Dear All
You may remember my recent posting regarding a client who I thought was
alcoholic and drove a bus for a living. Thanks to all of you who provided
feedback.
As an update - she was asked to return and I was asked to delve deeper. She
denied excessive alcohol consumption and there were no chronic stigmata on
examination. I took blood tests the results of which showed a markedly
elevated MCV and high gamma GT and AST indicitave of chronic excessive alcohol
ingestion. She will lose her licence for a year apparently.
Mark Clayson
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