BMJ 2001;323:731 ( 29 September )

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More on pre-mortal provision

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In his article on pre-mortal provision in the BMJ of 2 June, Douglas Black shows his customary wisdom when he points out that, in making a living will, it is not possible to be sure that convictions will remain unchanged.1 How right he is, as I now know to my own satisfaction and happiness.

At noon on January 12 this year I began to experience pain in the right iliac fossa, which quickly crescendoed. I lay on the sofa and applied the 13 questions required for the elucidation of any pain of unclear origin.2 On examination there was tenderness on release. Appendicitis and Meckel's diverticulitis could be excluded because both had been operated on in 1970. The pain had none of the characteristics of renal disease, nor could I relate it to previous coronary artery problems, which had been dealt with most successfully by bypass surgery in 1992.

However, I knew that I had . . . [Full text of this article]
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