MANFRED S. ROTHSTEIN, M.D.
To the editor: Understanding what patients are trying to tell us(1) is a critical aspect of the art of medicine and is better learned by listening to a patient than by reading a text.
The story is told at Duke University Medical Center of the woman who presented with a chief complaint of "falling out spells." Only after an extensive and completely unremarkable neurologic examination did anyone discover that the patient was suffering from a prolapse of the uterus. Other common terms in this area of the nation are "high blood" for hypertension, "bad blood" for syphilis, "risin'" for a
ROTHSTEIN MS. Listening to the Patient. Ann Intern Med. ;101:406. doi: 10.7326/0003-4819-101-3-406_2
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Published: Ann Intern Med. 1984;101(3):406.
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