Views 2,052
Citations 0
A Piece of My Mind
October 8, 2014

Healthy But Harmed

Author Affiliations
  • 1Department of Epidemiology, Johns Hopkins Bloomberg School of Public Health, Baltimore, Maryland

Copyright 2014 American Medical Association. All Rights Reserved. Applicable FARS/DFARS Restrictions Apply to Government Use.

JAMA. 2014;312(14):1399-1400. doi:10.1001/jama.2014.7219

“Hola. Me llamo Dr Dowdy. Hablo solo un poquito de español, pero tenemos intérpretes por teléfono”: The one line in Spanish I know by heart. Though the interpreters would take a minute to access, I already knew the story of Mr Sanchez. I had been speaking for the last 15 minutes with Sara, the intern who had seen him, an otherwise healthy 30-year-old man with a two-week history of fevers, drenching night sweats, and body aches, now with a nagging cough. After speaking with Mr Sanchez and appreciating both his tachycardia and the crackles in his left lower lobe, I thought to myself that Sara’s assessment had been accurate: Mr Sanchez was one of the few patients in our urgent care clinic whose respiratory symptoms likely did call for antibiotics.

First Page Preview View Large
First page PDF preview
First page PDF preview