I haven't been at my blog lately.Last week while talking to a patient who had been reffered by the general practitioner,I was in for a slight shocker.A side of me emerged which I had to literally fight against.I had spent a half an hour or so talking to the patient,a consultant had come in and explained things to her and then a third consultant came in and explained things again,this time it was her regular consultant.I heard a sigh from the lady- 'There that was entirely simple and straight-forward and for the first time I understand what is happening to me.' It was a little unexpected and I found myself mentally withdrawing from the patient,slightly shocked by her reaction and then I was taken aback by my own reaction. Here was a person having to struggle with a metastatic ca with end-stage renal failure with parameters high enough to qualify for dialysis but asymptomatic and it seemed almost in a state of denial and here was me getting into my...