Outpatient

Outpatient

From Illuminated by BBC Radio 4

March 22, 2026 · 29 min

About this episode

Harriet Madeley shares her journey of coping with a terminal diagnosis through creativity and comedy.

In 2018, the writer and actor Harriet Madeley found out that she was going to die. At least, that’s what she heard when a doctor diagnosed her with Primary Sclerosing Cholangitis, a progressive disease for which there is no medical treatment, no cure, poor understanding and a long list of frightening Google stats.. None of her loved-ones knew how to respond to this bombshell. Her best friend kept crying. Her parents preferred not to talk about it. And her fiancée? She took it upon herself to cure the thing. In the midst of a confrontation with looming death, Harriet’s closest relationship began disintegrating. Harriet's response? To write a comedy about it. This is the story of how Harriet used her creativity to come to terms with a life-changing diagnosis, and how it helped her to rebuild her relationships and decide how to face the future. The play featured (slightly) fictionalised versions of the people closest to her. The script was a monologue, in which her own flaws and those of her loved-ones are magnified for the paying audience. But how will those loved-ones respond? Will they be horrified? Or will the play force a meaningful conversation at last? Harriet is still alive…

People in this episode

Guest: Harriet Madeley

Topics covered

  • health
  • creativity
  • relationships
  • death
  • comedy
  • diagnosis

Keywords

  • Primary Sclerosing Cholangitis
  • diagnosis
  • comedy
  • relationships
  • health
  • Harriet Madeley

Mentioned in this episode

Organizations: BBC Radio 4

Books & works: Outpatient

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