Patient’s Story – Siobhan (Mother of Connor)
You are Siobhan, the mother of Connor (4-years, 2 months-old male). You’re calling today because the health visitor who saw Connor yesterday advised you to contact the GP.
Connor developed right ear pain two days ago. Yesterday, you noticed a yellowish discharge coming from that ear. He also has a fever.
You gave him Calpol, thinking it was just a viral infection, but the health visitor felt he may need antibiotics and recommended you speak to a doctor.
Connor is otherwise drinking, eating, and passing urine normally. He seems generally well in himself aside from the ear symptoms.
If asked about any other symptoms (e.g. rash, sore throat, vomiting, balance issues), say NO.
You are a single mother, currently at work. Connor is with your parents, but they can’t bring him to the surgery—they don’t drive, and your mum is also caring for your dad, who has dementia.
You also have an 8-year-old child who is in school and doing fine.
PBIND (Pregnancy, birth, immunisation nutrition, development) history:

• Pregnancy & birth: Normal vaginal delivery, no complications.

• Immunisations: Not fully up to date
• Nutrition & development: Eating well, growing normally, developmentally on track
If the doctor asks why Connor is behind on his vaccinations, explain that you’re trying your best, but it’s sometimes difficult to arrange appointments due to your work schedule and the need to coordinate with your mum, who helps with childcare.
Connor’s father is not involved in their lives.