Today a young woman from Poland arranges some travel immunisations, and follows this up with a request for a tube of anaesthetic cream to alleviate the pain of the injections. This I baulk at; we do thousands of injections every year, and the patients all seem to manage well enough without it, so I'm afraid this lady will have to as well.
Later a young man phones to say he has just witnessed another man dive from the roof of a multi-storey car park. The man did not die immediately, and our man stayed with him until the ambulance arrived. In the circumstances, could he have some diazepam?
Once again I refused to play, but I did talk to him for some 15 minutes on the telephone and suggested he come in tomorrow to see me. This, it appears, was acceptable.
Finally, just as I am leaving the office, a call comes from the ambulance service. A diabetic man has had a hypoglycaemic attack (low blood sugar). They have assessed him; he is OK, his sugar level is back to normal, but he refuses to go with them to hospital for further tests. Do I want to see him?. Thing is, we have seen this scenario acted out no less than 6 times in the last 2 months, and we are becoming convinced he is deliberately engineering these little crises. The fact that he refuses to go to hospital clinches the fact that there's something fishy about the whole situation. So do I wish to see him? No, I do not.
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