Pulilan Municipal Health Office / RHU 1 / Maternity Child Care Center

Concerns Regarding the Medical Encounter Dismissal of Symptoms and Lack of Examination: • A fundamental responsibility of a general physician includes conducting a thorough history and physical examination to correlate symptoms with clinical findings. • In this case, the physician did not perform any physical exam despite the patient reporting localized swelling, tenderness, and neurological symptoms. • Symptoms indicative of ongoing infection or possible complications were oversimplified as "muscular pain" without ruling out infection or organ involvement. Inadequate Diagnostic and Therapeutic Approach: • Despite evidence from recent urinalysis and ongoing symptoms, no repeat or additional laboratory testing was ordered. • No imaging or referral to specialists (e.g., infectious disease, urology, or gynecology) was offered despite persistence of symptoms post-antibiotic therapy. • The prescribed pain management addresses symptoms but not the underlying cause and could mask worsening conditions. Communication and Patient Experience: • The dismissive tone and lack of active listening have contributed to feelings of invalidation and distress. • Patient was not provided with explanations regarding the diagnostic reasoning or treatment plan adjustments. • The encounter lacked collaborative decision-making and did not respect the patient’s proactive monitoring and reporting efforts. Doctor's second opinion: subtherapeutic prescription and improper dosage leading to antibacterial resistance