Perspective |

Heart Disease as the Number One Cause of Death Among the Elderly

James S. Goodwin, MD1,2
[+] Author Affiliations
1Department of Internal Medicine, University of Texas Medical Branch, Galveston
2Sealy Center on Aging, University of Texas Medical Branch, Galveston
JAMA Intern Med. 2014;174(3):322. doi:10.1001/jamainternmed.2013.13663.
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“Is this Dr Goodwin?”


“Dr Goodwin, my name is John Fenton. I work at the coroner’s office.”


“Hello, were you aware that your patient, Mr Black, passed away yesterday?”

“My patient Mr Black?”

“Marvin Black, an 89-year-old man who lived on Elliot Street? His daughter said you were his physician.”

“I think I remember. Hold on just a second and I can get the electronic record.” Two minutes pass. “Here it is. I saw him about every 6 months; last time was about a year ago. Not a lot of medical problems. He was on drugs for blood pressure and nocturia. He had increasing trouble getting around. Very frail. How did he die?”

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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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Accurate representation of real expediency
Posted on January 7, 2014
James Grote
retired (private practice)
Conflict of Interest: None Declared
Having retired after more than 30 years of private practice in adult medicine I can truthfully attest that this article in no way misrepresents the\" real world\" activities in such circumstances. Hopefully this article will cause a significant number of people to consider the consequences of committing substantial time and resources to data which has as its foundations expediency and rigid stratification.
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