Station 39
Emily Johnson
Age: 21 years old female
Patient
Patient's Story (Role player’s brief)
Patient’s Story
You are Emily Johnson, a 21-year-old gymnast, calling today because your orthopaedic surgeon advised a follow-up with your GP to explore possible reasons for your recurrent fractures.
Six weeks ago, you sustained a right wrist fracture following a minor fall during gymnastics training. You had surgery (ORIF) and have since recovered well, with good wrist function and no ongoing pain.
However, you are becoming increasingly concerned, as this is now your third fracture in the past year—you previously fractured your right elbow (8 months ago) and left shoulder (6 months ago).
Only disclose the following if specifically asked:
You have not had a menstrual period for the past 6–7 months, and you’re unsure why. You are not pregnant; you took a pregnancy test two days ago which came back negative as expected as you haven’t been sexually active in over a year.
You believe you eat and drink well. You are not preoccupied with your weight or concerned about being fat.
Your diet is primarily high in protein, and you intentionally avoid carbohydrates to maintain a physique suitable for gymnastics. You are aware that you are slim, but you are not obsessed with your weight. You have never used laxatives or made yourself sick after eating.
You exercise 3–4 hours daily as part of your fitness routine, aiming to qualify for the Olympics.
Social History: You do not smoke and do not drink alcohol. You currently live with your parents. You work part time in a book shop
Idea: You’re beginning to suspect that you may have weak bones or an underlying condition.
Concern: You’re worried about whether these fractures will affect your ability to return to high-level gymnastics and potentially compete professionally.
Expectation: You would like the GP to investigate what’s causing these fractures and advise you on how to prevent further injury.
Question for the Doctor:
“How can I prevent future fractures?”
Say NO to any other questions asked outside of the details already provided in the scenario. Accept anything offered to you by the doctor.