Intended for healthcare professionals

Soundings Soundings


BMJ 2000; 321 doi: (Published 16 September 2000) Cite this as: BMJ 2000;321:713
  1. Ricardo S Silva, psychiatrist
  1. São Paulo, Brazil

    My brother and I step out of the cab and into my relatives' apartment in Rio de Janeiro, ready for the party—today the family has gathered to celebrate my grandfather's 90th birthday.

    We enter the room crowded with aunts, uncles, cousins (first and second)—only his great granddaughter and her mother couldn't come today—hug and kiss everybody, all the time pressing forward to the centre of the chaos. Grandfather is sitting in his most comfortable chair, surrounded …

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