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Nursing Home Residents Need Physicians' Services

Richard W. Besdine, MD; Laurence Z. Rubenstein, MD; and Christine Cassel, MD
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University of Connecticut Health Center, Farmington, CT 06030. University of California, Los Angeles, Los Angeles, CA 90024. University of Chicago, Chicago, IL 60637. Requests for Reprints: Linda Johnson White, Director, Scientific Policy, American College of Physicians, Independence Mall West, Sixth Street at Race, Philadelphia, PA 19106-1572.

Copyright ©2004 by the American College of Physicians

Ann Intern Med. 1994;120(7):616-618. doi:10.7326/0003-4819-120-7-199404010-00015
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“I am an 84-year-old woman. I have severe arthritis, and about 5 years ago, I broke my hip. As I look around this room, I see the pathetic ones (maybe the lucky ones) who have lost their minds, and the poor souls who should be out but nobody comes to get them, and the sick ones who are in pain. A doctor comes to see me once a month. He spends 3 to 5 seconds with me and then a few more minutes writing in the chart or joking with the nurses (My own doctor doesn't come to convalescent hospitals, so I had to take this one). I pray every night that I may die in my sleep and get this nightmare over with …” [1].

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