I kid, I kid. Sort of. Not really.
Think about it though - GPs see mostly elderly people with chronic diseases like hypertension and diabetes and high cholesterol, but also the odd patient with back pain, a sniffle, various other aches and pains, or a vague sense of unease. Not so diverse. Specialists only see patients in their particular chosen area. Trauma, on the other hand, is so varied is because we see every and any manner of traumatic injury, intentional, accidental, and otherwise: car accidents, motorcycle crashes, falls (from standing, off ladders, out of windows, from bed, from pub stools), stabbings, assaults, gunshot victims, bicycle crashes, animal attacks (these stories are usually the best), industrial accidents, sports accidents, and other. Diversity.
My bet is the latter.
The walk-in clinic is an off-shoot of A&E/ED in which I have very little involvement. If you think I avoid the emergency department and their "I just, I don't know, I just don't feel right" patients, you better believe I avoid this part of it. This area is reserved for the non-emergent emergencies (ie the patients who can usually wait to see their GP the following day or week or year), but unfortunately I still get the occasional call from docs there about patients with facial fractures they can't deal with or lacerations they don't want to deal with. The stories are rarely good, which is why I never tell them.
Mauricio had been brought to the walk-in clinic by police after what they called a "fall". They are not medics, so I can't really fault them for not giving an appropriate consultation, but I will anyway because Mauricio was not a fall, as we all found out later. Regardless, the emergency physician's workup on Mauricio included a CT of his brain which found two surprising results: 1) he actually had a brain, and 2) a subdural haematoma, which was why I was called. He was complaining of a headache (obviously) though he was neurologically intact. Despite the rather ugly looking scan, he had no weakness, numbness, or any other complaint. He ultimately would not need surgery, but he still needed to be closely watched in intensive care to make sure that his brain didn't swell and the bleeding didn't worsen.
Despite the two surprises we already had, the diagnosis wasn't the real surprise. It was the mechanism of injury that was.
Mauricio had been caught trying to steal a car. I say trying because he apparently is a shit car thief and could not even get in the door. A bystander apparently saw him using a clothes hanger to try to unlock the door (yes, really) and called the police. When they arrived about 15 minutes later, he still hadn't figured out that 1) the hanger would never work on that particular model car, and 2) a rock would have broken the window and gotten him into the car much more easily. Anyway, when the police told him to freeze (or whatever the hell they actually yell in 2017), he did not freeze. No, he ran.
Right into a brick wall.
Now last time I checked, brick walls are neither small nor particularly mobile, so surely Mauricio was just so drunk that he stumbled into it, right? Nope. His blood alcohol was negative, as was his urine tox screen. He actually literally just ran into a brick wall.
I can add this to the pile of "Well, I doubt I'll ever see that shit again."