Every doctor has patients that he or she has treated over a lifetime that can be recalled to memory. Often, it is because the circumstances of their care were particularly troubling or difficult. These memories pop up at unexpected times. Many years ago I was called to the emergency room to see a very pleasant 50 year-old woman for chest pain. Upon arrival, I noted a somewhat "ripe" (like an orange that had "passed its prime") smell to the room, a very lovely well made up lady, seated,...