[Skip to Content]
Access to paid content on this site is currently suspended due to excessive activity being detected from your IP address 54.159.129.152. Please contact the publisher to request reinstatement.
[Skip to Content Landing]
Article
October 11, 1985

There Are Many Ways to Kill a Resident: Try House Officer's Headache or Intern's Neck

Author Affiliations

University of Michigan Ann Arbor

JAMA. 1985;254(14):1905-1906. doi:10.1001/jama.1985.03360140057024

This article is only available in the PDF format. Download the PDF to view the article, as well as its associated figures and tables.

Abstract

To the Editor.—  Each occupation has its attendant hazards. We have discovered recently a malady not peculiar to but prevalent among house officers, particularly more junior-level residents. It is described by sufferers as neck and occipital "tightness," "strain," or "tension" and seems to be a variant of a true tension headache, with its major component in the posterior neck muscles. Pain is frequently progressive throughout the day and, as would be expected, is exacerbated by lack of sleep.The occurrence of this headache has been related to wearing a physician's coat laden with the paraphernalia of the ward resident. This frequently includes helpful manuals and articles, diagnostic equipment, drugs, dressings, etc. Onset is usually in July, with the start of residency training. The pain is reliably relieved by removing the white coat and temporized by frequently adjusting the coat's position on the shoulders as well as wearing a well-fitting soft-collared

×