Abstract
The old man had had classic cardiac chest pain for two nights (doi: 10.1136/bmj.39129.623368.BE). Against his general practitioner's advice, he decided he would rather go to that evening's Bowls Club dinner than to hospital for tests. Should his doctor have tried harder to persuade him to go to hospital? Will Roberts and Adam Timmis would probably say yes. But they also say, on this week's Change Page (doi: 10.1136/bmj.39342.693252.47), that patients with cardiac chest pain should cut out the intermediary and call an ambulance, rather than bothering with general practitioners …
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