A Piece of My Mind Section Editor: Roxanne
K. Young, Associate Editor.
The attending physician just said "Shopping." I had presented the case
of an elderly woman with three cardiac murmurs in two valves, and the professor
of medicine and cardiology responded "Shopping." What the . . . ? I thought
to myself, frantically trying to relate shopping to the patient's cardiologic
condition: This poor lady from Central America has a steam engine in her thorax.
I spend 20 minutes on an outpatient workup. The attending comes in for three,
asks me a couple of questions as he casually glances at the record. Meanwhile
I'm racking my brain to figure out which sound goes with which valve and what
to do about the whole thing, and he asks the patient's daughter if she ever
takes her mother shopping.
Robertson BA. The Patient's Heart. JAMA. 2000;283(24):3173-3174. doi:10.1001/jama.283.24.3173