Hadn't done a rectal exam in weeks (or months) and then
today I did two. One on a middle-aged chap with a PSA of
2600 - bad news, I'm afraid - and the other on an elderly
woman with bleeding pr - probably just piles.
I'm also having a run of young women concerned about post-
auricular lymph nodes for some reason.
I see an advert in the week's BMJ for GPs to work at a
private "men's health"[1] clinic in Manchester. No mention
of cash other than "excellent remuneration"[2].
Saw a 71 year old woman today with ulcers on her gums. No
teeth for 40 years, she said, and she's never worn dentures.
"How do you eat things like... apples?" I asked. She grinned,
a toothless grin, of course, and replied, obviously, "I don't!"
[1] ie erectile dysfunction clinic - someone (with a business
mind) seizing the opportunity to pick up the slack where the
rest of us can't be bothered.
[2] I'll bet it's not 110 squid an hour.
[3] there is no [3]
[4] but here, just for the hell of it, is [4] I saw another
advert in the BMJ for a job with some GPs in Hull. It was
a funny advert, indicative, I suppose, that someone there
has a sense of humour. Thought about applying but then remembered
that I turn into a pumpkin if I cross the boundary of Greater
Manchester.
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