The Doctor - First Exam

Summary

In the script, a patient consults with Dr. Jack McKee regarding a persistent tickle in his throat. The doctor examines the patient's throat and discovers a growth on the true vocal cord, suspecting a laryngeal tumor. He recommends further tests including chest x-rays, blood chemistry, and a biopsy the next day. The patient agrees, acknowledging the gravity of the situation.

Takeaways

• 😅 Jack McKee is experiencing a tickle in his throat and has been hoarse.
• 👥 Murray Kaplan is mentioned, indicating a connection or shared acquaintance.
• 🏥 The speaker is a medical professional, likely an otolaryngologist, examining Jack's throat.
• 🔍 The examination involves specific positions and actions, such as 'hands and knees, chin forward, and open'.
• 💊 An anesthetic is mentioned, suggesting a potential procedure or treatment.
• 😖 The examination is uncomfortable, with the patient being asked to 'turn out all the way and hold it'.
• 😨 A growth is discovered on Jack's true vocal cord, which is a serious medical finding.
• 🏥 Further tests are recommended, including chest x-rays, blood chemistry, and an EKG.
• 📅 The doctor is trying to schedule a biopsy for the next day, indicating urgency.
• 🙏 The patient expresses gratitude, showing appreciation for the doctor's assistance.

Q & A

What is the initial complaint of the patient?

The patient complains of having a tickle and being hoarse.

What position is the patient asked to assume during the examination?

The patient is asked to be on their hands and knees with their chin forward and mouth open.

What does the doctor suspect after the initial examination?

The doctor suspects that the patient might have an issue with their vocal cords after noticing a possible growth.

What is the term used to describe the suspected growth in the patient's voice box?

The term used is 'laryngeal tumor', which refers to a growth on the true vocal cord.

What diagnostic tests does the doctor recommend after discovering the growth?

The doctor recommends chest x-rays, blood chemistry, a white blood cell count, and an electrocardiogram (EKG).

What procedure does the doctor want to perform the next day if possible?

The doctor wants to perform a biopsy the next day if it's remotely possible.

What is the purpose of the recommended diagnostic tests?

The diagnostic tests are meant to further evaluate the patient's condition and provide more information about the suspected growth.

What is the significance of the 'periscope' reference in the script?

The 'periscope' reference is likely a metaphor used by the doctor to describe the use of a laryngoscope, a medical instrument used to examine the larynx.

What is the patient's reaction to the news of the suspected growth?

The patient's reaction is not explicitly mentioned in the script, but the use of the phrase 'gee whiz' suggests surprise or concern.

Why does the doctor ask the patient to turn out all the way and hold it?

The doctor asks the patient to turn out all the way and hold it to get a better view of the larynx for a more accurate examination.

What does the doctor's comment about the anaesthetic imply?

The doctor's comment about the anaesthetic implies that the procedure might be uncomfortable or painful without it, suggesting that the patient might need it for the biopsy.