Saturday, 3 September 2011

Nigglements

I learn so much from patients. Just yesterday I was greeted by a cheerful bus driver patient who wanted to discuss his various 'nigglements'. It struck me immediately as a wonderfully appropriate word for a combination of niggles (ie symptoms which are a nuisance and may well not indicate serious disease), and ailments, which are conditions probably previously diagnosed and 'simply' need managing.

Some GPs may want to take a hard line on the 'one problem only per consultation'. I really don't find that necessary nor helpful. Indeed it can be very difficult for patients to disentangle their nigglements and that's one of the reasons I'm there as a general practitioner. OK at times a further consultation may well be a good idea, but first do the disentangling.



Post a Comment

The Long Walk

It's always a bit chancy to give someone a book. A little like recommending a restaurant. Will others like it? Will the service be as go...