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MANICHAEAN
11-25-2010, 02:10 AM
THESE DOCTORS ARE A STRANGE LOT!

“How’s your water works?”

Just how is one expected to answer a question like that? Perhaps it’s better to adopt the mode of the confessional.

“Bless me Doctor, for I have sinned. I had to go three times during the night.”

“Is that normal for you?” (If you have had six pints of beer the night before, so would you!)

It’s amazing how doctors can ask you all sorts of questions, albeit diplomatically, but they never ask you “How is your sex life?” No, they want you to ask them that one and they want to see you squirm. “Doc could you—I mean – not that there’s anything wrong with me, but a kick start prescription you understand, Viagra or ciallis I’m told is quite good?”

It was the time for my annual, very expensive, private check up in Harley Street.

“Any problems since I saw you last time?” Dr Ravi asked.

“Yes, they took my gall bladder out in the Middle East & I fractured a toe when I kicked a coffee table in bare feet.”

“Ummph. Better get that put down on the computer.” He looked a bit miffed, that he had missed out on two opportunities

“Get your shirt off & let’s listen to your heart.”

Stethoscope applied. “Not much wrong there,” he said.

“Ok. Let’s check your blood pressure.”

Once again fine 120/80.

“Yes, the South African doctor in Canada found just the right cocktail of drugs to keep that well under control.” I ventured.

He looked annoyed again and changed tack.

“What about your alcohol intake? Small, medium or high would you say?”

“Medium.” I proffered.

“What do you call medium?” he counterattacked.

“Oh, about three vodka & tonics a night.” I offered casually, sensing the trap.

“Singles or doubles?”

I knew by then that he was determined to pin me anyway, so I played a straight bat. “Why doubles of course, you can’t taste them otherwise!”

Naturally, I got the lecture regards World Health guidelines, liver damage etc etc. He looked more relaxed.

“How about long term assisted care?” he concluded. “Any plans? Some good residential care homes in Surrey I can recommend. Private of course.” How could I break it to him that when the time came to retire it would be to a condo in Rio married to a samba dancer. Now that’s what I call care!

A week later before I returned back overseas, he rang me with the results of the blood & urine results.

“Everything seems fine” he said and then went on about white blood cell counts and other items of mystery which I did not understand. “But the cholesterol has risen from 4.5 to 5.5 over a year. This was followed by something about precursor molecules in various metabolic pathways and then he cut to the chase. “So, as you refuse to take the Lipitor I prescribed before, the only other alternative is that you get down that spare tyre around your belly. I want to see you next time a lot thinner. It’s not good for the heart. If you were staying in the UK I could have recommended a health farm where they guarantee to lose you 10 kilos in two weeks.”

“Most probably run by Kim Jong-il, from North Korea” I thought.

So anyway, here we are back at work and another year to go before the next medical. “Ouch. Is that a pain in my side? Better get hold of Dr loki456 on Lit Net Forums to request an online consultation!”

loki456
11-25-2010, 04:16 AM
hahahahaha!!!
That was great!
did you see a gp? cause that is exactly a GP consultation - 3mins in and out - followed by 'that will be a quizillion dollars please'.
I do find it quite humorous we can poke our fingers into any part of someone's life and call it 'medicine' - the mind rages with the power haha.
but if you do need any advice - throw us a line - i'll see what I can conjure up in this field of 'non-exact science'

zoolane
11-25-2010, 04:36 AM
Great antidote and humour is brilliant.

MANICHAEAN
11-25-2010, 04:38 AM
Glad you liked it.
Actually its an interesting subject to write about and in travelling around all these years I've consulted doctors in: Nigeria (including one witch-doctor for my steward's broken arm), Qatar, Saudi Arabia, Iran, Canada, Jamaica & Italy. Thus, because I'm never properly in the UK, I have to go private and, as you say, its big bucks.

But then, give them credit where due. They did discover when I was in my fifties that I had only been born with one kidney. My mother's initial reaction, (taking it as a slur upon her family name) was "It's all your father's fault. We have always had two kidneys on our side of the family!"

hillwalker
11-25-2010, 05:55 AM
Hilarious - and so accurate. I remember in my mid-40s going to see my doctor for the first time in over 20 years. When I phoned to make an appointment with Dr Brown I was informed - Oh, Dr Brown died about 4 years ago.
Not a great advertisement!!!

H

Steven Hunley
11-27-2010, 04:14 PM
This was great! But one thing. Is there anyway you could get your Mum into the waiting room. That way at the end you could work the kidney bit in! It was downight hillarious! Since we humans aren't tranparent I guess it's no wonder we don't know what bits we have or haven't.

Delta40
11-27-2010, 05:19 PM
ha ha. I was entertained and I agree the kidney line needs to come in somewhere....

MANICHAEAN
11-28-2010, 01:01 PM
Steve/Delta thank you.
As a postcript to this story relating to the aforementioned medical discovery, my sister-in-law immediately refused to cook again, steak and kidney pie for my elder brother in deference to my condition. Now thats what I call family.
M.

MatthewFarlow
11-28-2010, 02:18 PM
. . . we can poke our fingers into any part of someone's life and call it 'medicine' . . .

Or into any part of someone's body for that matter. :ack2:

loki456
11-29-2010, 02:33 AM
^^ well aristotle said our jobs as physicians 'was the human body' so I figure that's alright - hell you find some interesting stuff when you poke around haha - trust me I have the Abdo xray's to prove it ;P (not mine personally - just a file of stupid crap i've seen over the years) - what i'm skeptical about is our roles in taking detailed social histories on everyone. I get the fact that someone who worked with asbestos for years and comes in with a cough and funny looking chest Xray would be important information. but who cares if someone is a pastry chef and comes in with a broken toe. But we are taught in medical school that a proper history has 'invasion of privacy' written all over it.

I like practicing 'skillful neglect' in those cases ;)

MANICHAEAN
11-29-2010, 02:58 AM
I think life style information on patients is relevant. For the generation before me where I grew up in London, it was almost always the case that men avoided doctors unless it was something serious. It was almost regarded as unmanly. "Nothing wrong with me" was the norm. They only seemed to go to hospital once, and that was to die, as whatever they had, they had gone into denial and by then it was too late.

Now, its pre-emptive. You are of a certain age when you are prone to getting; blood pressure, diabetes, cancer of the colon etc etc and we are going be one step in front for early diagnosis. So Doc, ask away as far as I'm concerned!

loki456
11-29-2010, 04:06 AM
that is a fair point Mani. primary prevention is always better than a cure.

But my point is that a lot of doctors don't understand the difference between 'relevant' social history, and useless information (now most would argue that no information is useless) and I think that we tread a very fine line sometimes. But that's just me, I like to think that I have my patients best interest in mind, even if it is against myself on occasion.