Fillers

A MEMORABLE PATIENT

BMJ 1995; 310 doi: http://dx.doi.org/10.1136/bmj.310.6976.368 (Published 04 February 1995) Cite this as: BMJ 1995;310:368
  1. Gordon Black

    A good death

    Fen was Dutch and had come to Bermuda after the second world war. He was a lawyer and obviously very successful. I saw him infrequently, only about two or three times in 10 years, but when he walked into my office on this occasion I noted a weight loss and his tired expression. His symptoms were few—vague abdominal discomfort and lack of energy. On abdominal examination the diagnosis was obvious. The liver was enlarged, hard, and knobbly. He wanted to know my diagnosis. I told him he probably had metastatic deposits in the liver from a primary in the stomach or …

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