The Doctor - First Exam
Summary
TLDRIn 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
- đ Jack McKee is experiencing a tickle in his throat and has been hoarse.
- đ„ Murray Kaplan is mentioned, indicating a connection or shared acquaintance.
- đ„ The speaker is a medical professional, likely an otolaryngologist, examining Jack's throat.
- đ The examination involves specific positions and actions, such as 'hands and knees, chin forward, and open'.
- đ An anesthetic is mentioned, suggesting a potential procedure or treatment.
- đ The examination is uncomfortable, with the patient being asked to 'turn out all the way and hold it'.
- đš A growth is discovered on Jack's true vocal cord, which is a serious medical finding.
- đ„ Further tests are recommended, including chest x-rays, blood chemistry, and an EKG.
- đ The doctor is trying to schedule a biopsy for the next day, indicating urgency.
- đ 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.
Outlines
đ„ Doctor's Examination and Diagnosis
The paragraph depicts a conversation between a patient and a doctor, Jack McKee, in a medical setting. The patient complains of a tickle and has been experiencing discomfort. The doctor instructs the patient to perform various positions to examine the throat, including hands and knees, chin forward, and mouth open. After a thorough examination, the doctor uses an anaesthetic and a periscope for a closer look. The doctor discovers a growth on the patient's laryngeal vocal cord and suspects a tumor. He recommends further tests including chest x-rays, blood chemistry, and an EKG, and expresses a desire to perform a biopsy the next day, pending the availability of his secretary's schedule.
Mindmap
Keywords
đĄTickle
đĄHorseback
đĄAnaesthetic
đĄPeriscope
đĄLaryngeal
đĄTrue Vocal Cord
đĄChest X-rays
đĄBlood Chemistry
đĄWhite Blood Cell Count
đĄUrinalysis (UA)
đĄEKG
đĄBiopsy
Highlights
Jack McKee is experiencing a tickle and has been hoarse.
Murray Kaplan sends his best, indicating a connection between the speakers.
The speaker is in practice together, suggesting a professional collaboration.
The patient is instructed to perform a series of physical maneuvers to examine the throat.
An anaesthetic might be used, indicating a potential medical procedure.
The examination is described as unpleasant, suggesting the severity of the patient's condition.
The patient is asked to hold a certain position for further examination.
A growth is discovered on the true vocal cord.
The term 'laryngeal' is used, indicating a focus on the larynx.
Further diagnostic tests are recommended, including chest x-rays and blood chemistry.
A biopsy is proposed for the next day, showing a prompt response to the diagnosis.
The doctor's secretary is mentioned, suggesting a need to coordinate schedules.
The patient expresses gratitude, indicating a positive interaction with the medical professional.
The conversation concludes with a sense of urgency and a plan for further action.
Transcripts
hello sorry to keep you waiting busy day
Jack McKee hmm yes I know right
Murray Kaplan sends his best
well that's right you're um you're in
practice together so we get it right hmm
so what seems to be the trouble what no
I mean I have a tickle I've been horse
back in the chair
hands and knees chin forward and open
let's take a look close open
right open might be a little bitter
that's an anaesthetic what I think the
closer look whoa-ohh
periscope won't be pleasant turn out all
the way and hold it
sure him head forward
and open and
again
again again
one more time
and that's all I need doctor you have a
growth
what tumor laryngeal you're on the true
vocal cord know what we're in gee whiz
chest x-rays blood chemistry would count
UA EKG have to check with my secretary
but if it's remotely possible I'd like
to do a biopsy tomorrow okay
Thanks
eventually
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