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Comment & Response |

Finding the Balance of Less Is More

Katherine Bydalek, MSN, FNP-BC, PhD1; Xiulu Ruan, MD2
[+] Author Affiliations
1College of Nursing, University of South Alabama, Mobile
2Department of Anesthesiology, Louisiana State University Health Science Center, New Orleans
JAMA Intern Med. 2016;176(2):282. doi:10.1001/jamainternmed.2015.7977.
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To the Editor The article by Dr O’Brien1 published with the label “Less Is More” in a recent issue of JAMA Internal Medicine was very interesting. The author reported an incredible medical history regarding her misdiagnosis of Chagas disease that resulted from her injudicious laboratory request. The initial laboratory test for Chagas disease was misinterpreted as positive and led to her subsequent ordeal that tortured her physically, emotionally, and professionally. Based on her experience, Dr O’Brien cautions other physicians when faced with injudicious requests from patients.


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February 1, 2016
Chester B. Good, MD, MPH; Mark McConnell, MD; John R. Downs, MD
1Pittsburgh Healthcare System, Medicine, Center for Health Equity Research and Promotion, Pittsburgh, Pennsylvania
2Oscar G Johnson Veterans Affairs Medical Clinic, Primary Care, Iron Mountain, Michigan
3University of Texas Health Sciences Center, San Antonio, Medicine, San Antonio
JAMA Intern Med. 2016;176(2):282-283. doi:10.1001/jamainternmed.2015.8089.
February 1, 2016
Meghan O’Brien, MD, MBD
1Department of Internal Medicine, University of California-San Francisco, San Francisco
JAMA Intern Med. 2016;176(2):283. doi:10.1001/jamainternmed.2015.7986.
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