Hello! I am Kota, a 4th-year intern student here in Team Wada. I had the great opportunity to practice the OET English interview with the help of Nurse Rossi, who is working as a nurse at London University. Let me share this experience through this blog.
Here is this time’s case information
79 years old man recently noticed that he has sleeping difficulty, has lost walking balance with tremor and muscle stiffness. His wife also noticed that while he is walking with him, he sometimes stopped walking and it takes time to re-start walking with a funny gait. He has a history of stroke 5 years ago and mild left upper and lower limbs weakness and Type 1 Diabetics. His wife checked his sugar level but it’s normal. He went to his GP and he noticed that he needs investigations at the hospital.
Task: please give him an examination and treatment plan to him.
Before this lesson, I set three goals to make my interview better.
After the lesson, I did my selfassessment respectively.
Observers and Mrs. Rossi thankfully give me some advice.
As to the first advice, I missed some essential questions like what type the stroke you had? Or when did your limb weakness or walking difficulty happened? These questions can narrow the differential diagnosis, so I should not miss the points.
Speaking of the second advice, the patient’s sleep difficulty in this case was a subjective, not an objective finding. I spent a lot of time asking about the details of the sleep difficulty, even though difficulty walking and numbness in the limbs were much more critical findings.
Time is limited, so it is necessary to interview the patient while trying to determine what is an important finding and what is not.
Thank you for reading this article! If you are interested in this valuable lesson, please join us!
We are welcome all the time! See you next time!