Tag Archives: patient

Keeping fit

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Evening jogger_240

 

While I was engaged to my wife, she suggested that I join her at her health club and try some of its facilities.

The first time I went, I decided to go swimming. After swimming two lengths very slowly, I managed to climb out of the pool, exhausted and breathless.

For the next visit, my wife-to-be suggested that I try a session in the sauna. She thought it would do me good and would  not be particularly exhausting. I removed most of my clothes and sat alone in the poorly-lit sauna room. After a few minutes I began feeling cold, and started shivering. Fed up with this miserable experience, I left the sauna, and got dressed. The sauna had not been switched on!

Undismayed by this, I decided to give the sauna another try a week later.  This time it was switched on, and steaming hot. Because my first visit had been so boring, I decided to take a magazine into the sauna to read to pass the time. I took my place on a bench alongside some very muscular men and opened my copy of a glossy BBC clasical music magazine. Within minutes, the glue holding my magazine together melted. Numerous pages covered with fascinating information about classical music floated gently downward on to the floor of the sauna, Sheepishly, I recovered some of them, and then hurried out of the sauna.

“Why not try the exercise cycles next time? ” my wife asked. “Good idea,” I replied reluctantly. So, a week later, I sat in the saddle of an exercise bike. My wife was seated on a neighbouring cycle pedalling away while reading a book resting on the handle bars. The third cycle in the room was being pedalled furiously by a man lstening to his Sony Walkman through a pair of headphones. Meanwhile, I was just trying to move my cycle’s pedal … completely unsucessfully. After a few minutes, I abandoned the cycle, and after that I have never bothered with health clubs again. 

“That’s a pity,” you might think.

But, maybe not, as I will explain.

When I was practising as a dentist, quite a few patients, often young men, used to limp when they walked into my surgery. Almost everyone of them had injured knees or tendons whilst playing football or running, or trying to keep ‘fit’. When I saw them, I thought how lucky I was that I did not become addicted to ‘keeping fit’.

Turn it off!

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When I first qualified as a dentist and went into practice in 1982, nobody possessed mobile telephones (cell-phones). By the time I retired in 2017, practically all of my patients, even some of the children, carried and used these ‘phones. Believe it or not, my patients often tried using their ‘phones during my appointments.

phon

It was very annoying and ruinous for concentration when a patient stopped me in the midst of performing a delicate operation in his or her mouth in order to answer the ‘phone. Some patients even attempted speaking on their mobiles when their mouths were full of impression materials.

 

One day, I met my next patient at the reception desk. He had arrived punctually, but had his ‘phone up to his ear. He smiled at me, and then said:

“Give me a minute, I am in the middle of a telephone interview for a job.”

“Ok,” I replied, “come into my surgery when you are finished.”

Ten minutes of his half an hour appointment passed, then fifteen, and then twenty…

At the end of half an hour, I returned to the reception desk. My patient laid down his ‘phone, smiled, and said:

“I’m ready now. My interview is over.”

I replied:

“So is your dental appointment. You had better book another one another day.”

Even more annoying were those who insisted on asking me a question and then, instead of listening to my reply, began sending SMS messages. I recall one lady, who had very complex dental problems, which required much explanation of treatment options before I could proceed any further with helping her. Did she listen to me? Oh, no she did not. For half an hour, she sent a series of SMS messages whilst I spoke. At the end of her appointment, she asked me to repeat what I had been telling her because she had had to send a series of “very important” messages. After that experience, I put up a notice in my surgery, forbidding the use of mobile ‘phones. It was a successful move. Patients would reach for their ‘phones, and then my assistant or I would point at the notice. The patient would then apologise, and turn off the ‘phone.

I love you…

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Teeth_500

In the second half of the 1990s, I worked in a dental practice in West London, not far from Ladbroke Grove. It was also not far from a home or shelter for mentally-compromised people. In those days,  patients with psychiatric problems mixed with the other people in the local community. Many of these people attended our practice as dental patients.

