Background (103-030-02-1) Assaf and Adina
The patient has returned ostensibly to get her lab results of tests done for post-partum fatigue; but she is determined to get a prescription for birth-control pills – something that she is uncomfortable requesting outright.
The action
In response to the question “how do you feel? “ the patient explains the conditions of over-work and little help in the house that are causing her to be tired. She avoids eye contact with the doctor.
Educational opportunities
- For discussion: Analyze the psychosocial content [CASE] of Chaya’s response to a straightforward medical question, How might the doctor respond. [In this regard “the scale of responses” is a useful tool; and it is worth noting that later in the interview the doctor devotes a fair bit of time to the social contributors to her fatigue?] What are the pros and cons of the various potential responses?
- What does the patient’s body language suggest?
