Dr Bill
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Posts posted by Dr Bill
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I gave up on "The Edwardians" by Roy Hattersley yesterday. I frankly found it boring. Started to read "Great Expectations" instead. Today I have started "The Stripping of the Altars" by Eamon Duffy. It promises to be a long read. It's a big book and I really need quiet to read a book of this sort - a luxury that seems to be in short supply!
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Rugby Union 6 Nations - one of the sporting highlights of the year for me.
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Must give him a try sometime - sounds like my cup of tea
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I generally have something on the go at night (often but not always on the Kindle) and somethig a bit weightier (metaphorically and physicaly) during the day (when I get chance to read during the day!) Mind you, I'm a bit of a sucker for magazines so I often have a couple of those going as well - read BBC history magazine in bed this morning for example, and I have "Trout Fisherman" by my side as I type and "Gardeners' World" is kicking around somewhere.
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I think one needs to set things into context, especially if it is history or biography. The background is important for the book to make sense and this is often set out in a (sometimes very long) introduction
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I like to use a proper bookmark and have several, but I usually find I haven't one to hand when I need it! My current read (Charles Dickens - a life) has a marker ribbon attached so the problem doesn't arise. I often simply use the dust jacket flap where there is one.
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I don't read a lot of fiction but I much prefer to read a series in chronological order even if they can be enjoyed as "stand alone" books. I don't feel I have to buy them all at once though. Like others I like a change so rarely if ever have I read a whole series ne after the other. Funnily enough I lke to read an authors output in order of witin, even when they don't form a series as such. Not always feasible though.
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Finished "The Cecils" by David Loades. I've had this book for about a year and started it two or three times but finally managed to finish it this time. Fascinating subjects but not the most readable book in the world.
Trying to start "Charles Dickens - a life" by Claire Tomalin
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I've Just finished 'The Pale Horse' by Agatha Christie. I'm not generally a reader of murder mysteries, but I really enjoyed this book. I think I might read some more of Christie's novels in the future.
It's really interesting that so many posters have discovered Agatha Christie over the last few weeks.
I read "Ten Popes who Shook the World". Now started Barnaby Rudge by Dickens and "Wonders of the Universe" by Brian Cox.
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This was transmitted a couple of weeks ago and I thought excellent. Prequels are often disappointing but this was very good.If it is a one-off then that is a great pity because their is great potential for a series. And Barrington Pheloung's music was brilliant as ever
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Three. Only read Jane Eyre mind you.
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It sounds like you had a really good practice there. It must be quite interesting to have patients, their kids,and maybe grandkids,all attend you .
It had its compensations
Do you miss it, or are you glad for the break ? It sure does take a big commitment to be a Dr,doesn't it ?
I miss the contact with (some) patients. When you have looked after them and their families for 30 years it is inevitable that a ccertain fondness grows. Mind you, there were plenty that I was glad to see the back of - the unreasonably demanding, the rude and abusive. They were few in number but made a big impact on life. I also miss (some of) my working colleagues and the staff we worked with.
I miss the science. I miss the learning. But do I miss the job itself? Do I miss working at night? Do I miss seeing 40-50 patients a day and trying to give them all a good service? Do I miss spending hours working through piles of paperwork? Do I miss getting home in the evening too tired to play with my children? Do I miss ther disruption of family life? Do I miss the constant threat of litigation and complaint if I didn't give way to every unreasonable demand? What do you think?
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I don't know if doctors here get paid to prescribe certain drugs.
No, certainly not
The drugs companies certainly bombard doctors with promotional items (pens, paper, many things in the doctors office have drug names on them) but I'm not sure if it goes further. I recently had a work meal at which some people who worked for drugs companies were also at. People from one company said their company is very strict about what they buy for people not involved in the company and that they are not allowed to buy anyone anything (not even a snack) and they are also not allowed to be bought anything by anyone else (again not even a snack), this was to stop any accusations of influencing people by buying them nice meals and trips, so they had to pick their food off the bill and submit that as individual expenses. However, someone from another drugs drugs company (at the same meal) said that was very unusual and immediately paid for everyone else's food and drink.This used to be the case, but it is now much more restricted. Promotional items are all low cost and expensive meals are much less common if they happen at all.
