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Laurel: "What's for supper, Ollie?" Hardy: "Fries
and beans, Stanley." Laurel: "Gee, Ollie, you sure know how to plan
a meal."
Laurel innocently fuels Hardy's conceit, and the boys are much too
contented. They have committed the sin of hubris and you know disaster
is about to befall them. It's like when Frankenstein was happy,
playing with the little girl: it was a bad time to go near him with a torch.
With the right partner either Laurel or Hardy might have gone
far, but their mutual dependency feeds their worst qualities and
constantly places them in impossible situations, like trying to carry a
piano across a rope bridge between two alpine cliffs with a gorilla in
the middle.
Forget viruses, bacteria, trauma, cigarettes, radioactivity If it was only as simple as drug interactions. My pharmacist can call
me and say, "That guy you prescribed aspirin for, he's on warfarin,
and you wanted him to have verapamil, but he's already on digoxin."
And I can reply, "Thanks, pal, you take over his medical management,
and I'll flog him some cheap aftershave."
But there is no predictability to relationships, no database to allow
any kind of rational forecast; we throw our balls up in the air and
they come down in a totally random manner. Two beautiful and gentle
people can produce plutonium, two obnoxious and dysfunctional people
can sing as sweetly as a linnet.
Trying to help in any way is fraught with pearls. Non-directional
counselling and a sympathetic ear are usually the most we can offer.
Anything more interventionist invites retaliation; no longer a soothing
escape valve, we have become part of the problem. As one patient said
to me, "I'm angry with my wife, with my mother, and with my kids,
but most of all, doctor, I'm angry with you."
what
screws most people up is relationships, with other people mostly.
Firstly, I'd like to quote myself: "If general practitioners have
any specialty it is the individual." And then I'd like to quote
Nietzsche, because great minds think alike: "It is easier to
understand mankind than to understand one man." But once it goes
beyond one man and becomes a man and a woman, or two men, or two women,
or one more woman going nowhere just for show, with the church maybe
getting into bed beside them to complete the brew, no understanding is possible.
Liam Farrell Crossmaglen, County
Armagh
What can you learn from this BMJ paper? Read Leanne Tite's Paper+