Gwynnedd Somerville and Charlotte Paul
What are you here for, if not to treat difficult patients?”

“How to take a history from and examine a sick person would seem an unusual starting point to create a philosophy of life … but that did not deter Keith”, writes psychiatrist Sandy Macleod in The Next Patient in the Waiting Room, a book of essays about his father, which we have edited. Keith Macleod joined the Department of Medicine at the University of Otago in 1951 and became a neurologist at Dunedin Hospital. Following his interest in the borderland between neurological and psychiatric disorders, he later became a neuro-psychiatric consultant at Ashburn Hall, retiring in 1983. He was also a philosopher, poet and great talker. The essays in the book explore Keith’s philosophy of life from the point of view of colleagues, family, patients, students, and friends. Here we take the title of the volume to touch on some of his maddeningly difficult ideas.
[Read more…] about ‘The Next Patient in the Waiting Room’: Keith Macleod and the clinical encounter


I flick through the House and Garden mags at the supermarket (although I do have an old collection of my own) and wonder at the perceived modern beauty of black and chrome kitchens and tidy open living spaces: “where is all their stuff?!” I think to myself.
After the death of the Prophet Muhammad in 632 the armies of Islam swept out of the Arabian Peninsula. Within fifty years they had overrun all the territory conquered by Alexander the Great nine hundred years before. Within one hundred years their empire extended from Spain to India and from Egypt to the Caspian Sea in the north. The Caliphs then set about consolidating their empire, building a new capital of Baghdad in 762. This was strategically located on the fertile plain of the river Tigris, away from the reach of marauding armies, yet on the lucrative trading route of the Silk Road to China. The centre piece of the new capital was The House of Wisdom (Bayt al-Hikma), a combination of publishing house, library and research institute. This became the focus of a vigorous expansion of knowledge in all of the sciences including medicine.