EDIT: didn't see your reply Dr Bill, must have been writing mine at the time, but that's interesting that many people stick with the same doctor after moving, I didn't know that happened.
That's not quite what I meant. If people move well out of a practice's general area then they are expected to change to a GP nearerr their home. There is no regulation that says they must as far a I know, but it is not really practcal to haver patients miles from the surgery. What I really meant was that patients do not tend to chop and change from one practice to another unless there is some major disagreement.
Of course we now have "drop in" centres where people can see a health care professional. Trouble is the professional doesn't know the patient and vice versa. I appreciate it might be convenient for minor ailments but anything complex would create difficulties
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Do you get to choose who you go to, or does the government regulate that in some way ?
Pardon me for butting in. There is no regulation (or wasn't when I was in practice anyway). Anyone can register with any doctor who is prepared to accept them (and it is difficult for a doctor to refuse). The limitations are purely geographical really. By and large people seem very reluctant to change GP's. Families tend to stay with the same practice generation after generation unless they move from the area. And that is usually a good thing - we get to know the families and there little ways over the years. I always thought of myself as a Family Doctor, rather than a "primary care physician" which is the title certain po-faced academics would have us adopt.
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so it's either buy this medicine or give patients a more old fashioned and less effective treatment.
Because something has been around a while does not mean it is less effective. Statins are a case in point. Simvastatin has been around a long time, is out of patent and therefore produced relatively cheaply. But it is still effective. Just because a drug is new and more expensive doesn't necessarily mean it is better. Unfortunately the drug companies are very good at selling their products. There is an expectation that doctors prescribe the most up-to-date medications, but that is not necessarily the most cost effective course of action. If an older drug is effective and tolerated, why not use it.
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I finished Elephants can remember last night. Not one of Agatha's best in my opinion but entertaining nevertheless. Not sure what to go to next. I have Moby Dick on the Kindle but not sure I am in the mood.
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Black Beauty. Read it a million years ago and still get a lump in the throat thinking about it
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I am currently reading "John Henry Newman" by Ian Ker which I must confess I am finding a bit of a struggle. Determined to get through it though.
I have finally given up on this book. I am disappointed because Newman was such an interesting character, but I couldn't cope with the writing style. Maybe I will try again some time
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It's not often I give up on a book but John Henry Newwman by Ian Ker has finally defeated me. Started Elephants Can Remember by Agatha Christie last night. Christie is always good for a light read
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I finally finished reading Bleak House this morning. Goodness it took me a long time. It's a long book anyway and some of Dickens' sentences are so long and convoluted that they take several readings to unravel. Good book though - thoroughly enjoyed it.
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I am about to start reading Frenchman's Creek by Daphne Du Maurier. Really looking forward to it.
I'm sure you will enjoy it. Have you read any of her other historical novels? Jamaica Inn is excellent
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Talking of coffee, has anyone noticed that the woman in the Kenco coffee TV ad is the same one as does the Brclays mortgqge ad with the big egg timer - and that she is wearing the same outfit!! Guess she must have filmed them both on the same day
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Hi Bill!Excellent use of the plural of forum - clearly your medical background includes some latin.
I'm afraid I'm a bit of a pedant when it comes to correct syntax and punctuation. Don't get me started on apostrophes!
have you read "The House of God" by Samuel Shem, and if you have, what's your take on it?'Fraid not, sorry.
Oh, and thank you all for your kind welcomes.
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Your sports
in Sport
Golf and fly-fishing. Was never very sporty. Took up the fishing on my retirement and absolutely love it.
Charles Dickens
in The Classics
Posted
You mean like this?
...a little dry brown corrugated old woman, with a small face that might have been made of walnut shells, and a large mouth like a cat's without the whiskers,..
Superb isn't it