Simulating LIMIT/OFFSET in a subquery

I need to write querys that return the second and third record from a 'visits' table, for each patient. (What I need to
dois look at how many patients were diagnosed on the first/second/third visit to see a physician at the outpatient
clinic).

I can get at the first visit using DISTINCT ON:

SELECT DISTINCT ON (sy.episodeid) sy.episodeid, fu.opdid 
FROM breast_tblfollowup fu, breast_sympt sy, outpatients opd 
WHERE sy.episodeid = opd.episodeid AND fu.opdid = opd.recordno 
ORDER BY sy.episodeid, dateopappt;

( breast_sympt is a view returning the subset of patients that i wish to examine, opdid is the primary key in
breast_tblfollowup,which is linked one-to-one to the primary key of outpatients, called recordno )
 


... but I run into difficulties getting the second and third. I tried:

SELECT sy.episodeid, fu.opdid FROM breast_tblfollowup fu, breast_sympt sy 
WHERE fu.opdid = (SELECT fu2.opdid FROM breast_tblfollowup fu2, outpatients opd2 
WHERE fu2.opdid = opd2.recordno AND opd2.episodeid = sy.episodeid 
ORDER BY opd2.dateopappt LIMIT 1 OFFSET 1);

But of course, ORDER BY and LIMIT are not allowed in sub-queries.

Does anyone know how to work around this? I thought about creating a function that returns the primary key from the nth
visitfor a particular patient, but I am looking for a more general solution as I have a huge list of queries that all
askfor similar things on different tables, and i don't want to have to create similar functions for each query.
 

Thanks for your help!
-- 
Jamie Walker
jamie@sagaxis.co.uk