Fillers A memorable patient

When reality defies delusion

BMJ 2001; 323 doi: (Published 15 September 2001) Cite this as: BMJ 2001;323:610
  1. Brendan McCann, specialist registrar in accident and emergency
  1. Countess of Chester Hospital NHS Trust, Chester

    In a former existence I was training in general practice in the midlands of Ireland, where my psychiatric attachment included home visits with the community psychiatric nurse, Liam. Liam had worked in the area for nearly 40 years. On the day in question our destination was the remote and beautiful Glen of Aherlow, where two farming brothers with schizophrenia lived in a small isolated cottage. The brothers were in their 60s, and Liam had known them since his arrival in the glen.

    As Liam drove over the Galtee mountains, I was flicking through the brothers' hospital notes. A recurring and prominent delusional feature was noted in John's chart—that his brother, Jim, regularly appeared on the television …

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