Liam Farrell: A real crowd pleaser of a death

Joe had been ill for a long time, and his death expected.

My arrival was met by a vast crowd of grieving relatives; sandwiches were already being made (egg and onion is a staple) and glasses, mugs and politically incorrect trays of cigarettes were being set out on the table, in readiness for the upcoming festivities. I could even hear the raw scrape of a fiddle being tuned.

With all these harbingers, confirming death was not difficult. As usual, the end of the bed was close enough, but some conventions must be observed; check for a pulse, a little bit of theatrical auscultation, a sad sigh.

When I emerged from the bedroom, wearing an appropriately sober mien, all activity ceased.

'Is he gone, doctor?' they asked.

'He's gone,' I confirmed, facts at my fingertips.

'What did he die of?' they enquired. They were all family, so confidentiality was not an issue, and I felt they deserved the truth. The problem was that I really didn't know. Joe was old, and had been in bed for years, had multi-infarct dementia, peripheral vascular disease, COPD et al. Investigating for a precise cause would have been unnecessary and cruel, so picking out the cause of his ultimate demise was impossible.

But I fielded the question gracefully, feeling like George Bush at a White House press conference, though without the stumbling incoherence.

'It was his heart,' I said. 'His heart stopped,' I stonewalled, playing a blinder.

'His heart stopped,' came the muttered Greek chorus.

'But, underneath it all, he was as strong as a horse,' I said, believing that a little praise goes a long way.

'Strong as a horse,' droned the echo, the chorus nodding and smiling at each other at this objective medical compliment to the animal vitality of their seed and breed.

'He had a great engine, that's what kept him going so long,' I continued, going with the flow, intent on further crowd pleasing.

'A great engine, a great engine,' hummed the room, the atmosphere becoming almost celebratory.

'And Dr Farrell should know,' said a voice from the back, 'because he's a very good doctor.'

And not a bad orator either, I thought.

Dr Farrell is a GP from County Armagh. Email him at GPcolumnists@haymarket.com

Have you registered with us yet?

Register now to enjoy more articles and free email bulletins

Register

Already registered?

Sign in


Just published

Sign pointing to hospital

NHS England seeks to clarify GPs' responsibilities when using advice and guidance

New guidance from NHS England has set out the clinical responsibilities and medicolegal...

Widespread joint pain - red flag symptoms

Presentations and red flag symptoms that may alert you to potentially serious conditions...

Talking General Practice logo

Podcast: Supporting neurodivergent doctors and staff in general practice

Talking General Practice speaks to GPs Dr Beckie Akroyd and Dr Catherine Bell about...

BMA Scotland GP committee chair Dr Andrew Buist

General practice in Scotland 'in serious trouble', warns BMA Scotland GP chair

General practice in Scotland has reached a tipping point, with demand far outstripping...

Hospital entrance

NHS England issues warning over norovirus and rising winter pressures

Almost three times as many people were in hospital with norovirus last week compared...

BMA Northern Ireland GP committee chair Dr Alan Stout

Northern Ireland GPs face deepest-ever crisis as practices hand back contracts

Northern Ireland's GP leader has warned that general practice in the region is facing...