Station 91

Sadiq Mohammed

Age: 40 year old male

Patient

Patient's Story (Role player’s brief)

Patient’s Story 

You are Sadiq Mohammed, a 40-year-old man.

Opening statement: Doctor, I have been feeling tired lately, and I keep needing to pee and drink water all the time. I went to A&E yesterday, but the wait time was too long (8 hours), so I left after the nurse took my urine sample. I just want to feel better

You have booked this video consultation because, over the past 2 to 3 weeks, you have been needing to pee more often than usual, drinking a lot more water, and feeling very tired all the time. You went to A&E last night because you were worried, but after a nurse took your urine sample, you were told the waiting time was eight hours, so you left before being seen by a doctor. 

When you got home, your wife, who has diabetes, suggested that your symptoms sounded familiar to her. She used her blood sugar machine to check your blood sugar, and the result came back as 11.9 mmol/L. She told you this might mean you have diabetes. Your symptoms are now worse, and you feel weak. 

Only say the following if specifically asked: You have noticed that you have lost approximately 4kg in the past three weeks, without making any changes to your diet or exercise

Family History: Your younger brother has diabetes. You are not sure what type he has, but you know he uses an injection to manage it. He was quite young when he was diagnosed.

Social History: You do not smoke or drink alcohol. You live with your wife and children, and you run a small grocery shop, which keeps you busy most days. Your diet is not so great, you eat a lot of carbohydrates like naan bread, rice and curry, biryani, and similar meals.

Ideas: You think this might be diabetes.

Concerns: You just want to get well so you can continue running your business and supporting your family. Although your wife also helps with the shop, you know she cannot manage everything on her own. 

Expectations: You would like the GP to prescribe medications to help you feel better. 

Say NO to any other questions asked outside of the details already provided in the scenario. Accept anything offered to you by the doctor.