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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.|
|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.
|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.|
|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.|
|05 1971-2 - Kenya with husband. Nairobi diabetic clinic. Erratic insulin supply.|
|06 Much diabetes. Many died, particularly Maasai. Kikuyu boy with diabetes helped as interpreter & educator.|
|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.|
|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.
|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.|
|10 Did family planning diploma to help diabetes patients. |
During time at Simpson, greatly reduced congenital malformations.
|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.
|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.|
|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.
|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.|
|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.|
|16 Interest in prevention of blindness. Ophthalmologist in Victoria clinic. Studied blindness in Fife – found blindness preventable if people attend clinic.|
|17 1996 – BDA exchange programme with Bulgaria – where people shocked by my disability & diabetic children hidden. I trained Bulgarian midwife.|
|18 Reflections – delighted when carbohydrate exchanges re-introduced. Great advances, especially healthy babies.|