.

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)

.PLAIN TEXT
DISEASE, DEGRADATION & D'ATH . . . . . . . . .THE DOKKER'S ONE-STOP GUIDE
.
DANCING WITH DOKKER D

Still managing to keep out of the way of the authorities,
our own Dokker D'Ath, physician to the really needy
(and we mean that,) has finally remembered the combination
of the hospital safe and has helped himself to the right
medication. He is, he says, ready to make his contribution
to the forward thrust of medical science. That hip movement
he does when he says it, however, is not exactly reassuring.
Haircut, anyone?

.... .
. PATIENCE AND PATIENT
POWER
. .
. s I sit in my Liz Hurley Street consulting rooms at my intimidat-
ingly large dokker’s 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
. .
A urine sample or a G and T? Only
he dokker knows. And as you can see,
he's not sure.
•••••••••••••••••••••••••••••••••••••••••••••••

confidential medical records was both
enjoyable and therapeutic. But no more. These days patients can demand

. 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
system kept me constantly enthused.
I was a qualified dokker, a master of
the healing arts, a fearless combatant
of all illness and I thumbed my nose
at germs. As I strode the wards in my
white coat, tastefully spotted with just
a little blood, clipboard in hand, ill-
ness quailed before my presence and
nurses and patients alike fell to their
knees before me imploring me to lay
my healing hands upon them.
...Ah, those were the days. In those
days dokkers were almost as much
feared (I mean, respected) as bank
managers. Patients waited with bated
breath while they were probed and
poked and pulled around as the
diagnosis was arrived at. And if, as
sometimes happens to every dokker,
one had no idea what was wrong it
was simple to make up a condition
with a Latiny sounding name. If you
could make it a nice long one, that
always went down well. An illness
with a long name, particularly one in
Latin, is always so much more desir-
able. More mystique, you know. Thus
it is that emphysema has replaced the
phrase ‘a bit of a bad chest.’ More
impressive, you see. There would be
no intrusive questions about the illness or its treatment; questions were not allowed under the National Health Service and cost extra in private practice. The patient would listen to the diagnosis, nod a couple of times and take the offered prescription. His or her health remained, as it had al-
ways been, in the hands of God.
...They were innocent days. Clear and
understandable days. Days in which

TOP OF COLUMN

.... .
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 wasn’t 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
patients from assuming they could be
involved in their own treatment when
they were allowed access to their
medical records. There was a time, at
the end of a hard day usually, when us
dokkers could rid ourselves of the
obsessive fear and hatred of illness,
disease and our patients that we nat-
urally develop over time. The opport-
unity to vent one’s spleen (medical
term) with a few incisive comments
on the body parts of some of the more
ghastly patients in their totally

TOP OF COLUMN

. . 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 body’s 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 that’s life, as we dokkers say.
...It is, of course, possible that allowing patients access to their own medical records is a ruse designed to cause their early demise thus freeing up more time to waste on those who aren’t dying. If so, it must be pretty successful. It is my contention that all medical records should carry a Government Health Warning. It is a good thing there is more space available on a folder containing medical records than on a cigarette packet because they are going to need it for this warning. ‘These medical records may damage your physical

