The Artifice of Medicine

Emil S. Dickstein, MD
Arch Intern Med. 1986;146(2):369. doi:10.1001/archinte.1986.00360140199028.
Text Size: A A A
Published online


His heart rate was 58 so that same darn nurse on 3-South held his digoxin again, Fats," I complained, wolfing down lunch in the cafeteria.

My tablemate Foster Chance grunted in sympathy. "Probably the same one who held my patient's Minipress because she never heard of an afterload reducer and the systolic was 110—they never do check, do they?"

"Oh now, I did get called yesterday when that RN on Tower 3 caught my guy with the peptic ulcer and 'tics eating a candy bar with nuts in it, heaven forbid."

Fats looked up and shrugged his shoulders. "Of course my wife and her diet! Since her Mom had the breast cancer she won't drink anything with caffeine in it. And you should have heard the uproar when they almost put the IV in her Mom's mastectomy arm. Thank goodness I've never taken a blood pressure in the wrong arm,


Sign In to Access Full Content

Don't have Access?

Register and get free email Table of Contents alerts, saved searches, PowerPoint downloads, CME quizzes, and more

Subscribe for full-text access to content from 1998 forward and a host of useful features

Activate your current subscription (AMA members and current subscribers)

Purchase Online Access to this article for 24 hours

First Page Preview

View Large
First page PDF preview





Meets CME requirements for:
Browse CME for all U.S. States
Accreditation Information
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.
Note: You must get at least of the answers correct to pass this quiz.
You have not filled in all the answers to complete this quiz
The following questions were not answered:
Sorry, you have unsuccessfully completed this CME quiz with a score of
The following questions were not answered correctly:
Commitment to Change (optional):
Indicate what change(s) you will implement in your practice, if any, based on this CME course.
Your quiz results:
The filled radio buttons indicate your responses. The preferred responses are highlighted
For CME Course: A Proposed Model for Initial Assessment and Management of Acute Heart Failure Syndromes
Indicate what changes(s) you will implement in your practice, if any, based on this CME course.
Citing articles are presented as examples only. In non-demo SCM6 implementation, integration with CrossRef’s "Cited By" API will populate this tab (http://www.crossref.org/citedby.html).
Submit a Comment


Some tools below are only available to our subscribers or users with an online account.

Sign In to Access Full Content

Related Content

Customize your page view by dragging & repositioning the boxes below.