* * Anonymous Doc

Tuesday, January 25, 2011

I had a patient in clinic today who'd been referred to the medicine clinic for a routine checkup after a visit to the dermatology clinic last month. I read the chart before I saw him, nothing remarkable. Nothing listed in the medical history, no other problems besides the skin issue he had gone to the dermatologist about.

So I start to do a physical exam, we're talking about how his skin issue is doing, and I casually ask if he has any other problems.

"Oh, yeah, I've been feeling some itching on my leg stump."

"Excuse me?"

"Yeah, some itching."

"Uh... you don't have a leg?"

"Yeah, no leg."

"This new, since you saw the dermatologist?"


"And the dermatologist didn't notice this?"

"I don't know."

"And you had the brace, and everything?"


He saw I was looking at the chart, a little perplexed.

"Yeah, I don't think he asked."

"Didn't even have you take off your shoes?"




  1. Oh dear! Loving your blog. Am progeny of 1945 JHU MD/PhD grad and grew up on bedtime stories about female anopheles mosquito and dinner table conversations featuring a differential diagnoses of Non-Hodgkins lymphoma. Anyway...thanks for sharing. Love the little movie vignettes, too!

  2. Wow, that's about as embarrassing as missing pregnancy as a cause for amenorrhea.