I read with sadness of Graham's death in the BMJ. Graham was the outstanding student in our year at Bristol Medical School. We were full of admiration for his ability to apply himself to the course, and towards the end of the course to realise how much he knew. He was always quiet and modest, but we were not surprised that he went from house jobs in Bristol to the Hammersmith, and later to Addenbrookes. I admired him as a student, and from reading these tributes, he has made an amazing contribution to the care of patients, and has had a lasting influence on his colleagues. What a contribution to life.