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Lyons found that by discussing his own story and issues, patients got the point of taking their care of their health. Despite his best efforts and warnings, some patients needed the point driven home still, even if it took extreme measures. He thought of his appointment with 23 year old Kate West that afternoon and hoped these measures worked. She was headed for disaster if they didn't.Kate was the last appointment of the day. After showing Kate into the office, Rachel, the receptionist, had to leave early. When the doctor came in he asked her for her glucose levels that she was to have had recorded, and looked at her recent lab results. After reading the results, Dr. Lyons looked at his charming but very ill patient.and said, "Tell me the truth, Kate, are you aware that if you don't take your blood levels and inject your insulin and eat properly, you could lose a limb, your eyesight or your very life?"She replied, "Of course." Then you don't care, because this paperwork, and your. Price, can you tell me how urgent the roof repairs are, and what they will cost?”“When it rains and the wind is from the east the rain gets in, so fairly urgent, at least some patching is. Really we need a new roof, and the Vicar claims to know someone who will do that for only a hundred thousand.”David persisted, “But really it should cost twice that to do it properly?”The Churchwarden looked nervously round and nodded.“The heating?” asked David.“Don’t ask,” said Mr. Price, “It is a disgrace but there are no funds for that so we will have to make do.”“I wonder...” David seemed unwilling to continue.“Yes?” prompted the Churchwarden.“Would it be possible for you and I to have an informal meeting with the Bishop to discuss these matters, and the state of either the organ or the organist? There would be no need to involve anyone else, if you know what I mean?”At the meeting with the Bishop which took place during the following week and when they were seated in his office round a small.
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