arlete
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I can teach you some bad words in Portuguese... 
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| mukho
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getting the name right is important...if u forget, as I often did, practise such that u dont need to say it too many times (i think u "need" to say it just once when u address the patient at the beggining) for the rest just say 'thank you so much for ur time/co-operation' and stop at that....no jhanjhat of ms smith vs ms jones...
saying thank you too many times wont deduct any points I think but if u feel its too much there isnt any other thing I can say but practise and then practise some more
One thing that worked very well for me...if u can practice with someone who as taken the test recently and passed....it is of great help...and a great confidence builder
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| paheli
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mukho, I've read that you must use the patient's name occasionally. I actually end up using 'Sir' or 'Ma'am' coz I'm scared to get it wrong, and it's awkward to look at my clipboard. Then I end up with too many Sir's and Ma'am's.
Haha, arlete. Now THAT"S the sign of true friendship.....willingness to share swear words!! 
Also, I'm so fluent in English, but my counselling comes out all fragmented, and I use words and sentence constructions I'd never use in real life. Then I stop and start all over again. It sounds so stunted. Practice, practice, practice, practice......
And, on I plow.....
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| hitesh
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Paheli, They will shred the paper, not you. LOL... please dont give them a torn scrap paper, who knows it might just count as 'irregular behaviour'...
As for saying 'thank you' a lot, i think its cool, as long as its not inappropriate in context of the conversation.
Using patient's name once or twice is good enough to get that check mark.. ( i think).. So, once you 've done that, i think saying 'sir' or ''ma'am'' is better than saying the wrong name.
Arlete: I had practised a case of hypertension with you, and you(SP) had used the word, 'water pill' and at that time I wasnt aware of what it meant and i asked you(SP).. I cant remember them from the top of my head, but there were a lot more things i learned from you, that helped me on the exam.. Thank you! ... ( i pull a 'paheli' when i talk to arlete... i say 'thank you' a lot.. )
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| shwe
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PHL .......... Good luck in CS , in case , am cannot come here & say GL online to u [ will b v . busy this & next wk & after ] .
Here also u can wish GL to our FZ & milee http://www.prep4usmle.com/forum/thread/72226/
Their CS is in this wk , may b same day , so GL to them & u too .
GL
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| paheli
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lol!!! Hitesh, I read your 'They just shred it' as 'Then just shred it'. Talk about stress dyslexia!! Ok, I get you now! So embarassed, btw! Thanks also for your input about the over-thanking. And, also for making my name in to an all-new verb! Thank you, ummm, I'm paheli-ing you now! [Ok, that's enough quirky humor for today!]
Thanks dear Shwe. Don't worry. Since when did I need you to post in order for me to know that you wish me well? I know you're on my side, and that's what matters!
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Prepare as if you're the worst, Perform as if you're the best! As you dream, so you manifest. So, DREAM BIG!! When you face hardship, remember, God never gives you more than you can handle. Keep your face to the sunshine and you cannot see the shadows. Internship, Here I come!!
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| paheli
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Mukho, arlete, can you give me all the tips you can on a phone case. I know it's supposed to be easier on the whole, but what do I need to watch out for, and what to specifically concentrate on?
Thanks!
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Prepare as if you're the worst, Perform as if you're the best! As you dream, so you manifest. So, DREAM BIG!! When you face hardship, remember, God never gives you more than you can handle. Keep your face to the sunshine and you cannot see the shadows. Internship, Here I come!!
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| arlete
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Learn the ONCALLIDIOT mnemonic, remember to say you need to examine the patient, offer social service help if any problems bringing him in, or even calling 911 for the transport to be taken care of.
I didn't have a phone case.
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| paheli
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Oh, very quick reply, arlete, I so appreciate it! Is that mnemonic on csprotocol? coz I didn't see it.
Do I offer to call 911? or tell the caretaker to do it pronto?
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Prepare as if you're the worst, Perform as if you're the best! As you dream, so you manifest. So, DREAM BIG!! When you face hardship, remember, God never gives you more than you can handle. Keep your face to the sunshine and you cannot see the shadows. Internship, Here I come!!
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| arlete
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Yes, the blog has it.
The mother should call, but first say the social worker can provide an ambulance service for her. It depends on how grave the situation is.
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| paheli
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Thanks! 
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Prepare as if you're the worst, Perform as if you're the best! As you dream, so you manifest. So, DREAM BIG!! When you face hardship, remember, God never gives you more than you can handle. Keep your face to the sunshine and you cannot see the shadows. Internship, Here I come!!
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| paheli
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What qns can we ask when checking for confabulation?
Thank you!
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Prepare as if you're the worst, Perform as if you're the best! As you dream, so you manifest. So, DREAM BIG!! When you face hardship, remember, God never gives you more than you can handle. Keep your face to the sunshine and you cannot see the shadows. Internship, Here I come!!
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| paheli
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Oh, another qn please!
Can I summarize the Hx while washing my hands prior to P/E? It will save so much time.
Thanks again.
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Prepare as if you're the worst, Perform as if you're the best! As you dream, so you manifest. So, DREAM BIG!! When you face hardship, remember, God never gives you more than you can handle. Keep your face to the sunshine and you cannot see the shadows. Internship, Here I come!!
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| hitesh
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Ideal would be to be face to face with the patient when you summarise. The patient should feel that the information is important.. But if you're running short of time,(e.g. if you've already had the 5 min warning), then yes, you can summarise while you're washing hands..
I used that time to talk to the patient .. like something abt his hobbies, or abt his occupation or his plans for summer... whatever... just to lighten up the mood and make him/her more comfortable.. But take care to sound professional while u do that, dont get carried away..
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| hgheith
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Thank you all for some good q's! Some which are very important, like the phone call!
Good luck to you on your exam!
Ps can we take our notes with us while writing the patient note?
Thanks and good luck!
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| ganesha123
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yeah the scrap paper they give u can be used while writing the patient note.
they collect the patient note and the scrap both at the end of the stipulated time...
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| hgheith
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Thank you ! I was so worried because someone told me that you can't! I appreciate your help!!
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| ganesha123
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been there, done that.. all the best for the exam...
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| hgheith
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Thank you soo much, and also good luck in your results! I'm sure you will do well Cute baby!
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| paheli
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paheli wrote:
What qns can we ask when checking for confabulation?
Thank you!
Can someone please help me with this one? Thank you so much!
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Prepare as if you're the worst, Perform as if you're the best! As you dream, so you manifest. So, DREAM BIG!! When you face hardship, remember, God never gives you more than you can handle. Keep your face to the sunshine and you cannot see the shadows. Internship, Here I come!!
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