TY - JOUR T1 - WOrds before actions AU - Puri S Y1 - 2013/01/28 N1 - 10.1001/2013.jamainternmed.826 JO - JAMA Internal Medicine SP - 94 EP - 95 VL - 173 IS - 2 N2 - Mr C, a 78-year-old man with a history of Zollinger-Ellison syndrome with metastatic gastrinoma requiring subtotal gastrectomy with gastrojejunostomy, multiple past gastrointestinal tract bleeding events, and severe aortic stenosis was seen at an emergency department in Central California after an episode of melena. On upper endoscopy, he was found to have a bleeding ulcer with a visible vessel, which was clipped. Once hemodynamically stable, he was transferred to a tertiary care center for a surgical intervention aimed at preventing future gastrointestinal tract bleeding by addressing his tumor burden. SN - 2168-6106 M3 - doi: 10.1001/2013.jamainternmed.826 UR - http://dx.doi.org/10.1001/2013.jamainternmed.826 ER -