Filler A Patient Who Changed My Practice

A fateful omission

BMJ 2015; 351 doi: https://doi.org/10.1136/bmj.h3045 (Published 08 July 2015) Cite this as: BMJ 2015;351:h3045
  1. Ami Schattner, professor of medicine, Faculty of Medicine, Hebrew University and Hadassah Medical School, Jerusalem, Israel
  1. amiMD{at}clalit.org.il

It was on one of my first days of a long awaited sabbatical at Stanford. Last night’s admissions were presented. Most turned out to be elderly patients with multimorbidity and many readmissions.

One patient, however, stood out, and I remember him vividly as though 20 years had not passed since. He was a fit 60 year old who had fainted while having a shower. Severe anaemia was found, and he was rapidly diagnosed as having silent caecal carcinoma, which had metastasized to …

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