title: [A difficult end of life].
abstract: The law specifies how a doctor may write a medical certifcate and how a patient or his beneficiaries can obtain his medical records. It's important for a doctor to know this rules. A 56 years old patient was referred to our hospital for pulmonary adenocarcinoma cT2N2M1, the clinical stage was IV. The patient underwent radiotherapy and chemotherapy. During the treatment, the relations with the family were difficult. The patient refuse to accept the doctors tell his son any information and get married with his companion in secret. After patient's death, the son and the wife asked for many medical certificates. The doctors turned down so the son asked for the patient medical records. This observation asks the question of the medical certificates: how and when write them, which are obligatories? Moreover, how should a patient or his beneficiaries obtain medical records?
authors: Service de pneumologie, hôpital de la Croix-Rousse, Hospices civils de Lyon, Lyon, France. julietraclet@yahoo.fr
authors: Julie
authors: J
authors: Traclet
authors: Dominique
authors: D
authors: Arpin
authors: Laurence
authors: L
authors: Gérinière
authors: Serge
authors: S
authors: Deygas
authors: Benjamin
authors: B
authors: Rhomer
authors: Stéphanie
authors: S
authors: Audras
authors: Laurent
authors: L
authors: Bertoletti
authors: Alexis
authors: A
authors: Cortot
authors: Marie
authors: M
authors: Coudurier
authors: Sébastien
authors: S
authors: Couraud
authors: Nicolas
authors: N
authors: Girard
mesh_terms: D000230:Adenocarcinoma / Q000473:pathology / Q000628:therapy; D032721:Adult Children; D003131:Combined Modality Therapy; D003219:Confidentiality; D005190:Family; D017809:Fatal Outcome; D006801:Humans; D008175:Lung Neoplasms / Q000473:pathology / Q000628:therapy; D008297:Male; D008393:Marriage; D008499:Medical Records; D016743:Mental Competency; D008875:Middle Aged; D018454:Spouses