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A Piece of My Mind
June 28, 2000

The Patient's Heart

Author Affiliations

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

JAMA. 2000;283(24):3173-3174. doi:10.1001/jama.283.24.3173


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.

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