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Perspective | Less Is More

The Elephant in the Room—Your Patient Is Dying A Teachable Moment

Tanya H. Tajouri, MD1; Timothy J. Moynihan, MD2
[+] Author Affiliations
1Division of Cardiovascular Diseases, Department of Medicine and Cardiovascular Diseases, Mayo Clinic College of Medicine, Rochester, Minnesota
2Division of Medical Oncology, Mayo Clinic College of Medicine, Rochester, Minnesota
JAMA Intern Med. 2014;174(2):185. doi:10.1001/jamainternmed.2013.12822.
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A 55-year-old man was referred to our institution for outpatient evaluation of several long-standing symptoms, including fatigue; numbness, tingling, and weakness in his extremities; diffuse abdominal pain; watery diarrhea; unintentional weight loss; and orthostasis with recent syncopal episodes. He was extensively evaluated by colleagues in various medical specialties. On day 11 of outpatient evaluation, his first cardiac arrest occurred, requiring several minutes of resuscitation.

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The American Medical Association is accredited by the Accreditation Council for Continuing Medical Education to provide continuing medical education for physicians. The AMA designates this journal-based CME activity for a maximum of 1 AMA PRA Category 1 CreditTM per course. Physicians should claim only the credit commensurate with the extent of their participation in the activity. Physicians who complete the CME course and score at least 80% correct on the quiz are eligible for AMA PRA Category 1 CreditTM.
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