BMJ 1996; 313 doi: (Published 13 July 1996) Cite this as: BMJ 1996;313:119
  1. Trisha Greenhalgh

    I sent him in for observation, and he died the next day, of intestinal obstruction. In retrospect, I cannot recall any symptom or physical sign that seemed remotely sinister. He lay in bed, chewing toast and attempting the crossword. His vital signs were uncompromised, and his ample abdomen was soft, though he winced and said “Yes, just there, doctor,” when I felt his epigastrium. His bowel sounds were as normal as yours or mine.

    The one thing that had prompted me to request his admission was this: his entire Lloyd George medical record contained only two entries: “circumcision” in 1923, …

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