Helen Fernandez, MD
Requests for Single Reprints: Helen Fernandez, MD, Department of Geriatrics, Box 1070, One Gustave Levy Place, New York, NY 10029; e-mail, firstname.lastname@example.org
Fernandez H.; Choosing Geriatrics. Ann Intern Med. 2006;145:862-863. doi: 10.7326/0003-4819-145-11-200612050-00013
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Published: Ann Intern Med. 2006;145(11):862-863.
We were riding in a cab to visit a patient's home on Madison Avenue. My colleague read the triage sheet. “He is an older guy with diabetes, renal disease, heart disease, recently signed out of the nursing home.” I thought how unusual it was for anyone to sign out of a nursing home. “He's been to the ER for chest pain, but signed himself out of there, too.” Our job this morning was to determine if the chest pain was serious enough to require his admission to the hospital.
The patient's close friend greeted us at the door of a large, sparsely decorated apartment with a bed on one side and the kitchen on the other. The room was clean, but not well-illuminated. There was a wheelchair next to the bed, and at its foot, a small television was showing a Spanish soap opera—a man was sweeping a woman up into his arms and proclaiming his love.
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Print ISSN: 0003-4819 | Online ISSN: 1539-3704
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