It can’t be December already: a real life simile to Jeffery Archer’ short story

摘要

This case reflects the difficulties arising out of the patients autonomy to choose the type, timing, and extent of the medical management even though in some clinical scenarios, like the case presented, the patient was not able to communicate his physiological needs for a safe and protected shelter from the extreme weather, and was unable to follow up with the medical plan offered at the emergency room during each of his prior visits before the catastrophic event of unwitnessed hypoglycemic seizure and severe hypothermia.