Does your heart go on vacation?

BMJ 2004; 328 doi: (Published 08 April 2004) Cite this as: BMJ 2004;328:890
  1. Elizabeth Rider, codirector
  1. Communication Skills Teaching Program, Harvard Medical School, Boston MA, USA

    Carlos, a quiet 7 year old with light brown tousled hair and big brown eyes, arrived with his mother for his yearly check up. He sat on the examination table, swinging his legs back and forth.

    As I walked in, Carlos told me he had a question. “What is your question?” I asked.

    “Can you check my mom to see if she can have another baby?” he asked with sincerity and thoughtfulness.

    “Would you like another baby at your house?” I asked, watching his 2 year old sister climb on to his mother's lap. Carlos talked about …

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