‘P’, one young man, a schizophrenic so he told me, was a regular patient of mine. Usually, treating him presented no problems other than those relating to the technical details of sorting out his dental problems.

One morning, P attended my surgery. He sat in the chair, which I then set to the reclining position. Lying down, he said to me, out of the blue and without any prompting:

“Mr Yamey, I have decided to become a homosexual.”

At a loss as to how to respond adequately, I said:

“That’s nice.”

Then in a strong voice, P exclaimed:

“Mr Yamey, I love you.”

“Thank you,” I responded lamely, adding: “Let’s get on with your treatment now”.

At that moment, my dental assistant, ‘Gemma’, walked into the surgery, ready to assist me with the treatment I was about to provide P. Within seconds, P began unzipping the fly on his trousers.

“Put that away immediately,” I ordered, “otherwise we will have to summon the Police.”

P followed my instruction and behaved perfectly normally throughout the rest of the treatment session.

When the appointment was over, P sat up from the reclining position, and placed a pile of low denomination coins on the armrest closest to me.

“That’s a tip for you, Mr Yamey.”

I thanked him, and then returned the coins, knowing that he could ill afford to waste money on me.

Gifts of the grateful

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In the 1980s, I visited my friends in the former Yugoslavia frequently. Also, I visited Albania and what is now independent Kosovo. During my trips, I picked up a large vocabulary of Serbo-Croat, including quite a selection of outrageous swear words. Grammar has always been beyond me in foreign languages, and often in my own. My interest in Albania and my brief visits to Albanian-speaking parts of the Balkans resulted in me acquiring some vocabulary in Albanian, but far less than in Serbo-Croat. Until the 1990s, I believed that my fragmentary knowledge of these languages would be useless outside the Balkans.

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Prizren in Kosovo, pre-1990

During one trip to Belgrade, a friend arranged for me to be an observer in a clinic of a leading oral surgeon. I turned up at a large hospital and spent a couple of hours watching the surgeon reviewing a series of his patients. Although I was grateful to be allowed to watch the great man, I learned little that was relevant to practising dentistry. However, one aspect of this clinic interested me greatly. As each patient entered the consulting room, he or she presented the surgeon with a gift: a bottle, a large piece of cheese, a ham, etc.

The last patient to enter, a man in a somewhat shabby suit, entered and sat in the dental chair without having presented a gift. After his mouth had been examined, the surgeon took the patient and me out into a corridor. We walked through the hospital to a room with locked doors. My host unlocked it, we entered, and he locked the doors behind us. After a brief conversation, the patient handed the surgeon a small brown envelope, which he thrust into his jacket pocket. Then, after the doors were unlocked, the patient went one way, and we went another way. As we walked along the corridor, my host patted the pocket containing the envelope, and before bidding me farewell, said: “Pornographic photographs.”

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Poster of Marshal Tito in Sarajevo, Bosnia in the 1980s

My last visit to Yugoslavia was in May 1990.  Soon after that, wars broke out in the Balkans, and the former Yugoslavia disintegrated painfully to form smaller independent states. In the early to mid-1990s, there was terrible strife in Bosnia. Many people fled as refugees to places including the UK. In the late 1990s, Kosovo suffered badly from warfare between the Serbs and the ethnic Albanians. Many of the latter fled to the UK.

I moved from one dental practice outside London to another in London, an inner-city practice, in 2001. A significant number of my patients there had come from the former Yugoslavia as refugees. I was the only person in the practice who could greet them in Serbo-Croat or Albanian. Maybe, I was only one of a few dentists in London at that time who had this ability.

To the Albanian speakers my vocabulary was restricted to words such as ‘hello’ and ‘good-bye’, which brought smiles to their faces. Following a trip to Communist Albania in 1984, I recalled the Albanian words of political slogans such as “Long live Enver Hoxha”, “Enver’s party”, and “Long live the Peoples’ Party of Albania.” As many of my Albanian patients had come from Kosovo rather than Albania, these slogans meant little to most of them.

