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WHAT'S ON THIS PAGE NAVIGATION BOX FEATURE: Dancing with Dokker D -- Patience & Patient Power | MINI-SERIES: Portraits From The Attic | INSPIRATIONAL Use Contents Navigation Console | Go To Next Page (Page 11) |
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Still managing to keep out of the way of the authorities, |
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| . | PATIENCE AND PATIENT POWER |
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| . | ingly large dokkers desk -- specially designed to keep sick people as far away as possible -- I think back over my medical career. With only a shudder or two at the most embarrassing bits, I recall my early days as a houseman. In those days I was not as you see me now -- raddled and made cynical by the whines of hypochondriacs, pricked by little conscience but many hypodermics, tortured by mysterious pains that I seem to get from |
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he dokker knows. And as you can see, he's not sure. confidential medical records was both |
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| . | my patients but manage to ward off by taking those nice little pink pills. Once upon a time, when medicine was young, I was full of enthusiasm for my chosen profession. I had great expectations. Indeed, every aspect of my training in the dokkerly skills (as Ned Flanders would say) was design- ed to develop a sense of superiority, arrogance and overbearing self-right- eousness that would maintain my position at the top of the social heap for the rest of my life. I loved being a dokker. Just thinking about healing people, ordering nurses around and
how I would organise my accounting |
.... | . | everyone knew their place in the hierarchy of health. Dokkers at the top; patients at the bottom. Yes, in those days there were the dokkers and there were the patients. And both knew how to behave. The dokkers were the all-knowing, handsome, dashing professionals that had carved a place in the heart of the nation in such movies as Dokkers Bikini Beach Party, The Dokker from the Black Lagoon and Carry On Up the Nurses. And there were the pat- ients who were . . . . well . . . . just a crowd of sick people. ...Of course, that has all changed. Now no one knows their place. Every- one has become a barrack room dokker. Health has become an issue. Whereas in the good old days, patients were happy to live their mean little lives, get ill and die, now no one is. Everyone has the health bug, every- one is interested in health, informat- ion that should be solely in the hands of the medical profession is now available to all and questions are allowed. Questions, of course, lead to discussions and even suggestions. And before you know it the patient is participating in the treatment. ...If it wasnt for the fact that I have a hungry accounting team to support I would be reminding patients which one of us is the dokker at least ten times a day. Patients seem to think that they have some kind of proven- ance over their bodies and their health. But, as we all know, health is a matter for God and dokkers alone. And not necessarily in that order, either.
...It did not, of course, discourage |
. | . | to see their own medical records and tend to take umbrage if the comments they find therein are too personal. But us dokkers do not take our respons- ibilities lightly and we do everything we can to protect our patients from too much knowledge of their bodys fallibility. However, once they have invoked the Freedom of Information Act and have acquired the services of a good lawyer, there is little we can do to protect them. ...As well as making the records much less fun to write, all this free access stuff has made them much more diff- icult to write. The truth, particularly the truth as handled by dokkers, can be a powerfully disturbing thing. And a truth like: This patient will be dead in two weeks, only shakes down a few ways. This is a crucial piece of information for us dokkers as it is often hard to distinguish the essent- ially healthy from the dying and sometimes, even, the already dead. It is info that has to be expressed in some way or other in the patients medical records. However . . . . A patient reading this bald statement about his or her demise is actually
unlikely to make it through the whole two weeks. Even as veiled statement -- in this case a long black veil -- is going to produce the same effect. Code? Forget it. They ask. What does DTW mean, dokker? they enquire in their innocence. Although the Hippocratic oath, which every dokker takes, is, as its name suggests, a licence to lie, it is hard for us dokkers to spare the patient the painful truth. Usually this results in their fairly immediate death. But thats life, as we dokkers say. |
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. | . | or mental health, disturb your sense of well-being and cause distress. The reading of medical records has been associated withdeaths caused through cancer, heart illness, strokes, depression and suicide. Read with care. That should keep them away. ...But the problem is really this terrible obsession people have with their own health. If people are worried about ill health they should seek the help of a dokker. He will put names on the many illnesses the patient possesses -- and some that he or she does not possess -- and give all the right medications to push the shares he owns in the pharmaceutical companies a few points higher on the markets. ...That is the way health care should be run. There should be none of this getting involved rubbish. That they sit quietly, stick out their tongues when asked, say Aahh at appropriate moments and cough occasionally is all we ask of patients. If only they would do that instead of asking for tiresome explanations of their malaise, its treatment and the medications and/or procedures that will be applied, I would not be writing this column. ...There is, however, more and worse. For now alternative health therapies are starting to become more widely available through us dokkers. What is the world coming to? When I think of how much energy and enthusiasm the medical profession contributed to burning all those witches, I am aghast at the fact that I am required now to assume the role myself. I didnt train for years -- okay so what if it was a correspondence course -- to become a successful dokker so that I could dispense newts eyes to my patients. Nor did I become an expert in portfolio management and investment analysis so I could be poor. ...So now, along with all my other skills and areas of expertise, I am required to be an expert on everything from acupuncture to xylophony. Dont they realise that I am a dokker and not a little old lady with a wart on her nose and an unhealthy relationship with a cat. Like those great dokkers who preceded me -- Dr Kildare, Dr Inlove, Dr Nick and that nice Dirk Bogarde -- I was trained in Western Allopathic Medicine by someone who resembled Sir Launcelot Spratt not someone who resembled a witch dokker. I dont know any more about these crackpot remedies than do my patients. ...I really shouldnt rattle on like this. It does me no good. I had only to mention the subject of my article for this issue to the drug-crazed editor of this publication for him to decide to publish an A to Z of alternative therapies. The only consolation I have is that it will take him 15 years or more to get it together. ...Gosh, is that the time. I must go or Ill be late for my Probation Officer. Although I am a dokker, let me offer you some free advice -- stay healthy, keep taking the pills (I do) and try not annoy your GP. PLAIN TEXT TOP OF PAGE |
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