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- W2024658924 abstract "continuous dealing with minor problems, which enables us to do this because it is taken over by the renal unit. They do it well, but I would like to make a plea for the greater involvement of the general practitioner with the renal unit and with long-term illness in our practices. Is there a common ground, on a teaching and learning level, which renal units and general practitioners share, a ground which is not primarily an understanding of the disease process, but an understanding of how patients react to their disease process ? DR. OGG: I am delighted that Dr. Baker has said this. It took me two weekends to go through the notes, and when I saw what we had done to this poor girl I was horrified. The notes are a monument to her suffering. She had 34 admissions, 27 operations (including 18 for shunts), and 136 pints of blood (including 50 in the last few days). But I don't think we would make all these mistakes again. We have better access to the circulation, better and larger dialysers, better understanding of nutrition, less anaemia, and much less metastatic calcification. We haven't yet solved the problem of menorrhagia, which crops up every day. But this woman did carry on as a housewife, and she had a little bit to spare because she also worked part time and contributed to local village life. And perhaps most important, her son had his mother's company for an extra seven years. PROFESSOR LESSOF: Thank you. We have presented this case in a way that presents problems and sometimes our own inability to solve them." @default.
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- W2024658924 title "Postgraduate and continuing medical education in a developing country." @default.
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- W2024658924 doi "https://doi.org/10.1136/bmj.3.5977.213" @default.
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