Abstract
Dr Andrew Skinner (June 2003 JRSM1) laments the disappearance of generalist physicians. I could have done with a generalist, or a one-stop multiprofessional clinic, before my haemochromatosis was eventually diagnosed—by myself at the age of 74. Over the past decades I have been referred to a rheumatologist for arthritis, to a cardiologist for heart irregularity, to two endocrinologists for diabetes. None of them, nor several general practitioners, spotted my enlarged liver or considered that haemochromatosis might be the cause of it and the other unexplained symptoms and signs. I myself only suspected the possibility while listening to a radio discussion about haemochromatosis. Incidentally, some 1% of the population of Ireland are affected by this 'Celtic disease'. Most of them are not aware of it. Neither, presumably, are the several million Irish living in Britain.
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