Abstract
I first met Sarah Brown when a student called me to supervise a colostomy irrigation. Thin and frail, her eyes were clouded, her face and body tense. She had an old colostomy and urostomy, and had recently fallen and chipped a bone in her elbow. Because she felt faint before falling, there was a question of metastasis to the brain. She had given the student conflicting stories as to how often the colostomy was usually irrigated.
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