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There's been a lot of talk about things like: "pride", "embarrassment", "reassurance" (whose?) and things like: "honesty", "rationalisation of shortcuts", "the five-fingered gloved hand", "the invisible finger".....etc. etc. I'd just like to ask this: how many of us can *honestly* say that sticking the finger has *frequently*: a) produced a meaningful finding b) significantly altered one's first impressions c) prevented you from referring a ? appx d) made decide that this lump or that prostate is definitely this or difinitely that or the other??? There are things in medicine that *need* a work up. There are other things that do not. I refer the former and try and manage the latter. Big deal if Mr Cuttem or Mr Choppem said what a clever little GP I am. Quite honestly, I don't give a finger(!). Hospitals will deal with what they know and I will deal with what I know and I am not after citations or brownie points down at the club. No thanks! Ahmad _________________________________________ Ahmad Risk MB BCh home tel: +44(1293)782255 fax: +44(1737)244660 http://www.cybermedic.org/ %%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%