A model patientBMJ 2007; 334 doi: https://doi.org/10.1136/bmj.39087.750370.BE (Published 25 January 2007) Cite this as: BMJ 2007;334:193
- Nicola Thomas, senior house officer, Sheffield Care Trust, Sheffield (firstname.lastname@example.org)
Mary wasn't feeling very well according to the nurse on the other end of the telephone. The nurse said that Mary “came over a bit funny” at the dinner table and was found to have an irregular pulse with a rate of about 30 beats/minute—enough to make anyone come over a bit funny. I went to see Mary, examined her, and performed electrocardiography, which confirmed slow atrial fibrillation.
I contacted the cardiology registrar, who listened patiently while I presented my case. At the end …