The Doctor's Cinderella. Susanne Hampton

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       CHAPTER THREE

      RYAN HAD WANTED uninterrupted father-daughter time to discuss the medical issues at hand and then link via a telephone conference to discuss the prognosis and potential treatment plan with Lizzy’s GP and the specialist.

      A choice would need to be made but Ryan had no intention of rushing into a decision that didn’t sit well with his daughter. He had removed his own GP hat and had worn his father hat during the conversation. There were a number of considerations moving forward. How his daughter felt about each and every one of them was paramount to Ryan. With the options clearly explained, Ryan wanted to sit and talk more with Lizzy before making their joint decision and visiting her doctor.

      Finally, a driver arrived to collect her. Ryan waved goodbye and walked his next patient into his consulting room and closed the door. He sat down opposite the older woman and leaned in towards her slightly.

      ‘Tell me, Dorothy, how are you and how is the adjusted medication level coming along?’

      ‘Not too bad, Doctor.’

      The elderly lady’s reply didn’t convince Ryan as he watched as her softly wrinkled hands fidgeted with her handkerchief. She was twisting the delicate lace-edged linen nervously.

      ‘Not too bad?’ he replied. ‘That’s not what I was hoping to hear and it’s not the same as good. I would like to hear that you’re feeling very well, Dorothy. You’re the most energetic and engaging octogenarian I know. What’s bothering you?’

      He didn’t take his eyes away from hers. Ryan was not going to let her leave without an explanation.

      ‘Well.’ She paused for a moment then took a considered breath and continued. ‘My sugar readings are all around six or seven, which you told me is fine, but the headaches are still there. Every day I have one. Some days I even wake up with one and, on those days, they are particularly bad. I don’t like taking painkillers but George says I must take them or I’m like a grumpy bear. He makes sure I do every four hours and gets quite cross if I don’t want to take them. I don’t want to upset him and I would hate to be a grumpy bear but I’m taking twelve of those tablets a day and that can’t be good.’

      Ryan’s displeasure with George’s behaviour towards his wife, insisting that she take the tablets rather than solving the problem, showed in his frown. ‘George is not qualified, Dorothy. And you should not need that level of medication, so let’s get to the reason for the headaches.’

      He did not further push his annoyance that George was encouraging the painkillers without consultation with a professional. Dorothy Dunstan, in Ryan’s opinion, was as far from a grumpy bear as one could get. Even in pain. The eighty-one-year-old was a slightly built woman, with a mass of white curls, stunning blue eyes and the sweetest smile. He had no doubt she would have been very beautiful as a younger woman and her prettiness would more than likely still turn heads in the upmarket retirement village where the couple lived.

      Her husband, George, on the other hand, also a patient of Ryan’s practice, was a solidly built man with a gruff demeanour and very much closer to a bear’s disposition on the best of days, particularly when his diverticulosis flared up and he blamed everyone around him. Ryan was upset that the man would force his wife to take medication just to keep her happy around him.

      ‘Let’s trial a break of your current medication. That may help with the headaches. No guarantee but it’s worth trying that route.’

      ‘Really, Doctor? But what about my diabetes?’

      ‘The surgery to remove your gall bladder last November also removed the chronic infection. That would have been stressing your body and as a result a number of organs were not functioning properly and your blood sugar level became elevated. I have been lowering your dose each month, as you know, but now I would like you to stop taking your medication completely for one week.’ Ryan paused and looked Dorothy in the eyes with a serious expression dressing his face. ‘But, Dorothy, you must maintain a diet without any added sugar as the dietician advised. None. No chocolates or other sugary treats. That means no cakes or biscuits with your cup of tea...and no scones, jam and cream either.’

      ‘I promise, Dr McFetridge, but I do love Devonshire teas and it has been very hard to say no to my friends when they make scones. And George buys us both cake with our coffee after lawn bowls and I don’t like to say no to him.’

      George’s selfish and ignorant attitude was testing Ryan’s patience but he controlled СКАЧАТЬ