A thought provoking question from a medical student today as we discussed #CrazySocks4Docs:
“We all walk around wearing socks & I know it’s gotta do with mental health, but really...does it make any difference? What’s the use?”
So here is the difference I see:
💁🏾♀️Increased awareness of mental health in doctors
Did you know:
📌21% doctors have had depression
📌Medical students report higher rates of general distress & specific mental health diagnoses
📌1:4 doctors had suicidal ideation prior to the last 12months
💁🏼Increased conversation to drive systems change that contribute to poor mental health:
📌Flexible working rosters (working on your wedding day isn’t cool)
📌Capped working hours (16hr+ days isn’t sustainable)
📌Appropriate financial remuneration (yes I was paid $4/hr on call)
Maybe one day, we won’t need #CrazySocks4Docs becuase we will always acknowledge health professionals mental health with supportive teams, workplaces & communities.
But until that day, we need a loud & colourful reminder of this incredibly common but invisible problem.
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2/ 5yo F presents to the general practice clinic with a fever & a rash. Mum has been giving her paracetamol & ibuprofen, but it hasn’t seemed to really help.
🤦🏻♀️Oh no! Not a fever & a rash!
🤷🏼What are your differentials?
🤷🏽♂️What additional info would you like on history & exam?
2/ 3yo young girl presents to the clinic with her mum with one week of puffy eyes. Her mum initially thought she hadn’t been sleeping enough, but it seems to be worsening.
🤷🏻♀️What’s your list of differential diagnoses?
🤷🏽♂️What you would like to know on history & exam?
3/ Acute Post-Streptococcal Glomerulonephritis (APSGN)
👉🏽Inflammatory disease of kidneys
👉🏻Occurs 2-3 weeks after group A streptococcus throat or skin infection
👉🏽Need both clinical & laboratory evidence to diagnose
👉🏿Increased risk of Chronic Kidney Disease in later life