Fillers A memorable patient

Informed consent

BMJ 2001; 323 doi: (Published 10 November 2001) Cite this as: BMJ 2001;323:1124
  1. I Tiwari, associate specialist in gastroenterology
  1. Broomfield Hospital, Chelmsford

    I first met Ivy three years ago when she came for her 29th oesophageal dilatation. She was an 86 year old spinster, deaf without speech from childhood, and the only sign language she knew was thumbs up, which she would use for saying good morning or for showing happiness. She had no next of kin and had lived in a residential home for the past 50 years. She developed a benign oesophageal stricture in 1992 and came to the endoscopy unit for repeated dilatations. The carers in the residential home used to say that she enjoyed her “days out” at the endoscopy unit.

    We would explain the procedure to …

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