The importance of listening

BMJ 2008; 337 doi: (Published 09 July 2008) Cite this as: BMJ 2008;337:a272
  1. Charlotte J Mance, second foundation year doctor, Royal Cornwall Hospital, Truro
  1. cmance{at}

    When I was a second year medical student my father was diagnosed with a neuroendocrine tumour of the pancreas. Chemotherapy provided some symptomatic relief, but two months after the end of the course of treatment he developed heart failure as a side effect, and he was quite limited in his activity. During his chemotherapy he had continued his job as a director of a large organisation, but when he developed heart failure he took retirement.

    Within a few months it was clear that he was terminally ill, …

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