Reserve thy judgmentBMJ 2001; 323 doi: https://doi.org/10.1136/bmj.323.7308.333 (Published 11 August 2001) Cite this as: BMJ 2001;323:333
- Chinmay M Gupte, research fellow
- Imperial College of Science, Technology, and Medicine, London
I was a senior house officer nearing the end of my post in ear, nose, and throat surgery. It was not long since I had passed my membership examination, and I was brimming with confidence and enthusiasm. However, I regarded the weekly pre-admission clinic as a tedious routine, particularly so on this occasion as I had experienced a busy duty period on the previous night.
The patient was a 43 year old Irish man who had been listed eight months earlier by a senior surgeon. He had originally been referred to a neurologist with left sided ear pain. After several investigations, including computed tomography, he had undergone a trial of carbamazepine for glossopharyngeal neuralgia. …