The pledge

BMJ 2005; 330 doi: (Published 06 January 2005) Cite this as: BMJ 2005;330:84
  1. Wladyslaw Essigman, retired consultant rheumatologist (
  1. Lister Hospital, Stevenage

She was in her 60s and had had osteoarthritis of both hips for nearly 10 years. When I saw her in my outpatient clinic she could hardly walk and was brought in a wheelchair. I thought she was an ideal candidate for bilateral hip replacement, and this was carried out in due course by one of my colleagues.

Shortly after Christmas of the same year, she requested an appointment with me. It was a different woman who now confidently walked into the consulting room. “Doctor, I am very well and only came to thank you for what you have done for me. My husband is now retired, but he had worked so …

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