Filler A memorable patient

“We’d better do it under local”

BMJ 2008; 336 doi: (Published 28 February 2008) Cite this as: BMJ 2008;336:495
  1. Richard Ashford, consultant oncologist
  1. 1Mount Vernon Cancer Centre, Northwood
  1. dickashford{at}

She had been discharged from our breast cancer clinic almost 10 years earlier. There was no reason for her to think she might have relapsed when the bowel investigations at another hospital were normal. Because she had complained about her “waterworks,” she was referred to their local urologists for cystoscopy, but, just in case, the gastroenterologist had also arranged for computed tomography. She was due her cystoscopy after her CT scan but before being reviewed by the gastroenterologist, and she was therefore seen …

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