Wet Tuesday. October. General practice. Year 28, day 11. Radio news. Car park. Medical bag. Waiting room- half full. Hi all. Open surgery. Password. Mouse. Press. Wait. 

Headache, blood pressure, fundoscopy, acne, GCSE abdominal pain, MSSU, delayed letter, hospital letter, hypertension, change prescription, foot injury, chest infection, recent hospital in ICU, flu vac, emergency contraception, blood pressure, referral IUCD, child vomiting, abdomen normal, mother sciatica, clinical signs, dizzy spells, alcoholism, jaundice, blood pressure, blood tests, infant unwell, doctor worried, oral thrush, depression, lymphoedema, abdominal mass- urgent referral, joint pains, heart fluttering, abdominal discomfort, xray and scan results, deafness, ear drum perforation, chest infection, facial cyst, varicose veins awaiting surgery, fall knee wrist foot, husband hayfever, pityriasis versicolor, bariatric surgery delay, antidepressant update, overweight, knee pain, NSAIDs, hypertension, elderly dementia, dry skin, intertrigo, widow family, epilepsy driving, suicide counselling, asthma, house damp mould, son’s epilepsy, knee replacement, neck pain, chest infection, asthma inhalers, back pain mri.

Coffee. Head phones. Phone calls. Referrals. Sign prescriptions, sick certificates, blood tests. Hi team. Bag. Notes. Car. Radio phone in. Visit new baby.

Kettle. Sandwich. Apple.

Afternoon. Booked appointments. Phone call. Fit in. List. Mouse. Press. Wait. Postman hip arthritis, eye irritation, skin lesion, faint low sodium, blood pressure, emigration, sick line, vaginosis, abnormal liver function, hip pain, ankle swelling, don’t want sigmoidoscopy, stop tablets, flu injection, abnormal gait, child won’t eat, developmental delay, abdominal pain, vomiting/diarrhoea, hip pain, kidney stones, first epileptic fit, minor surgery- ingrowing toenail.

Phone calls, prescriptions. letters, results, insurance report. Partner chat. Shutter brrrrrrrrrrrrrrrrrrr bump. Home.

Domhnall MacAuley is primary care editor, BMJ