Clinico-pathological discussion programme. 5, David Marshall.

Parts one and two of this video outline David Marshall's case history; he is an overweight, stressed advertising executive who also smokes. There is a brief dramatised insight into his poor lifestyle at work and at home; he has just won an account for a well-known liquorice brand (which has relevance later). He visits his GP and sees a trainee doctor rather than his regular doctor. His blood pressure is high; he smokes 30 cigarettes a day and takes no exercise. His consultation seems perfunctory and the doctor is constantly interrupted by the telephone. He returns to the GP a few months later; his regular doctor asks some lifestyle questions and suggests that he returns about a month later to have his blood pressure checked, although the focus is on losing weight. It transpires that Marshall has been taking some but not all his prescription medicine. The doctor tries to get Marshall referred to the cardiac clinic, but can't get an appointment quickly. He has raised glucose levels and is still overweight. He has a mild heart attack in the street and goes to hospital. Part three is presented by T. W. Greenwood who goes over what we know about David Marshall. Greenwood makes some suggestions regarding Marshall's care. End intertitle 'Full prescribing information on MODURETIC and ALDOMET is available at this film meeting'.