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Medical mismanagement or public vacillation?
  1. P N Bamford
  1. Academic Department of Obstetrics and Gynaecology, The Middlesex Hospital, London


    Ian Kennedy extols the virtues of self-determination by patients: they should make their own decisions about medical treatment after being given advice by their doctors; for doctors to make such decisions on their patients' behalf is authoritarian and unacceptable (I).

    I present a case where, despite thorough consultation and counselling, the decisions made by the patient and supported by her doctors were found to be consistently inappropriate to her changing lifestyle.

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