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Travnik, Bosnia, 1975

My limited Serbo-Croat was more extensive than my Albanian. I could entertain some of my Bosnian and Serbian patients with polite small-talk. Many of the ex-Yugoslav patients, like those I had seen long before in Belgrade, brought me gifts. Even those, with whom I felt I was not getting along with well, brought me, usually, bottles of home-made alcohol (e.g. rakia, slivovitz, and loza) that had been distilled by relatives who had stayed behind in the former Yugoslavia. These strong alcoholic drinks were delicious, smooth, and delicately flavoured. One fellow plied me with DVDs of the latest Hollywood and other films that he had ‘pirated’. One lovely lady from Bosnia presented me with a pair of earrings, which her uncle had made, to give to my wife. She wears these often, and she is very grateful.

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Many Middle-Eastern patients also felt that it was appropriate to bring me gifts. Thus, a lot of delicious baklava and other similar confections came my way. Delicious as these were, they were neither good for my teeth nor for my general health. A Hungarian family kept me supplied with large gifts of paprika powder, and there was a Romanian gentleman who brought me nice bottles of wine. Incidentally, the only words of Romanian I know are “thank you” and “railway timetable”. Once, we employed a Romanian dental nurse and I told her my Romanian party-piece “Mersul trenurilor.” She pondered for a moment and then replied “Ah, the programme of the trains.”

Once, my dental nurse, a friendly West Indian lady, and I were standing near a window facing the main road when a delivery van stopped nearby. A man was delivering trays of baklava to a nearby shop. I said to my nurse: “Why don’t you see if he’ll give us some to try?” She returned with a tray of baklava. Carelessly, because I was in a hurry to see my next patient, I put a large lump of baklava into my mouth, and then bit hard on it. As I was doing this, I heard a deafening bang in my head. The baklava was not too fresh. I had split a molar tooth into two parts, the smaller of which was loose in my gum.

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Baklava

Unlike this disastrous piece of confectionary, the gifts kindly given to me by my patients did no harm. Furthermore, what I believed to be a useless tiny vocabulary of Balkan languages proved to be quite useful.  

Finally, you might still be wondering whether anybody ever took me aside to present me with an envelope containing pornographic photographs. To satisfy your curiosity, I can tell you that nobody did.

In Germany, we only eat…

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High up in the sky,

a compartmented tray,

consuming airline food 

FLIGHT 1

 

Since I was a little boy (many decades ago), I have been travelling on aeroplanes, usually to and from holiday destinations. The food served during flights has always intrigued me. As a child, I used to collect the miniature containers of salt and pepper that appeared on the compartmented food trays. I can remember these better than the far from memorable food served with them.

In 1963, we took an overnight flight from New York to London. When the breakfast tray arrived, I remember that there was a hot, foil-wrapped item on the tray. Cautiously, I unwrapped it to reveal a long spindle of something yellow and rubbery. I hit it with a knife. The knife bounced off it. My mother told me that what I had revealed was an omelette. To this day, omelettes on ‘planes have repelled me. I love freshly made omelettes, but one made several hours earlier and reheated has no appeal for me.

The best food I have eaten in the air was on Air Lanka ‘planes in the mid-1990s when we were travelling between London and Colombo. The food was served in large foil containers, rather than in in tiny neat plastic dishes. Delicious Sri Lankan curries were served. They tasted as if they had been lovingly prepared in someone’s home rather than in an industrial kitchen. My wife recalls eating whole steaks and caviar on an Aeroflot flight between Moscow and New Delhi in the late 1980’s. The burly stewardesses served the food on real porcelain plates.

More recently, I have been travelling regularly to India. There is a direct flight between London and Bangalore operated by British Airways (‘BA’), on which we used to travel. The staff on these flights were coolly efficient. The meals were not so good. For some years I had a dental patient, a friendly fellow, who worked for BA as a cabin crew member. When I told him that I was not keen on what was served on BA, he suggested that I pre-order the seafood meals. These turned out to be better than the regular meals, and we ordered these on several successive flights. Then, on one BA flight I was seated next to a very devout Muslim couple, who did a lot of praying during the ten-hour flight. When their meals arrived, a delicious aroma spread from their trays. When they removed the foil from their hot dishes, I saw that they had been served with what looked like really nice curries and biryanis.

