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Post 60 Belatedly reaching the Correct Diagnosis

Thursday afternoon was the time each week that John set aside for his clerical and administrative work. It was a chance to sit in his room, close the door, and work for a couple of hours, free of interruptions. He started by clearing the requests for repeat prescriptions. It didn’t him take long and was an undemanding task. Then he reviewed the results of the blood tests and x-rays he had requested on his patients. He had to decide who needed to be reviewed and who simply needed to be reassured their test results were normal. He spent more time on the letters he’d received from hospital consultants, about patients he had referred for a second opinion. They were always informative. Those who had simply been put on a surgical waiting list for a condition such as a rupture or varicose veins, he simply filed, but the ones that particularly interested him, were those where   he had struggled to make sense of a patient’s symptoms or was unsure of the best way to manage their condition

Post 59 'Hanky Panky' in the Nurse's Residency

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 Scene;  the Nurses Home, Manchester Royal Infirmary, 1970 In those days, men were strictly forbidden to enter any bedroom in the Nurses Home and, unless you had a late pass, nurses had to return to the Nurses Home before 10 pm. One morning, a cleaner entered a nurse’s room and, shock horror, found a man fast asleep in the nurse’s bed; the said nurse was already on duty and not present at the time.   The cleaner went to the Home Sister and reported this terrible misdeed and wanted to know what should be done about the sleeping man.   The Home Sister did not know what to do, so she reported to the Senior Nursing Officer and asked her what should be done. The Senior Nursing Officer also had no idea and sought the advice of the Principal Nursing Officer who, in turn, decided to seek the advice of the Chief Nursing Officer, one formidable woman called Constance Biddulph. Miss Biddulph’s response was .. .. “Do, do?     Why charge him for a night’s board and lodging of course!’ Cla

Post 58 The lady with the 'Full Obstetrical History'.

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  The Consultant Obstetrician in the Lancashire hospital had given the fresh-faced medical students a tutorial. He’d taught them how to take a good and complete obstetrical history emphasising the need to enquire about the age of menarche, details of menstrual cycle, marital status, use of contraceptives and so on. H e then led them on to the antenatal ward where they arrived at the bed of a woman who had what is sometimes referred to as a ‘full obstetrical history’;    she had nine children interspersed by four miscarriages. The consultant asked one of the group to demonstrate what he had learned so the young student, who was desperately keen to impress, asked her about the regularity of her periods.  The 40 year old lady, ran a hand through her greying hair, gave a tired smile and sighed, before replying ‘Ee luv, I really can’t remember. I ‘aven’t had one of them for more than ten years!’