Re-adjusting expectations

Re-adjusting expectations

We had a fifty one year old gentleman with NASH (non alcoholic steatohepatitis) who had presented with haematemesis on our ITU outreach list on the previous Friday with a litre of haematemesis witnessed in A&E. There was no gastro on call over the weekend so he...
Re-evaluating: from protocol to personal.

Re-evaluating: from protocol to personal.

Some conversations are difficult – really difficult. We know we need to have them; explore options, weigh up risks and benefits, talk about how the end of life may be. Wouldn’t it be so much easier if there was just a standard script – one that...