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The Artifice of Medicine

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


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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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