You guys know I work in Urgent Care, right? So my day is full of the bread-and-butter complaints: sore throat, cough, ear ache, rash, it burns when I pee — and when the day is full of “the usual suspects,” it can be tempting to downplay (or outright IGNORE) any symptoms which don’t fit with the Top 5 diagnoses.
I’ve seen Urgent Care colleagues and staff completely ignore Really Important Symptoms because it would mean that Something Really Important (i.e. “a diagnosis that will require more than a physical exam to establish”) might be going on, and ain’t nobody got time for Something Really Important in the Urgent Care — we’ve got viruses to treat here, for pete’s sake!
But I strive to keep my brain turned on with every case — due to a combination of good training + a mild-moderate case of OCD — and about 2 months ago, that habit really paid off.