PLAIN TEXT
PORTRAITS FROM
THE ATTIC
••••••••••••••••••••••••••••••••••••••••
Generation after generation, from father to son, the baton of health
care has been passed on down the line of the D'Aths like it is a
birthright or something a bit too hot to handle. From medicine's
earliest days, the D'Ath's were there. Whether it was brewing a
potion, making a posy, collecting leeches or a short back and sides,
there was sure to have been a member of the D'Ath family
somewhere in the vicinity. When William Harvey discovered the
circulatory system, it is said that a D'Ath was heard to murmur:
"Bloody hell." As William Hunter single-handedly (in fact, single-
fingerly) established the field of obstetrics, you can be sure
that there was a D'Ath drooling over his shoulder. And, at the birth
of anesthetics, a D'Ath was among those lying on the floor giggling.
From quacks to consultants, from the famous to the infamous, from
the Delphic D'Aths of ancient Greece to D'Ath Vadar, they have
been at the heart of the struggle between life and death (usually
but not always on the right side) since history began. Join us now as
we ascend the wide staircase here at D'Ath Towers and head
towards the gallery (as they call the attic) where we can take a
look at some of the good dokker's ancestors.
••••••••••••••••••••••••••••••••••••••••
The Coffeehouse Culture medicine show rolls into town.
High-stepping minstrels and banjo strumming troubadours
lead the brightly painted wagons down main street. The
entertainment starved residents read the exhortations to
experience the wonders of the ancient east, to enjoy a long
and vital life, to fortify and even fiftyfy the physical frame
and they are hooked. “Come one. Come all. Roll up. Roll up,”
proclaims the Barker. "Hear the wisdom of the Ancients, the
secrets of the Magi and the tales from mysterious Atlantis.
Come one. Come all. Try the Pro-Fess-Or’s nostrums, potions
and lotions to cure all your ills, to strengthen and bring
vitality. Energy, vigor and good health can be yours. Come
one. Come all.” And already the stage is erected and the
nigger minstrels are tuning up as Mr Interlocutor dances
the cakewalk along the edge of the platform. The population
gather round -- women in crinolines and bonnets with
parasols resting on their slim shoulders, men in work
dungerees or leather chaps, children in flowered dresses
or short pants, the girls with ribbons in their plaited hair
and the boys with Bowery boy caps pulled rakishly over one
eye. Young and old, healthy and infirm, the bad and the
beautiful, they gaze at the stage with their eyes sparkling
as Mr Interlocutor and the Barker trade insults and go
through a long stand-up/sit-down/stand-up routine while
the two rows of ministrels mug along. There is music, a
chorus line of four scantily clad black girls who dance a mild
version of the hoochy koo (some of the women in the
audience turn their backs to show that they are church-
goin' and 'cain't abide no lowdown women leading their men
astray,') there is a stand-up comedian dressed in a striped
blazer and wearing a straw boater, a magician who astounds
and mystifies and then it is the Barker's turn. Like a siren
he sings his songs of allure and mystery and the audience is
right with him. He describes the far away pyramids and the
secrets of longev-ity, vital-ity and, dare he say it -- he winks
conspiratorially -- fertil-ity" discovered therein by our own
Magus of Med-i-cine, our own Master of the Healing Arts,
Physician to Kings and Maharajas, Midwife to the Mighty
. . . . " He measures the pauses between each word. The band
strikes up. The tension is palpable. Standing in the wings is
a tall, grey skinned and dark-eyed figure in a black
frockcoat. His lined face and rheumy eyes reveal little of
his exotic past. Could it be ‘Professor’ D’Ath, great
grandfather of our own good Dokker? He strides onto the
stage, looks out balefully over the audience and says in a
slight but sonorous voice: "Is there anyone called Mary
Clarke here?"

PLAIN TEXTTOP OF PAGE
. . 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 didn’t 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. Don’t 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 don’t know any more about these crackpot remedies than do my patients.
...I really shouldn’t 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
I’ll 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

. . . . . . . .
INSTANT POPULARITY

Specially designed for people
with no lives, our newsletter
will make you feel that you are
part of a community. Once or
twice a year (if we can get it
together) our jolly missal will
pop up in your mailbox and you
will remember that moment of
weakness when you signed-
up. Packed full of mindless
trivia, jammed to edges with
long words, wrought from confusion and tempered with
wit, wisdom and the usual crap, the Coffeehouse Culture
newsletter is a must
for people with more
time than commonsense.
CLICK HERE TO SIGN-UP
.

ON TO PAGE ELEVEN
| CONTENTS | COFFEEHOUSE CULTURE HOME PAGE | SITE HOME PAGE
GO TO ISSUE TWO PAGE:
1
| 2 | 3 | 4 | 5 | 6 | 7 | 8 | 9 | 10 | 11 | 12 | 13 | 14 | 15 | 16 | 17 | 18 | 19 | 20 | 21 | 22 | 23 | 24
Questions, comments or criticisms to: Webmaster@coffeehouseculture.com
The Coffeehouse Culture Site is produced by
Cheapo Cheapo Productions on behalf of
The Enlightenment Company
Design: It Is But a Dream (Digital) Enterprises; Words: The Maya (Entertain You) Company
Copyright © 1999/2000/2001/2002/2003 The Enlightenment Company
THE ENLIGHTENMENT COMPANY IS A NON-PROFIT MAKING EDUCATIONAL TRUST
DEVOTED TO PROMOTING INCREASED CONSCIOUSNESS