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BMJ 2003; 326 doi: (Published 15 March 2003) Cite this as: BMJ 2003;326:597
  1. Richard Kingston, specialist registrar in medicine
  1. London

    A 63 year old man with pneumonia was admitted three weeks after he had been discharged after investigation and, ultimately, a diagnosis of an aggressive inoperable lung cancer. The next evening I was asked to review him on the ward because he had become increasingly breathless and uncomfortable.

    Before going into his side room, I sat and read the notes for this and his previous admission. In …

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