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.

Outlines

00:00

🏥 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.

Keywords

💡Tickle

A 'tickle' in this context refers to a sensation of irritation or discomfort in the throat, often associated with a cough or the feeling of something being stuck. In the script, the patient mentions having a 'tickle' which prompts the doctor to investigate further, leading to the discovery of a more serious condition.

💡Horseback

The term 'horseback' is used figuratively in the script to describe the patient's position during the examination, which is similar to how one would ride a horse, i.e., hands and knees with the chin forward. This position is often used by doctors to get a better view of a patient's throat during a laryngoscopy.

💡Anaesthetic

An 'anaesthetic' is a substance that causes a loss of sensation, used to prevent the perception of pain during medical procedures. In the script, the doctor mentions that the closer look might require an anaesthetic, indicating that the examination could be uncomfortable without it.

💡Periscope

The 'periscope' here is a metaphor for the medical instrument used by the doctor to look into the patient's throat. It's a reference to the way a periscope is used to see over or through something, in this case, to see into the larynx.

💡Laryngeal

Laryngeal refers to anything related to the larynx, commonly known as the voice box. In the script, the doctor discovers a growth on the patient's true vocal cord, which is a part of the larynx, indicating a serious medical condition.

💡True Vocal Cord

The 'true vocal cord' is one of the two vocal cords in the larynx responsible for voice production. The script reveals a growth on the patient's true vocal cord, which is significant as it could affect the patient's ability to speak or breathe.

💡Chest X-rays

Chest X-rays are diagnostic imaging tests that use radiation to produce images of the chest, including the heart, lungs, and bones. In the script, the doctor orders chest X-rays as part of the diagnostic process to further investigate the patient's condition.

💡Blood Chemistry

Blood chemistry refers to the analysis of various substances in the blood to assess a patient's health. The doctor in the script requests blood chemistry to check for any abnormalities that might be related to the patient's growth.

💡White Blood Cell Count

A 'white blood cell count' (WBC) is a test that determines the number of white blood cells in the blood, which can indicate the presence of infection or other diseases. The doctor orders this test to gather more information about the patient's condition.

💡Urinalysis (UA)

Urinalysis, or UA, is a test that examines the contents of a urine sample to detect various conditions, such as infections or kidney diseases. The doctor orders a UA to check for any issues that might be related to the patient's symptoms.

💡EKG

An 'EKG' (Electrocardiogram) is a test that measures the electrical activity of the heart, which can indicate heart disease or other conditions. The doctor orders an EKG as part of the comprehensive diagnostic approach to the patient's symptoms.

💡Biopsy

A 'biopsy' is a medical procedure that involves taking a sample of tissue for examination under a microscope to determine the presence of disease. The doctor in the script wants to perform a biopsy to get a definitive diagnosis regarding the growth found on the patient's vocal cord.

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