Fillers A memorable patient

Sticking with tradition

BMJ 2006; 332 doi: https://doi.org/10.1136/bmj.332.7544.766 (Published 30 March 2006) Cite this as: BMJ 2006;332:766
  1. Sarah H Oram, specialist registrar in haematology (helenoram@doctors.net.uk)
  1. University College Hospital, London

    Last year I was involved in the care of a young woman who had had Hodgkin's disease diagnosed some 18 months previously. Initial chemotherapy was complicated by her severe learning disability—she lacked insight into her illness and capacity to consent to treatment. We managed to work our way round all the problems, and she sailed through six months of investigations and treatment, always leaving the unit with a smile and a chuckle.

    Everyone was upset when she relapsed and required further treatment. Her venous access had deteriorated so infusional chemotherapy had to be given through a Hickman line. …

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