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Just another Sunday

BMJ 1998; 316 doi: (Published 21 March 1998) Cite this as: BMJ 1998;316:944
  1. Timothy J Stannard, general practitioner
  1. Winchester

    I write this one Sunday evening having just finished a centre based session for our local cooperative, which has now been established for just over a year.

    One patient in particular sticks in my mind. She was a temporary resident staying with her parents for the weekend and 30 weeks advanced in this her, so far uncomplicated, second pregnancy. Before leaving home she had experienced some mild suprapubic discomfort and frequency but thought little of it. On the Sunday morning the symptoms had worsened and now she had obvious symptoms of a urinary tract infection. She had telephoned our helpline on the Sunday morning, been offered an appointment, and asked to bring a specimen. When I saw her, in the comfort of a consulting room, her urine had been “dipsticked” (confirming the presence of leucocytes, nitrites, and protein), and a midstream urine specimen organised. She left me with a prescription to deal with her urinary tract infection. …

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