Saturday, 3 September 2011


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.

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A message from the other side

No, not that side! But thank God got through surgery ok yesterday. And thanks to all for love support and prayer.