Patients checked: 38 yr woman BP 195/128 with leg pain; 60 yr woman fever, stomach pain, dizzy, BP 192/12;  75 yr woman joint and stomach pains BP 203/105;  51 yr woman arm pains and dupuytrens contractures of fingers ;   50 yr woman stomach and joint pains BP 173/90;  41 yr woman hx of Diabetes Mellitus, a hot back  BP 136/101; 43 yr man   leg and neck pain;  53 yr woman leg and shoulder pain;   10 yr girl  headache one week , malaria likely;  50 yr woman goitre, chest pain, gastro oesophageal reflux oedema L. Leg, hepatomegally;    8 yr girl  infected insect bites;   3 yr girl  6 toes on both feet, requests removal of one toe;   50 yr woman itchy skin;   96 yr woman cough , chronic obstructive pulmonary disease (COPD);   64 yr man cough (COPD)  BP 149/72

July 11   Dr Derek attempts to surf on Sorake edges – he  loses a fin,  and gets ‘a hole’ in his surf board .    Surfer Ben -    ‘teaches' Dr Derek to stand up on board in front of wave.     "YES – FUN! - but am I hooked on surfing - not yet!”.   Consultation today - Father of one of the Losmen Owners –  Diabetic neuropathy – usual advice given and advised diabetes is often a lifestyle disease.