MClayson wrote:
> As you can imagine, she was pretty hostile as I was working for "their"
> interests and not hers. She said she banged her toe on a kerb some three and a
> half months previously and it was still painful. Examination revealed a very
> tender toe with the possibility of non- (or is it mal-) union. However she
> appeared to smell of alcohol and smelt, without wishing to be unnecessarily
> judgemental, in the way that chronic alcoholics smell as opposed to the person
> who has had a single binge. Furthermore she had a very dishevelled appearance
> and was unclean and apparently rather malnourished (as well as smelling of
> smoke). She, in addition, had a employment record punctuated by several spells
> of abesence for minimal reasons.
Hi Mark
You do seem to have come to fairly serious conclusions (for the patient ) on what
is basically circumstantial evidence. ( What say you Graham?)
For example she could possibly be a chronic diabetic who as a result of a
Peripheral Neuropathy bangs her toes inadvertently against pavements repeatedly.
When she saw you she may have had a low blood glucose making her as you perceived
her ,aggressive OR she may have had a high blood sugar smelling of Ketones over a
"single binge" which gave her a "chronic alcoholic" smell. etc etc etc
Not likely but do you see my point?
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