Late Friday afternoon. The Northeast. It's been a
week of two-hour committee meetings, a statistically significant number
of walk-ins, and a pair of anniversary dinner candles burned down to
stubs by the time I got home. So why should I expect that the last
patient of the day (and of the week, for mercifully, the weekend is all
mine) will be routine? Mrs Vest. Chief complaint: chronic back pain.
She has earned a record two inches thick and diagnoses that reek of
frustration: failed back syndrome, facet syndrome, rule out
Landry RF. Four-Wheel-Drive Medicine. JAMA. 1998;280(24):2070. doi:10.1001/jama.280.24.2070
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