I have known Christmas Eves past as nightmares of frenetic activity; once I saw 28 patients not including 4 housecalls, but today, despite the media's renewed interest in swine flu, the slippery conditions underfoot won out and only 18 patients turned up, some, (in the right age group, ie 18-30), really quite ill with the "swine flu" (if that really is what it is)
Nonetheless I still refrained from offering any of them tamiflu, as I have been distinctly underwhelmed with its efficacy. Often it seems to do little other than adding diarrhoea and vomiting into their already diverse mix of flu'-like symptoms.
I stayed at home in the afternoon, waiting by the phone in case anyone rang in for advice (I wouldn't go out to see any of them; the weather excuse being hard to argue against), but by 4.30 pm no one had called and I can now relax into a holiday mood, which tonight will involve watching "Avatar" on Sky premier (HD, no less). OK, it won't be in 3D, but I have yet to be convinced that that has ever enhanced any movie. But it may take our minds off the gigantic problems currently facing my father-in-law, who has now reached such a degree of degradation that he wets the bed every night (he refuses to wear the pads kindly provided by the "incontinence nurse") and lies for much of the night in a urine soaked bed. How much worse can he get? When he becomes doubly incontinent he will no longer be able to live independently, but that day may never come.
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