tag:blogger.com,1999:blog-23119886.post114442218123791579..comments2023-10-23T12:18:58.655-07:00Comments on PegSpot: A Doctor's Smell-emmaPeg Spencerhttp://www.blogger.com/profile/03052139882594799076noreply@blogger.comBlogger16125tag:blogger.com,1999:blog-23119886.post-1146499445343427492006-05-01T09:04:00.000-07:002006-05-01T09:04:00.000-07:00sallysis - What did I do? I didn't address the st...sallysis - What did I do? I didn't address the stinky feet. Chickened out, you might say. Next time, thanks to these comments, I'll buck up and deal with it.<BR/><BR/>Stinky feet are usually caused by fungus. What you can do is get air to 'em by wearing socks that wick moisture away and changing socks frequently. Kill the fungus with anti-fungal cream on your feet. Try spraying any stinky shoes with anti-fungal spray, but often the shoes need to be discarded, cuz it's really hard to get fungus out of shoes.Anonymousnoreply@blogger.comtag:blogger.com,1999:blog-23119886.post-1146252668454610782006-04-28T12:31:00.000-07:002006-04-28T12:31:00.000-07:00Peg, what DID you do? And, what can be done about ...Peg, <BR/>what DID you do? <BR/>And, what can be done about stinky feet?<BR/>SalAnonymousnoreply@blogger.comtag:blogger.com,1999:blog-23119886.post-1145160717274773252006-04-15T21:11:00.000-07:002006-04-15T21:11:00.000-07:00giovanni - You're not asking for too much. You're...giovanni - You're not asking for too much. You're describing a good primary care doc. Although, if you're being seen in an Urgent Care type setting (such as the situation I was describing here) you might be more likely to get, "I see you haven't had a prostate exam in a while. Why don't you make a regular appointment and we'll do a complete physical, when we have more time and when you're over your current problem?"<BR/><BR/>That's how I do it, and I know I'm far from alone on this. A good primary care doc does consider the whole patient.<BR/><BR/>PegAnonymousnoreply@blogger.comtag:blogger.com,1999:blog-23119886.post-1144973527888910982006-04-13T17:12:00.000-07:002006-04-13T17:12:00.000-07:00dreaming again - Try an over-the-counter anti-fung...dreaming again - Try an over-the-counter anti-fungal cream, like clotrimazole. Rub it in twice a day.Anonymousnoreply@blogger.comtag:blogger.com,1999:blog-23119886.post-1144960782028082002006-04-13T13:39:00.000-07:002006-04-13T13:39:00.000-07:00neuroticillinifan ... I have a neuro who brings up...neuroticillinifan ... I have a neuro who brings up my weight at every single visit for 14 years ... It's gone up and down widely ... and still he brings it up ...however, he also struggles with weight ...and he comiserates on the struggle too (sometimes, I wonder if he doesn't do so obsessively (grin)..)Dreaming againhttps://www.blogger.com/profile/15717590226520457326noreply@blogger.comtag:blogger.com,1999:blog-23119886.post-1144960160568362722006-04-13T13:29:00.000-07:002006-04-13T13:29:00.000-07:00As a wife and a mother of 2 teenaged boys ... I sa...As a wife and a mother of 2 teenaged boys ... I say ADDRESS IT! <BR/><BR/>My own feet have never been stinky ...until this spring. I have no idea what's going on! I've noticed wearing open sandles! I've got stinky feet. Driving me insane. Nice to know it's an issue that can be addressed! Doing a search on it now. <BR/><BR/>PkDreaming againhttps://www.blogger.com/profile/15717590226520457326noreply@blogger.comtag:blogger.com,1999:blog-23119886.post-1144941619708956942006-04-13T08:20:00.000-07:002006-04-13T08:20:00.000-07:00Doc NOS - I agree re personal hygeine, but this wa...Doc NOS - I agree re personal hygeine, but this was an infection. Makes a bit of a difference.<BR/><BR/>neuroticillinifan - I'm so glad you brought this up. Weight is another one of those issues that falls in this category. It IS a health issue. And yet, if someone is here for something totally unrelated, the same questions apply to weight as to the foot fungus. If an overweight person comes to me for a sore throat, I'm not going to mention their weight. As you say, it's unrelated. On the other hand, if they have chronic knee pain or back pain, or if their blood pressure is up, or if their chief complaint is anything else that weight could affect, I'd be remiss not to mention it.<BR/><BR/>Thanks for commenting.<BR/><BR/>PegAnonymousnoreply@blogger.comtag:blogger.com,1999:blog-23119886.post-1144937086127999672006-04-13T07:04:00.000-07:002006-04-13T07:04:00.000-07:00I don't know. I'm torn on this issue. I had one ...I don't know. I'm torn on this issue. I had one doctor who, no matter what the reason for the visit, brought up my weight and the need to lose it. Drove me crazy. I am more than willing to discuss my weight if it has a bearing on the condition I'm there to see the doctor about (back pain, for instance). However, when I come in with a fever and raging sore throat suspecting strep (turns out it was), it is not the best time to expect me to happily discuss my weight. It was soon after the strep throat incident that I changed to a doctor that agreed to stick to the issue at hand.