PT - JOURNAL ARTICLE ED - , TI - Case conference. Earning his heroin but seeking release while the surgeon advises amputation. AID - 10.1136/jme.13.1.43 DP - 1987 Mar 01 TA - Journal of Medical Ethics PG - 43--48 VI - 13 IP - 1 4099 - http://jme.bmj.com/content/13/1/43.short 4100 - http://jme.bmj.com/content/13/1/43.full SO - J Med Ethics1987 Mar 01; 13 AB - A man aged 80 years presented with painful ischaemia (inadequate blood supply) affecting his left lower leg. There was no effective medical treatment. The surgeons recommended amputation. The patient refused, in spite of suffering severe pain for fifteen months, because he wished to die, and he tried to bring this about by various means.