A Piece of My Mind
January 19, 2000

A Fragile Commodity

Author Affiliations

A Piece of My Mind Section Editor: Roxanne K. Young, Associate Editor.

JAMA. 2000;283(3):305-306. doi:10.1001/jama.283.3.305

Day 1. It is 4 PM on the stroke rehabilitation unit as I walk into a room to find my new patient, Mr Burton, lying in bed. He appears fatigued but alert. Having reviewed his transfer summary from the acute-care hospital, I already know much of his medical history, including his right hemiplegia. I extend my right hand to his left in an awkward variation of a handshake. "Good afternoon, Mr Burton. My name is Dr Stein." I introduce myself, deliberately trying to inject a tone of optimism into my voice.

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