<BR/><BR/>Perhaps, you could ask the patient, "Is there any other issue you'd like us to deal with today?" That gives him the opening to either say yes or no, and then you can proceed accordingly.Neurotic Illini Fanhttps://www.blogger.com/profile/01704720384234803067noreply@blogger.comtag:blogger.com,1999:blog-23119886.post-1144712248486573902006-04-10T16:37:00.000-07:002006-04-10T16:37:00.000-07:00Thanks to everyone for your comments! I figured I...Thanks to everyone for your comments! I figured I'd get a range of opinions, and I did.<BR/><BR/>kim - I've never heard of "doc around the clock" but will check them out for sure now, and yes, you are welcome to link to my blog. I'm honored!<BR/><BR/>PegAnonymousnoreply@blogger.comtag:blogger.com,1999:blog-23119886.post-1144694275096678552006-04-10T11:37:00.000-07:002006-04-10T11:37:00.000-07:00i vote you say something.i vote you say something.Anonymousnoreply@blogger.comtag:blogger.com,1999:blog-23119886.post-1144562037351522732006-04-08T22:53:00.000-07:002006-04-08T22:53:00.000-07:00I would want to know, although it would be embarra...I would want to know, although it would be embarrassing. Better to hear it from the doctor than from anyone else.<BR/><BR/>But...first you have to make sure that the olfactory problem is coming from that patient. Because he had socks and shoes on, can you really tell if the odor was his. <BR/><BR/>We had a rule in one ER I worked in. If a homeless person had shoes on, <I>they stayed on</I> for as long as possible, unless it was a foot problem.<BR/><BR/>Found you through "Doc Around the Clock"; I'd like to link you on my blog if that is okay!Kimhttps://www.blogger.com/profile/14955312313903598555noreply@blogger.comtag:blogger.com,1999:blog-23119886.post-1144465439549582412006-04-07T20:03:00.000-07:002006-04-07T20:03:00.000-07:00You could say anything you want to say to a patien...You could say anything you want to say to a patient, as long as you wear a smile on your face, and you think fast on your feet, and it sounds authentic. Say something really funny, like just what Heather mentions. <BR/> Dr. Peg: Patient, it just so happens in this issue of Harvard Men's Health magazine, a doctor researched that the most recent connection with the common sore throat is the airborn microbes that seem to have emanated from your sock or your jock, so let me have a look. Which place do you think is most likely the source of the problem?<BR/> He'll get the hint and you'll both have a laugh and you'll fix both of his problems in one visit. He'll love you for saving him future embarrassment not to mention valuable time and excrutiating pain with his other problem.Anonymousnoreply@blogger.comtag:blogger.com,1999:blog-23119886.post-1144448291427929392006-04-07T15:18:00.000-07:002006-04-07T15:18:00.000-07:00I would think that inhaling the stench of his own ...I would think that inhaling the stench of his own feet is probably what caused the rawness in his throat, so truly, they could be tied together.<BR/><BR/>I had no idea you could treat stinky feet. So he probably didn't either. We all just assume it's one of those things, some people sweat, some people have stinky feet. I'm guessing he would have appreciated knowing he could do something about it.Heatherhttps://www.blogger.com/profile/13375990211884386504noreply@blogger.comtag:blogger.com,1999:blog-23119886.post-1144437753208672052006-04-07T12:22:00.000-07:002006-04-07T12:22:00.000-07:00Yes, do speak up. You could say, "I want to check...Yes, do speak up. <BR/><BR/>You could say, "I want to check your feet for fungus as I can smell it in this room, might have been the patient before you but I have a very sensitive nose"...who would mind such a sincere non-judgmental statement?mary bishophttps://www.blogger.com/profile/01762459686594686151noreply@blogger.comtag:blogger.com,1999:blog-23119886.post-1144436995263356202006-04-07T12:09:00.000-07:002006-04-07T12:09:00.000-07:00Integrative medicine. You said "As a Family Doctor...Integrative medicine. You said "As a Family Doctor, trained to view the patient as a whole organism".<BR/>That's the best way. Here in Mexico we are trained to numerate all the clinical problems in a patient, for example:<BR/><BR/>1. Pharyngoamygdalitis.<BR/>2. Obesity.<BR/>3. Tinea pedis.<BR/>4. Dental caries.<BR/><BR/>It's always better to sin of been detailist rather than been on the line just to to make the minimum effort to get the job done.Anonymousnoreply@blogger.comtag:blogger.com,1999:blog-23119886.post-1144426774134906092006-04-07T09:19:00.000-07:002006-04-07T09:19:00.000-07:00I have to get my ears flushed every couple years. ...I have to get my ears flushed every couple years. The last time I went to urgent care for a serious cold, they checked my ears and noted the build up. The Doc kindly said "Would you like us to flush that out for you while you're here?"<BR/><BR/>I can't tell you how happy I was that I didn't have to ask. Having the nurse tell me that mine were the third set of ears she had flushed that morning, that was nice too.<BR/><BR/>I vote for pointing out what you can do for the patient. They probably have no idea how many of their problems you could solve...Sylow_Phttps://www.blogger.com/profile/00078559329069222572noreply@blogger.com