Different

doi:10.1136/bmj.b1929

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Alexis Descatha, occupational and emergency physician, occupational health unit, Raymond Poincare University Hospital, Garches, France

alexis.descatha{at}rpc.aphp.fr

When I came in the examining room, he was sat in bed. Even though I was confident with my white shirt and red bow-tie, I sensed a strange feeling. I checked his medical file in order to understand why my resident had asked me to see the patient, admitted to the hepatology unit the previous day for investigations.

I read that he had schizophrenia. The psychiatric disorder was written in bold characters; my odd sensation considerably increased. At this time, I was a young and untrained student, who had never been so close to “madness” before. I forgot …