Fillers A memorable patient

The man who had 42 psychiatrists (and rising)

BMJ 2001; 322 doi: https://doi.org/10.1136/bmj.322.7293.1026 (Published 28 April 2001) Cite this as: BMJ 2001;322:1026
  1. Derek Summerfield, honorary senior lecturer
  1. Department of Psychiatry, St George's Hospital Medical School, London

    Moving on to my next post on a psychiatric training rotation some years ago I met Mr L in my first outpatient clinic. He had a huge file and had been in follow up for 20 years. As he came through the door he announced, “That drug therapy the last doctor prescribed isn't working, you know doctor.”Then he sat down and, far from being jaded by the repeated re-telling, launched into a sparkling resumé of his chronic symptoms and worries. My first reaction (a little naive) was to …

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