHS had become a place to deposit your woes and heartache in exchange for a script
Two pills three times a day
Move to stage left
Release the Responsibility
What do you think?
Jimmy Johnson
Six years old
Presented with a burning sensation when he passed water
And oh by the way Doctor
Naughtiness
Disruption
Teacher complaints
Letters on headed paper
What’s wrong with him Doctor?
Is it my fault?
What can you do for him Doctor?
What should I do?
He had referred him on
He couldn’t very well say
Lots of bed-rest and fluids
Come back in a week if you’re still feeling
Sick
Two pills three times a day
Release Responsibility
He knew he shouldn’t judge
(And he didn’t)
Remain detached with
A spoonful of empathy
And a thorough understanding of the
BMA
GMC
Tomorrow’s Doctors
Guidelines
The mother had returned
Two months later
With a letter on headed paper
What’s ADHD?
How did he get it?
What are these pills? Should he take them? What do you think Doctor?
Naughtiness
Disruption
And teacher complaints
Sounded like any other child
Sounded like him at
Primary
Secondary
Maybe not Medical
School
What do you think?
After a consultation
The appropriate assessments
And a full and complete bio-psycho-social history
The patient has been diagnosed with
An acronym which stands for
Persistent pattern of inattention and/or hyperactivity-impulsivity that is more frequently displayed and is more severe than is typically observed in individuals at a comparable level of development
Ritalin
5mg 2 times a day
We may have to increase the dosage
And oh by the way abdominal pain nausea vomiting anorexia tachycardia less commonly suicidal ideation very rarely Tourette syndrome
What do you think?
Doctor?