“Can you hit my head some more, Dr Ian?” Last month, I diagnosed a young lady with cervical cancer. Her symptoms of lower abdominal pain, vaginal bleeding and an offensive discharge had been repeatedly treated “syndromically” – in other words, treating the common diseases which would cause these problems without making a specific diagnosis. She… Continue reading Can you hit my head some more?
Some mornings, my father would say that he’d done a “second shift”. This meant that he had relived the previous day’s work in his dreams. It’s happening to me now. Perhaps it is because I am sleeping lightly because of the heat, so I wake up during the rapid eye movement phase, when dreaming occurs.… Continue reading Dreams
My interpreter was not available this morning, so I struggled when seeing patients. When I ask for patients in the queue who speak English, I get a completely different clientele. They are usually middle class or students. It is almost like doing general practice in UK. We have half a dozen student nurses from Good… Continue reading Another week in the clinic