Abstract

Thirty-four years in the same room in my practice at the end of the High Street; I closed the surgery door for the last time: I cried on the way home. Now after 15 years of wonderful retirement I reflect on what were the elements of my job that made me so happy through my working life. First and foremost I had a ‘personal’ list in a group practice: three or four thousand diverse people who across the years brought to me a pot-pourri of problems from the trivial to the tragic. I observed every conceivable emotion, every type of human behaviour and a comprehensive catalogue of clinical illness. Not surprising then, that after 34 years of responding to these people they became almost friends. (Well, 300 people turned up for my ‘leaving party’ with an embarrassment of gifts!). With a large list the clinical volume of the commoner conditions was considerable, hence expertise was maintained, and even rarer conditions cropped up fairly frequently (I had four patients with Addison's …

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