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01 Became interested in diabetes at Bradford Grammar School. Thought diabetes would combine with having children. Best lecturer at Edinburgh University, Leslie Duncan, lectured on adjusting insulin to diet. | |
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02 I asked if husband & I could attend his clinics. Saturday clinic included dogs! He was eccentric but loved. Learnt about diabetes from course & clinics. Edinburgh clinic very advanced. | |
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03 Clinic kept own records. Tested urine with Clinitest tablets – easy to make mistakes. Nightingale wards. Dr. Duncan encouraged patients to look after diabetes themselves. | |
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04 Husband & I spent year in Nigerian hospital. Then pre-registration year at Western General Hospital – first ever married quarters. SHO in endocrinology. Had baby. Locum building up diabetic clinic at Western General. Second baby. Leslie Duncan arranged for me to do obesity drug trial & work in his Infirmary clinic. | |
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05 1971-2 - Kenya with husband. Nairobi diabetic clinic. Erratic insulin supply. | |
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06 Much diabetes. Many died, particularly Maasai. Kikuyu boy with diabetes helped as interpreter & educator. | |
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07 Returned to Royal Infirmary diabetic clinic. Learnt re dialysis. Acted as link with Prof Jim Farquhar at Children’s Hospital. I learnt from him. He learnt from me re pork insulin. He started Scottish association for care of young diabetic – for paediatricians & adult physicians. | |
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08 1972-4 – good children’s clinic – dietitian, social workers, specialist nurse. Barnardos home for difficult diabetic children. Farquhar learnt to use nurses from time in Africa & raised money for Kenya. | |
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09 Had third baby. Worked part-time in pregnancy clinic. Went through records of Simpson Maternity Memorial Pavilion – high incidence of avoidable perinatal mortality. 1974-6 - started first pre-pregnancy clinic. | |
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10 Did family planning diploma to help diabetes patients. During time at Simpson, greatly reduced congenital malformations. | |
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11 From 1974 - half-time jobs as registrar, then senior registrar. Blood glucose monitoring commoner. Dr. Duncan had done it in 60s with Dextrostix. New insulins. We used long-acting PZI & soluble – like later basal bolus. Duncan used Metformin for Type 2. Duncan advanced in checking diabetics in non-diabetic wards & using intravenous drip during surgery. | |
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12 1975-83 as Senior Registrar, involved with BDA. Children’s camps. Learnt from living with children. Did camp in Canada – their system of exchanges more difficult than ours. Camps good for children. | |
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13 1983 - became half-time associate specialist. Started non-insulin-dependent clinic with education. Meetings with psychiatrist re eating disorders associated with diabetes. Started adolescent clinic. Trained ambulance staff to treat hypos. | |
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14 Involved in St. Vincent Declaration. Became Chairwoman of SIGN. Chaired pregnancy group. Attended Charles Fox’s Northampton counselling course. Then helped run it. Have taught communication skills to students in retirement. | |
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15 1993 - husband got job in St. Andrew’s. I moved to Victoria Hospital, Kirkcaldy – smaller than Infirmary – consultants knew patients. Harder work. Started special problems, pre-pregnancy & adolescent clinics. I learnt from DSN. Diabetes unit opened – best I’ve seen. | |
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16 Interest in prevention of blindness. Ophthalmologist in Victoria clinic. Studied blindness in Fife – found blindness preventable if people attend clinic. | |
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17 1996 – BDA exchange programme with Bulgaria – where people shocked by my disability & diabetic children hidden. I trained Bulgarian midwife. | |
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18 Reflections – delighted when carbohydrate exchanges re-introduced. Great advances, especially healthy babies. | |
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