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When patients’ priorities conflict with those of their medical team; a challenging case of a bleeding patient and his dying pet
  1. John Shenouda1 and
  2. Matthew Clayton2
  1. 1Anaesthesia, Imperial School of Anaesthesia, London, UK
  2. 2Anaesthesia, Imperial College Healthcare NHS Trust, London, London, UK
  1. Correspondence to Dr Matthew Clayton; mattclayton{at}


We present an unusual case of an acutely unwell patient with an upper gastrointestinal bleed whose resuscitation efforts were delayed by the discovery of his, similarly, acutely unwell pet on the medical high dependency unit. We highlight the challenges this provided the clinical team and focus on the issues relating to patient safety, consent and multidisciplinary action which may be more relevant to daily clinical practice.

  • anaesthesia
  • GI bleeding
  • intensive care

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  • Contributors MC and JS obtained consent from the patient. JS drafted the initial manuscript which was edited by MC.

  • Funding The authors have not declared a specific grant for this research from any funding agency in the public, commercial or not-for-profit sectors.

  • Competing interests None declared.

  • Patient consent for publication Obtained.

  • Provenance and peer review Not commissioned; externally peer reviewed.