BMJ 1996; 313 doi: (Published 03 August 1996) Cite this as: BMJ 1996;313:294
  1. Charles Mcgarrity

    Good night Louise

    As I struggle with the requirements for the annual report one statistic springs more forcibly to mind. It is the anniversary of Louise's death. She was 24. I had known her for several years before the illness in question which began four years ago. She was not a frequent attender. She had experienced a sudden pain in her right shoulder one evening and had noticed a lump. The diagnosis in the casualty department was bleeding into a lipoma. The analgesia she had been given had proved to be inadequate. Discussing the situation with her revealed that she had had an ache in this area for a few months but no lump. She worked as a housekeeper at a local hotel which involved a lot of ironing. She had attributed her pain to overwork.

    She received physiotherapy privately but to no avail. After an unsuccessful needle aspiration, which was unexpectedly painful, I arranged an …

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