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If thou couldst, doctor, cast the water of my land, find her disease, and purge it to a sound and pristine health, I would applaud thee to the very echo, that should applaud again.
William Shakespeare (1564–1616),
Macbeth IV: 46–50.
An unorthodox doctor once taught me a memorable lesson. The patient was a well-educated married woman who had spent much of her life as a missionary in the developing world. In her mid-fifties, her general health began to deteriorate. Fatigue, muscle pain and wretchedness caused loss of interest in her vocational work and limited her activities. She was forced to return to England. She gave the impression of being a resilient, uncomplaining, stoical individual.
Our hospital consultant staff included a very distinguished group of experienced clinicians. I requested each to see the patient. All were impressed with the organicity and genuineness of her complaints and were equally impressed by her resilient personality. Each initiated subtle, complicated tests to eliminate their ‘favourite’ illness. Thus, the professor of metabolic …
Competing interests None.
Provenance and peer review Not commissioned; externally peer reviewed. This paper was reviewed by Jon Stone, Edinburgh, UK.