DM is 79. She’s been a smoker since she was 14. Long term cough on waking, which eases during the day. Heart condition, high blood pressure pills since 2020. She avoids doctors like the plague. She’s had worsening lower back pain over the last few weeks. Replaced her mattress about a month ago, no improvement. Bought a different mattress two days ago, still no improvement. In the last week she’s almost stopped eating and is struggling to finish a few mouthfuls. She’s lost a huge amount of weight in about two weeks. She’s in enormous pain and has finally agreed to go to the GP on Monday. She’s frightened. She keeps asking me if it’s going to get better. I need to be prepared for the worst, don’t I?