Licensed to treat - or not

10In the UK…

After I returned from a short four-day trip to the UK in March 2015 I wrote a blog post (see “Consequences”) lamenting the fact that as I no longer have a “licence to practise” medicine in the UK (although I am still a registered doctor) I was unable to purchase a few prescription medications to bring here with me that are not available in Ethiopia. Basically any registered UK doctor working overseas is unable to get the appraisals and revalidation done that’s demanded by the General Medical Council (GMC) to have their “licence to practise” in the UK renewed. The GMC told me to surrender mine in May 2014. Without it I cannot see or treat patients in the UK.

Them Dry Bones

One of the Aksum StellaeOur guide in the astonishing town of Lalibela had promised us a free African massage, and we were now getting it. Bouncing along a rough partially made road in a Toyota van I felt, well, massaged. Chris next to me; Beth and Paul behind, the arid countryside of parched grey earth, scattered acacia trees and primitive farming rushed by backed by truly spectacular mountain scenery.

Happy Birthday to Me

The trayAs will every other day for several months, my birthday dawned bright and cloudless and, somewhat annoyingly, at 6:30 am. It’s Saturday so laying around in bed for a bit is quite appropriate, until I try to watch the BBC Breakfast News when the Internet does what it often does – the speed oscillates alarmingly between zero and very fast for a couple of minutes then it fails altogether.

Oil and Sand

Footprints around the chapelAmharic has a fabulous term to describe naughty or cheeky. It is ‘rabash’. This week an animal on the compound could definitely be described as rabash. There are several wild cats that live in the rubbish pit. I have often jumped when emptying a bin and a cat has jumped down in front of me from a dark corner.

Meskel in the Countryside

Trains at lastSeveral important events have happened recently; a couple of them we noticed much more than in previous years as we now have a panoramic view of the local area from our new second floor flat. The birds changed – the vultures suddenly vanished (hooray!) and dozens of yellow-billed kites returned, circling and swooping around outside our window. (What do all these big birds of prey eat we wondered? Hopefully the local rat population.)


Chris in her new hatIt was during our stay in Awassa that we spotted some outlandish hats – just right to decorate for the Bingham ‘Crazy Hat’ day. They were being sold by boys at the roadside who have hats and baskets in piles to tempt the traveller.

A Tale of Three Cases

My kit bagOften my medical work is little different from my UK practice, except that most of my patients are a lot poorer than the population of affluent St Albans.  I live and work in a big city at high altitude that doesn’t suffer the same degree of tropical disease as more remote and lower places. However sometimes things come my way that take me by surprise. Here are three short examples from my work today that my medical readers in particular will appreciate. it’s interesting to reflect on what might happen were these situations to arise in the UK. One in particular would make national headlines.

Spotty Gym

Chris exercising in front of the window on a very un-busy dayThere are mosquitoes in our gym. I know this because while I was sitting at a weights machine last Thursday I saw one settle on to the 3rd web space of my right hand and the itchy spot I am now scratching is the result. Mine was the last blood it ever tasted.