After seeing these halal meals, that is what I pre-ordered on all our subsequent bookings with BA. We were not disappointed. BA used a good quality halal caterer. Many people who order halal food are teetotal. The BA crew did not raise an eyebrow when we ordered gin and tonic or bloody Mary cocktails with our so-called ‘Muslim meals’.

FLIGHT 2

Before BA operated the direct flights between London and Bangalore, we had to make the journey with one change of ‘plane. The German airline, Lufthansa, ran a convenient flight from Frankfurt (Main) to Bangalore. On one occasion, we were served two meals on the flight. The first meal included some meat. Several hours later, the second meal arrived. It was a selection of vegetarian food items. Now, I have nothing against vegetarians and vegetarian food, but I like a bit of meat or fish with my veg. I called the stewardess and asked if there was a non-vegetarian option as there had been during the earlier meal.

“No,” she said abruptly.

“Why?” I asked.

“In Germany,” she explained, “we only eat meat once a day.”

What nonsense, I thought. Whenever I have visited Germany, I have seen people eating meat at breakfast, lunch, dinner, and in between these repasts. I was not going to put up with her inaccurate reasoning.

“Well,” I replied, feeling a little bit hypoglycaemic, “I shall be ill if I eat this vegetarian offering. You must find me some meat.”

“One moment, please.”

She disappeared out of our cabin. Maybe, she was worried that I might eat her. After some minutes, she returned with a tray containing some very tasty pieces of fish.

Apparently, Germans who travel business class eat non-vegetarian food more than once a day.

POSTSCRIPT:

I cannot understand why airlines feel that they have to serve hot dishes mid-air. Most of these dishes are shoddy versions of the descriptions given to them on the tiny menus handed out to fool you into thinking that the airline will treat you to ‘fine dining’. I believe that many people would be happy with a selection of tubs of what the Greeks call ‘meze’. These could include things like hummus, taramosalata, tzatziki, olives, cole-slaw, nuts, mutabel, guacamole, salsa, etc. No cooking required, and fun to eat.

Keep your hair on

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Mr T was a regular attender at my dental surgery. Bald, he had a high pitched voice. For some years he made appointments on Saturday mornings because he commuted during the weekdays. He retired and then began coming to see me on weekdays.

One Thursday just before Mr T was due to enter my surgery, our receptionist rushed in and said : “Don’t be surprised when you see Mr T.”

A few moments later, a woman in fairly dowdy, quite unfashionable clothes walked in and sat in my dental chair. When this person with a good crop of hair greeted me, I recognised Mr T’s voice and his familiar face was framed by his unfamiliar hair. I looked at my dental nurse, and she looked back at me, astonished.

As I always did, I asked the patient whether he/she had any medical problems lately, or had to see the doctor lately. The transformed Mr T said “not at all.”

Puzzled, I performed the dental check up, and discovered that there was a tooth that required extracting. T consented to this and we arranged for him to return a week later. He/she left the room.

In those days, early in my career, whenever I performed a tooth removal I asked the nurse to support the patient’s head gently during the procedure.

As soon as T left the room, my nurse said to me: “Don’t expect me to support his head next week. What if his wig were to come off in my hand?”

A week later, dressed as before in dowdy women’s clothing and with a full head if hair, the previously bald and previously male-attired T turned up for his extraction.

Before commencing, T asked me in his high-pitched voice which was now in complete harmony with his female appearance: “Will this take long?”

I said: “Only a few minutes. Are you in a hurry?”

“Slightly,” T replied, “I am going shopping with my wife in a quarter of an hour.”

I suspect that throughout his working life, T had yearned to appear female, but only in retirement was he able to make his fantasy into reality. His wife must have been a very understanding woman.