[Skip to Content]
Access to paid content on this site is currently suspended due to excessive activity being detected from your IP address 54.158.173.184. Please contact the publisher to request reinstatement.
[Skip to Content Landing]
A Piece of My Mind
January 19, 2016

A Final Course

Author Affiliations
  • 1Department of Psychiatry, New York Presbyterian-Columbia University; and New York State Psychiatric Institute, New York, New York
JAMA. 2016;315(3):263-264. doi:10.1001/jama.2015.17057

I was a third-year medical student on a general medicine rotation, and my team had just been paged with our latest admission. Ms Nichols (not her real name) was a 35-year-old woman with metastatic breast cancer who had been declining despite intensive outpatient oncologic follow-up. She was brought in by her family with decreasing consciousness over several days. The emergency department physician thought that she was “actively dying,” meaning she was likely to die within the next few days.

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