blogging between appointments

I wonder all too often if it is worth blogging and putting my thoughts immediately after seeing a patient . I am fortunate that in my practice of 2500 patients, most are great and with ten minute appointments, I have time to look into most issues - new, ongoing, preventive medicine, screening and also a referral if need be.

83 year old female who lives with her disabled son, widowed for a number of years. I admire some of these patients who accept what life throws at them and get on with it. She came with her daughter in law, to discuss the recent blood results. All fine. Has macular degeneration which is affecting her eyesight gradually.

64 year old diabetic with migraine. Stopped work on medical grounds when 5- years old. Resons for being on the sick were always suspect. Try telling that to him!! Lives alone. was involved in a acrimonious divorce. Used to work as a caretaker of a hall in the city centre. Lost his job when it closed down. This was one of the old fashioned dance houses that did not stand a chance to modern competetion.


46 year old male working in the railways, who broke his wrist. wanted a note for 2 more weeks, being off for a total of 10 weeks. pleasant man, does not like being off. However, his work requires a level of fitness.

Musings in virtuality

What a difference a weekend makes. Working day in and day out without a chance of reflecting on the work done is not really conducive to healthy living. However, this is just what happens to so many of us middle aged professionals who are at the peak of their careers. Everybody wants your servisec. Being pushed and pulled in all different directions - can wreak havoc.

Reminds me of the poem I learnt in childhood - --- we dont have time to stand and stare ----.

June has started off being extremely busy. The Diploma Module was stimulating and thought provoking. It is always difficult getting back to study.

Issues regarding confidentiality, consent, medicolegal problems were discussed.

So much to learn and so little time---.

Weekend

Was as busy as ever with the Forensic aspects of work in hte city. Like all metropolitan cities, Liverpool has its fair share of the bad, the mad and bad, and the plain mad folk. Add to them the alcohol and the drugs and we have a right mess. A volatile cocktail of serious problems. It all asdds to teh general murkiness in the city. I doubt if Joe Bloggs of the general public is ever aware of what really happens in this sub culture of druggis and alcies ( as they are often called).

Musings in the virtual world

Hello. My name is Hitesh Kothari. This is to maintain a regular blog. It is wonderful to be able to be able to do this an reflect on one's thoughts on a regular basis.

I am a General Practitioner in Liverpool, Merseyside. Lots of routine consultations of people who come in with problems - my role is to seperate the wheat from the chaff. Never know which person will be suffering from something sinister, having presented with a trivial problem. I must say, I enjoy the interaction with people and patients.

I am also a Forensic Medical Examiner for the Merseyside Police and as far as that is concerned, there is never a dull moment. Never know what is in store for me next. Victims of crime, perpetrators of crime, drug addicts, drunks, violent people, deaths, recent deaths, deaths in suspicious circumstances, victims of rape, child sexual abuse, .... males, females, transvestites, you name it. Fun and games never a dull moment.

Add to that court appearances, playing the games in courts, that can be lethal and dangerous. Always stressful. Never know which way will the cookie crumble.