Timothy P. Endy, MD, MPH
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We had a variety of names for them, my colleagues and I. Gomers and train wrecks were just two. They were the enemy, those wrinkled many, whose existence tortured us and challenged our patience. Histories were unreliable with answers never coming fast enough. Physical exams were done quickly, not wanting to touch their parchment-like skin longer than necessary. Urosepsis, strokes, meningitis, pneumonia. . . . the list went on and on. Bringing them back from near death, a "do not resuscitate" never in reach.
Exhausted one evening, unable to guide a spinal needle into a deformed arthritic back. Near tears
Endy TP. I'm Not Sure When They Looked Different to Me. Ann Intern Med. ;116:774. doi: 10.7326/0003-4819-116-9-774
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Published: Ann Intern Med. 1992;116(9):774.
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