Adrienne Cullen took on the Dutch health system after she was left with terminal cervical cancer following medical negligence. The University Medical Center Utrecht (UMCU) board offered a settlement of €545,000 on the condition that Ms Cullen stay silent about what happened to her. She refused, ignored the gagging order and went public. She then campaigned for a non-gagging clause policy in medical facilities across Europe. Before her death, Adrienne wrote a book ‘Deny, Dismiss, Dehumanize: What Happened when I Went to Hospital’ on her experience. The last chapter, which we publish here, tells how Adrienne, who now knows her cancer is terminal and her days are numbered, delivered the first in an annual series of lectures named in her honour at UMC Utrecht. Never doubt that a small group of thoughtful committed citizens can change the world. Indeed, it’s the only thing that ever has. The day after Christmas, I stopped being able to eat. We thought it was the result of too much rich food. Then we thought it was a virus. By the end of January, I had lost six kilos. I was admitted to AvL on 1 February and they discovered that I had two tumours blocking my small bowel in two separat...