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Views & Reviews From the Frontline

The consumerist

BMJ 2009; 338 doi: (Published 04 February 2009) Cite this as: BMJ 2009;338:b445
  1. Des Spence, general practitioner, Glasgow
  1. destwo{at}

    The computer records heave and groan, while patient’s paper records occupy three shelves, having almost consumed an Amazon forest. What lurks within is a dark jungle of tropical allergies, fierce letters of complaint, torrents of investigations, bizarre surgery, and, always, the distant howls of litigation. The list of diagnoses snakes through the record, lined by huge banks of medication. This is not Munchausen’s, but the emergence of a newly evolved breed—an extreme manifestation of …

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