A Collection of Clinical Case Stories as Emotional Landscapes of The General Physician - Waterfall

This International Clinical and Medical Case Reports section is a collection of descriptive clinical vignettes, "like the plates in a geography atlas" that will present the emotional situations (empathy, frustration, sadness, joy, exhaustion, etc.) metaphorically described as emotional landscapes (which can have emotional, cultural and spiritual significance for people, evoking feelings of peace, beauty, nostalgia or belonging): mountains, volcanoes, rivers, valleys, islands, waterfalls, glaciers, fjords, estuaries, etc., and who are experienced by general practitioners, when they dealing with different clinical cases and patients, with the aim of achieving a greater understanding of what we are and what we do as doctors in relation to patients. This case illustrates a situation where multiple complementary tests, each showing slightly abnormal results, collectively raise concerns for the physician, making it difficult to ignore them and prompting further testing. This scenario suggests to the general practitioner a waterfall: a sudden drop of water caused by a layer of hard rock in a riverbed. The softer rock beneath is eroded by the river, causing the hard rock to overhang, thus forming the waterfall. With each additional test, the softer rock beneath is eroded by the river, causing the hard rock to overhang, creating a cascade of further investigations, as each test reveals more light abnormalities, leading to an ever-increasing number of subsequent tests. Waterfall impede navigation.