If you're waiting for the post about SGLT2 inhibition (and I'm not sure why you would be), it's on its way, but things more exciting and noteworthy have been cropping up to postpone the pleasure. The last few days have produced anecdotes that made me think "That would be great for the blog", and I'm writing this when I should really be working on the family calendar, and I've got to go to town in a bit, so time is short.
Short anecdote about a patient first: it was the first appointment of the day, the patient was slightly early, and as we walk from the waiting area to my room I generally ask how things are going in a general, casual everyday manner. The patient said "Pretty good, I've lost a stone [14 lb, about 6.4 kg]."
That's a good start to a consultation. When we're sitting down, I follow up with "So tell me, how did you manage to lose all that weight?" The patient looked at me in an odd way, as if I were a little bit dim, and said "I just did what you told me to do!"
So that was a good start to the day.
Further anecdotes result from the slew of Christmas parties that I've been at - the second and third were on Friday and Saturday nights. The second party was at a large hotel and conference centre, where at least three different events were being held concurrently, parking was being marshalled, and we were met at the entrance by a couple of burly security men asking to look in our handbags.
"What can they be looking for?" I wonder. "Has there been violence with weapons in the past? Do I look like someone who is hiding a knife in her bag? Are they expecting jihadists?" My naive questions are answered as I join our party in the main hall. One of my colleagues greets me with "Did they search your bag? I can't take my coat off yet, I've got a bottle of vodka in my pants" and she showed me the bulge in the front of her dress. Not only was she aware of the measures being taken to safeguard the takings of the hotel bar, but she had gone to great lengths to bypass them. I last saw her as she was being helped from the dance floor.
I am regarded as a mixture between an alien and a prude because I always drive to and from these parties, along with my other non-drinking (usually pregnant) colleagues. A different approach to alcohol applied to the third Christmas party with a different team, who had decided to use the teenage principle of 'pre-loading'. We were invited to pre-party cocktails, where I found a couple of colleagues who had rather overdone it. We all made it to the venue (a Masonic Hall) but they didn't last long enough to have their starters before having to be collected and taken home by a husband - I found out later that they had been pre-pre-loading with wine at another colleague's house even before the cocktails.
With two out of nine of our party already down and out, we enjoyed the meal and waited to see what would happen next. It was entirely organised by and for the hospital staff and was fundraising for dementia care, so I was expecting a live band and a raffle alternating with the disco, as is usual at this type of event. Instead, a tall, flamboyantly dressed woman introduced as 'Sabrina' entered the room and started to dance and mime along to the music. A surprisingly muscular, thick-waisted, slim-hipped woman...
As drag acts go, this was a corker. Not too naughty, very funny, it had me grinning and clapping and laughing until my face hurt. After the first number, one of my colleagues, a lovely chatty lady now wearing party antlers, stage-whispered to her neighbour "I think it's a man dressed as a woman!"
She and I were first on the dance floor when the disco started, and for a change the DJ had adopted the approach of playing music that made people want to dance - surprisingly rare in my experience. I've only got one more Christmas party coming up, and I doubt that it will be better than this last one.