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On Being a Doctor |20 December 2016

A Vulnerable Moment

Donald A. Misch, MD

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  • From University of Colorado School of Medicine, Aurora, Colorado.

    Requests for Single Reprints: Donald A. Misch, MD, 1240 Pine Street, Suite 213, Boulder, CO 80302; e-mail, damisch@mischpsychiatry.com.

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It's been over 35 years, so some of the details are hazy. The key elements of the event, however, remain as clear as the day they occurred. It was in the first month of my internal medicine residency, a month out of medical school, when I clearly killed my first patient.
She was a Hispanic woman in her 40s who, by all rights, should have died long before. Having undergone two renal transplantations, she had experienced just about every complication imaginable on the immunosuppressive drugs prescribed to prevent rejection. On this day, she looked ill, as usual. She was feverish,...
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Misch DA. A Vulnerable Moment. Ann Intern Med. 2016;165:887–888. doi: https://doi.org/10.7326/M16-0438

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Published: Ann Intern Med. 2016;165(12):887-888.

DOI: 10.7326/M16-0438

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2016 American College of Physicians
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