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BMJ 2004;328:890 (10 April), doi:10.1136/bmj.328.7444.890
| The first 150 words of the full text of this article appear below. |
Carlos, a quiet 7 year old with light brown tousled hair and big brown eyes, arrived with his mother for his yearly check up. He sat on the examination table, swinging his legs back and forth.
As I walked in, Carlos told me he had a question. "What is your question?" I asked.
"Can you check my mom to see if she can have another baby?" he asked with sincerity and thoughtfulness.
"Would you like another baby at your house?" I asked, watching his 2 year old sister climb on to his mother's lap. Carlos talked about his cousin, who had a new baby, and how he liked babies. We decided that the decision about whether his mother had another baby would be up to his parents. His mother smiled.
Satisfied, Carlos had another deep question. "Does your heart go on vacation?" he asked, becoming fidgety.
"Tell me more about
Elizabeth Rider, codirector
Communication Skills Teaching Program, Harvard Medical School, Boston MA, USA