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On Being a Doctor |

Choosing Geriatrics

Helen Fernandez, MD
[+] Article and Author Information

From Mount Sinai School of Medicine, New York City, New York.


Requests for Single Reprints: Helen Fernandez, MD, Department of Geriatrics, Box 1070, One Gustave Levy Place, New York, NY 10029; e-mail, helen.fernandez@mssm.edu


Ann Intern Med. 2006;145(11):862-863. doi:10.7326/0003-4819-145-11-200612050-00013
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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.

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