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Uzma

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It’s 6.30 p.m. and my last patient has just walked in. I’m running on time and I’m due to meet a few friends for a drink after work. Working in offices, they have been in the pub for ages and have a pint waiting for me. If I can just get through this last patient quickly, whizz through some paperwork, I’ll be in the pub by seven.

Uzma comes in. ‘I need the repeat of my pill, Doctor.’

Happy days! Contraceptive pill checks are a boring part of general practice but quick and easy. I do a speedy blood pressure reading, ask if there are any problems, which invariably there aren’t, and then the patient is out of the door within a few minutes.

Just as I’m generating the prescription, Uzma seems to be welling up. I’m torn now. I am a nice sympathetic doctor. Honest! It’s just that I’m tired and drained and I can practically taste my pint. I really don’t fancy spending the next half-hour listening to a weeping 16-year-old. I contemplate pretending not to have noticed, but it’s too late. The tears have arrived. They are unmistakable, especially as they are now dripping on to my blood pressure machine. I sink into my seat and prepare myself for a long evening.

‘So Uzma, you seem a bit upset?’ Not exactly reading between the lines, given her quiet sobs have now turned into loud wailing.

‘I can’t go home tonight, Doctor; they all hate me. Everyone hates me.’ More wailing and tears. ‘They blame me for everything and always take my brother’s side.’ Wail wail. ‘My parents don’t understand me. We’ve had a massive fight. There’s no way I’m going home tonight. No way!’

Uzma’s parents are from Pakistan. Perhaps they are forcing her into an arranged marriage or trying to make her drop out of school? I saw a Tonight special with Trevor McDonald on this sort of thing. Perhaps I can really help this young woman. I’ll need to get social services and the police involved tonight and find her a place of safety.

‘Uzma, are your parents very strict with you? Are they trying to make you do things you don’t want to do? Do they hit you?’

‘Hit me? God no.’ Uzma looks at me like I’m an absolute idiot. ‘They all just hate me ’cause they’re losers. My sister Nadia, yeah. Oh my God, she’s such a bitch. Only because she’s jealous ’cause she’s got a big arse and no boys fancy her and my mum is always moaning at me about doing my homework and she never says nothing to my brother. He does whatever the fuck he likes.’ Like the tears, the words are now unstoppable. There are no breaks for punctuation, but only the odd pause to wipe her tears and blow her nose before the next torrent of adolescent anguish is released.

My interest is diminished again. There aren’t going to be forced marriages or honour killings. This is just an ordinary 16-year-old having a hissy fit after a row with her parents. Uzma’s mum and dad seem fairly liberal all in all. They probably wouldn’t be too happy if they knew she was shagging Darren who works in the garage but then that’s not a cultural thing, nobody would want their daughter shagging Darren from the garage.

Uzma is still crying her eyes out and is refusing to go home. What the hell am I going to do now? I need some help with this one. I’m rubbish at comforting crying teenagers. Why on earth has this girl come to see me about all this? Surely there must be far better qualified people to deal with this than me. Someone trained in understanding the emotional turmoil of adolescence, someone who finds it rewarding to address teenage angst on a regular basis. Someone with endless patience and empathy and someone who wasn’t supposed to be in the pub 20 minutes ago! As she sobs, I do a quick Google search for teenage counsellors in the town. I get a few numbers and phone them but just reach answerphones. They’re all in the bloody pub, lucky buggers.

Just as I’m wondering how I’ll ever get home, Uzma’s phone rings. It is one of those annoying ringtones that is extra loud and the start of an R&B track that I don’t recognise because I’m over 20. The tears stop almost instantaneously and she answers the phone, ‘’Old on a minute, Doc. Wassup, Letisha … Is it? … Is it? … Oh my days! … Are you chattin’ for real! … I’m just with the doctor and that … I’ll be right there.’

The anguish suddenly vanishes. ‘Sorry, Doc, I’ve got to go. My friend Letisha just got dumped. I’ve got to go round and find out what’s going on.’

Before I can say a word, Uzma is gone. Speechless, I sit in silence pondering the mysterious world of the 16-year-old.

The Complete Confessions of a GP

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