The patient’s rate of blood loss reduces within minutes. As the RBCs enter, he looks better. You even see him waving as he goes to endoscopy. They find a bleeding vessel and use thermal coagulation with adrenaline.

Job well done by the endoscopy team, but it wouldn’t have got that far without you.

Six hours later, you are pay him a visit.

“Hi doc. They say you saved my life.”

“Well, I wouldn’t want to go that far, but sure, yes. Yes I did.”

“It’s that bloody rat poison I hear. I’d best stop it.”

“I think it’s best to give it a little while off the warfarin to get your bleeding settled, and then we can have a chat about the pros and cons of continuing it long term. Here’s a leaflet I just carry around for these situations”

You are such a bloody OSCE textbook. Well done.