Thursday, July 19, 2012

Clinical Vignette

A 26 year old medical student is forced to get a Hepititis A vaccine by his medical school. As he is also planning a trip to Thailand, he desires  a vaccination for Typhoid. He presents to his general practitioner and complains of feeling fiscally drained. As part of a mini-mental state exam, she consults the chart on the wall she asks him
"What price do you put on pain?"

Demonstrating his seventh and second, third, fourth and sixth cranial nerves to be functional, he squints at the numbers as well. The patient does not display any signs of acalculia or dysphasia.

"You see, there is a combined vaccine. It's one hundred and ten dollars. But we buy in bulk here and the two vaccines  given separately are only ninety two." She continued.

"I'm tight!" He declares. And a consensus is reached. Two shots it will be so he can lay on a beach.

12 hours later the patients presents to his couch. Symmetrical deltoid pain, malaise and mild wallet lightning persist.

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