01/02/2026
Sometimes a GP doesn't need to know everything for sure from the beginning. He just needs to be especially suspicious in front of the weirdest symptoms.
That's how, soon after I started my GP practice in France, after working as an Emergency physician for 6 years, I met a new patient, in his 60s, very committed to his previous GP who just retired.
As part of my GP routine, I checked his blood pressure and listened to his chest.
Despite no symptoms at all, as he was just coming for a vaccine, I detected some abnormalities as some "creps" sounds in one lobe of his lungs. I insisted on him getting a chest x-ray, which came back with pneumonia, despite no cough. I treated him.
He came back some weeks later, with a weird feeling on top of his left shoulder, not really pain, just a bit sore maybe. He said it was crawling a bit to his neck and thought this might have been some musculo-skeletal pain but it didn't sound right to me. Something you can't name, you have to investigate to be safe.
He went to the emergency department and was diagnosed with acute myocardial infarction: a heart attack.
When he came back to me the third time, he warned me and said: this time, doc, don't find me anything,. We laughed and he stayed my patient for 14 years until I decided to move to Australia.
Just to tell you that you have to take care of yourselves and address your symptoms, even what sounds not too sinister to you, to a GP.
When in Santo, I can perform ECGs and examine you.
You just have to book.
I have 30 years experience as a GP, but I am also an Emergency care Physician.