A compassionate endBMJ 2002; 324 doi: https://doi.org/10.1136/bmj.324.7334.407 (Published 16 February 2002) Cite this as: BMJ 2002;324:407
- R H Soper, general practitioner
- Victoria Surgery, Bury St Edmunds
After 30 years in general practice, I don't often experience an event in a working day that, as my grandmother used to say, “brings up lumps.” Recently, the death of a patient produced such a reaction.
Angela was 53 and had Down's syndrome. Institutionalised most of her life, she spent her last few years in a small unit for those with severe learning difficulties. Her Down's syndrome was severe: she had no speech or language, just shouting. Incontinence, an old ununited fracture of the humerus, and …