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MAGAZINE EDITION Chris Johnstone Intro.Waking up from the medical matrix... Letter Column Hope for Palestine? 5 things I wish Id known before becoming a GP Tales of a Grandfather Alastair Short Did You Know? Supporting practices by helping managers... Using SPICE to help meet contract criteria IM&T Quality Practice Award Practice Accreditation Representing GP interests Revalidation - In brief New Educational Opportunities, New Tools Is There Life on Mars? BLEEP Embarrassment hoolets Top Tips Finlay and the Contract Summit hoolet at the Edinburgh International Film Festival CONTRIBUTORS Chris JohnstonePeter Davis Lesley Morrison David Haslam Sommerled Fergusson Blair Smith Alex Thain Peter Murchie About The Contributors RCGP Bookstore BACK ISSUES hoolet 51-Spring 2007hoolet 50-Winter 2006 hoolet 49-Summer 2006 hoolet 48-Spring 2006 hoolet 47-Winter 2005 hoolet 46-Autumn 2005 hool8 45-Summer 2005 hoolet 44-Spring 2005 hoolet 43-Winter 2004 hoolet 42-Autumn 2004 hoolet 41-Summer 2004 hoolet 40-Spring 2004 hoolet 39-Winter 2003 hoolet 38-Autumn 2003 hoolet 37-Summer 2003 hoolet 36-Spring 2003 hoolet 35-Winter 2002 hoolet 34-Autumn 2002 hoolet 33-Spring 2002 hoolet 32-Winter 2001 hoolet 31-Autumn 2001 hoolet 30-Summer 2001 hoolet 29-Spring 2001 hoolet 28-Winter 2000 hoolet 27-Autumn 2000 hoolet 26-Summer 2000 hoolet 25-Spring 2000 hoolet 24-Winter 1999 CONTACTS contact detailsWEB LINKS COURSES |
![]() IS THERE LIFE ON MARS?By Blair Smith In former days it was traditional for Graham Watt, learned professor of general practice at Glasgow University, to begin an after-dinner speech by enumerating the three (sic) different kinds of people in the world: those who can count, and those who cannot. It was also traditional for us to indulge in a ripple of post-prandial laughter, and anticipation of further ribaldry. In my world, however, society is divided into two human sub-species: toonsers and teuchters. The former inhabit large towns or cities, or retain the habits and attitudes associated with such living after moving to rural locations. The latter represent the obverse. Toonsers, for example, demand rapid and easy access to shops and entertainment, while teuchters’ habitual remoteness leads them to assume that they can undress without the need for curtains. Toonsers complain about the noise of roosters and the smell of manure; teuchters about the noise of traffic and the smell of humanity. Toonsers drive the merest furlong to the shops or school because they can, and do it aggressively because they have to. Teuchters drive everywhere because they have to, but do it slowly – at tractor speed, in fact. Both being terms of mild abuse, however, neither sub-species recognizes itself, only the other. Aberdeenshire, combining the riches of oil with the privations of agriculture and fishing, has an equal distribution of each. When visiting football fans come to Pittodrie, one of their songs, aimed at the home fans runs like this:
I can’t read and I can’t write, Rain distinguishes toonsers from teuchters. The merest suggestion of a spit produces a toonser’s umbrella as part of a primitive reflex, in order to protect hairstyles and raiment. A teuchter forgoes such implements as pointless, having neither a hairdo nor a costume worth preserving, and expecting the inevitable accompanying wind to render the umbrella’s intact state transient. When, following this summer’s drought, I expressed pleasure at seeing rain outside my office window, I realized from my colleague’s expressions, that I had marked my transition to teuchterhood. The reason for my joy, or relief, was that our neighbour’s well had recently run dry, and I knew that it was only a matter of a short dry spell further before ours did similar, depriving us of our only source at home. Previous experience informs me that such an event is not usually corrected spontaneously for several months, and our contingency plans had looked like needing activation until the rains came. In the country we take water for granted no more often than those in the city cross the road with eyes shut. A few years ago, I noticed comet Hale-Bop adorning the sky on my way home from work. We happened to be playing host to one of our medical students, a bright young toonser. I took him into the garden and pointed out the comet, awaiting his awe. He was indeed awe-struck, but not by the comet, which he found only relatively interesting. It was the whole night sky that mesmerised him. He had never seen this in an environment free of light pollution, and the intensity of starlight signifying the magnitude and detail of the cosmos was a revelation. My teuchter habitude had made me guilty of ignoring this and focusing on only one of these stellar bodies; his innocence found the comet no less fascinating, but only as part of the whole. Let us not be blinded by habit. Of course, as I write, Mars is all the rage. The other day, at 10:51, Mars came closer to the Earth than it has been for 60,000 years. Undoubtedly like yourselves, we were out there with the telescope, admiring its hues and exclaiming at its southern ice-cap. Mars will be with us for another month or two, gradually adding to the 35 million odd miles that currently separate us. Needless to say it has always been there, and frequently visible, but its present high profile reminds us of our neighbour, and that the universe is exciting. We are, as individuals, most unlikely ever to reach Mars. All we can do is look at it, and fantasise landing there, aiming to answer David Bowie’s generation-old question. Will this be the same for our profession? The out-of-hours issue is something of a red planet. The removal of our responsibility for 24-hour care is a crucial component of the new contract whose elliptical orbit has swung the possibility nearly into reach. Across the land NHS Trusts and Health Boards are devising and costing more or less realistic plans to provide out-of-hours cover without GPs. We wonder how it will develop, secure in the knowledge that “they” will have to come up with “something”. The costs threaten to bankrupt the Trusts, but that need not concern us – we have faith in our negotiators and managers. And yet it must. For if we do not work together to solve the provision of out-of-hours care in a practical way, the issue will swing out of view again, never to re-materialise. At least, not for another 60,000 years.
Other hoolet online articles by Blair Smith can be found at:
hoolet is the magazine of RCGP Scotland. It is supported intellectually, financially and emotionally by RCGP Scotland. |
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