He was one of my consultants. I would come to him later.
Other was Dr. Mubarak. Dr. Mubarak was a sweet guy and a father figure. I used to drink a lot of coffee and work non stop covering three hospitals.
I forget the names of two of the three. Joyce Green is the third where I was based. One of the units had a Reigional Neonatal Care Unit. This is the time Neonatal Care was getting established in UK with Baby Belin units were brought in from USA. I had even done a locum in Hammersmith Hospotal in London.
I had a firm grasp of the Ventilator Units with my super underdtsning of Physics and partial pressure of Oxyen in air and in the Ventilator.
I had to manage 6 babies there for several weeks all alone as a "Medi Locum" and blacklisted the Unit on my own volition and left with a note that never call me for another locum in this unit which was understsffed by all accounts.
IPPV (Intermittent Positive Pressure Ventilation to preven atelectasis and cortical blindness in premature babies) was the only methods available in most units but proper standard ventilation was hard to come by.
Both of these guys did not have an inderstanding on Neonatal Care but that is not a point to bark or brag about.
Coming back to my coffee story I dropped my coffee cup twice on one day and after the morning round I told Mr. Mubarak that unwelcome episode. He immediately called the consultant in Medicine and requested that I have a full Medical Check Up and 10 day Mandatory Leave. He was man with Golden Heart.
All the cases under him with no medical label, I sortrd out for him as a token of gratitude.
One of thise cases was a Temporal Lobe Epilepsy. I used to take vase notes to my room and do a Problem Oriented Medical Record (POMR) annex and the most likely diagnosis in a priority list.
The Indian guy Patel was a man interested in money. He had a Private Clinic in London and he tells me when he goes there for consultation. That means I was in charge of his patients until he returns. This I took it as a bonus for future reference. But that did not work all right due to a single incident.
All his unsolved cases are put to my Clinic List and I sort them out in 6 to 12 weeks.
It was Sunday 31st of January, 1988. My registration ends on that day but I had to cover part of January 1st as a coincidence which is a holiday in England.
I had a very bad night.
One of the cases was a two and a half year old child sexually abused by his police father. The mother brought in her with a false alarm and I could not believe her clinical story. I told her the child needs full clinical examination without telling that her story is inconsistent. I wanted her consent for full examination in writing. After some persuation with her maternal sense prevailing she consented. My worse case scenario was proven right. She was sexually abused recently and on long term basis. I found sevetal human pubic hair in her perineum. She said they were dog's hair and I said I could give a her a sample for her own private verification. She declined acceoting it but I made a point to label 3 samples one for immediate testing, one for the court (Hospital has to save it) and one for the mum/ dad for her own verification. This was my last case and I did an almost perfect clinical examination. I wanted to admit the case but being considerate I gave a call to Dr. Patel and said you need to come and see the case immediately. He said I would see this case in 6 weeks in the clinic. I told him by that time "the tell tale signs would disappear Isn't it" He mumbled and put the phone down. I accurately recorded everything so that he may be incriminated and not me in my absence in CEYLON. Next day he called me to continue work in the same capacity. I refused saying I have no registration and it is not legal. At least he could have said I would call the Medical Council for approval for further extension but he did not. I new he had personal grudge with me and any work under him was precarious.
I stayed in my room for another 10 days to finalize my total departure from England and never to return. But I had made an appointment with a consultant in Pathology to discuss prospect of me changing to Pathology. So after short holiday in CEYLON I visited England to see this guy in Pathology.
He gave a cold shoulder to me and no proper interview was held. I barged in to his room and said what has happened to English Etiquette. He went numb and I said I would never step into UK again.
He was a white guy and I did not know Dr. Patel had any connection to cold shoulder I received from this white man. In any case, I did not have any inclination to know it either way with Good Bye, impending.
That was the grand finale and I met a few of my friends and said this is the last time you may see me in UK.
In any case, I did have only a few fruends.
My wife being a British Council guy did go thete until 1994 when our indefinite VISA expired.
She never worked in UK.
I am glad I left UK.
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