sciatica II

The answer to last Tuesday's quiz was; (b) Osteopath.

From a patient's perspective, I'm still unsure what the difference is. Last time I had a body part requiring expert tweaking I was sent to Physiotherapy. As I recall, they didn't do very dissimilar things to my leg. Chiropractors, I think, are almost wholly an American invention; there they are permitted to adopt the title of ''Dr.'' which can be misleading especially as they're associated with human physiology and therapy. It can be open to abuse; probably why I was thinking quackery.

The osteopath was very good; in fact, it was better than going to the doctors. I had to pay ''at point of use'', mind, a thing that we British don't have to do in the NHS. Of course, we still pay but not ''at point of use''. As a result, without going into the politics, it's hard to know if you're getting ''value for money'' with the NHS, whereas you do know, almost immediately, with ''at point of use''. And I think I got it.

With the GP, no matter how nice they are, you get the sense of time-urgency. Sure, they have so many patients stacked up in waiting, they need you in and out in around nine minutes flat. I don't know what that costs you per hour but ''value for money'' you sense about 50 pence a pop. The Osteopath gave me a full 45 minutes. In that time we discussed my recent medical history, a brief explanation of sciatica, a physical and diagnosis, the therapy itself, including deep massage, a practical instruction in stretching exercises, a look into a totally unrelated complaint (as I had time left on the clock), a discussion on the recession, job opportunities, allotment gardening, being an osteopath, keeping active, and where I could park my bike safely if I ever needed his services again. If he'd offered to make us a nice cup of tea while we sat down to listen to a long-playing record, I couldn't have felt less rushed.

Don't get me wrong; I think the NHS is very important to a civilised society. But you can't help wondering if it's really working all that well.