I heard recently that the local geriatric ward puts a photograph of the patient in his or her prime by each bed. The aim is to help staff to treat their patients as individuals, but it makes me uneasy. Do these people only matter because of what they were, not what they are? Because once they stood proud and handsome in their uniform, or looked lovely on their wedding day? Professor Atul Gawande has the problem surgically excised and laid out for inspection in one of his unflinching but compassionate case studies: ‘What bothered Shelley was how little curiosity the staff members seemed to have about what Lou cared about in his life and what he had been forced to forfeit... They might have called the service they provided assisted living, but no-one seemed to think it was their job to actually assist him with living – to figure out how to sustain the connection and joys that most mattered to him.’ Gawande is an eminent surgeon. As a young resident he displayed little overt emoti...