  A patient passed away unexpectedly this evening. Well, actually he was still alive when I left work and nothing in medicine is absolute, but this was pretty good bet.
Thoughts naturally tend to your own mortality. I wish my death to be first and foremost with dignity, preserving as much as possible my mental capacity at whatever expense. For example, I would take the gamble of cerecral metastases over prophylactic cranial irradiation with almost guaranteed cognitive deficit. I am frustrated by one of my senior doctors, who is mercenary, out of date and lacking in empathy.
I have learnt from him though - despite gross incompetence, he is loved by his patients for his excellent bedside manner. It is the nature of medicine that I can effectively do nothing without jeopardising my own career, so I will wait and take slow, careful and well prepared action at the appropriate time. Thou shalt not tolerate a dodgy doctor to practice. Eventually. Love, Peter 
