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  I have unfortunately had to have a number of dealings with the NHS over the past month.
  
  Neuro consultant.
  
  GP.
  
  Pulmonary rehab.
  
  Spirometry test.
  
  COPD nurse.
  
  FWIW my teeth are also on the way out - some of them literally.
  
  Yesterday I had to see the 'Advanced Nurse Practitioner'.
  
  I asked her where she appeared in the scheme of things.
  
  She said she can do 'anything a GP can do except sign death certificates'.
  
  I told her I was hoping it wouldn't come to that!

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