BMJ 2003;326:634 ( 22 March )

Filler

A patient who made me think

We should not play God

The first 150 words of the full text of this article appear below.

It was shortly before Christmas. Richard was 38 years old and had inoperable non-small cell lung cancer. Chemoradiotherapy had held the disease at bay for a while, but at the expense of his renal function. Two weeks earlier, he had been told that no further treatment was possible and to prepare for the worst. Dialysis was not an option, so there was no point in seeking a renal opinion. He had been discharged from the tertiary unit for palliative care.

The call came at 10 pm from the local chest physician. Richard was breathless, oligoanuric, and in extremis. A week earlier he had been at work holding down a high powered job. Abdominal pain meant that he was taking a high dose of morphine, but his quality of life remained good. His three young children and his wife were distraught. Things had happened too quickly. They were not prepared. He didn't want . . . [Full text of this article]


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This article has been cited by other articles:

  • Woywodt, A., Schneider, G., Haller, H., Hiss, M. (2007). A hopeless case?. Nephrol Dial Transplant 22: 1253-1256 [Full text]  

Rapid Responses:

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Predicting the Unpredictable.
BM Hegde
bmj.com, 27 Mar 2003 [Full text]



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