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September 9, 1983

Finally... a Treatable Illness

Author Affiliations

Ventnor, NJ

JAMA. 1983;250(10):1327. doi:10.1001/jama.1983.03340100061035

I must admit, I am not a morning person. I have never liked the early rising a physician has to do, and to my displeasure, I had been assigned as moderator of the medical residents' weekly presentations for the month of February. This meant four cold, early morning trips to the hospital. That morning, as I struggled from my nice warm bed, I was further depressed by the thought that a cardiology case was to be presented. A gastroenterologist myself, I had never relished all that cardiac physiology, especially the first thing in the morning.

I arrived just in time for the beginning of the presentation. As I warmed my hands on my coffee cup, the resident began. I recognized the patient he was presenting. It was Clotilda Jones, an elderly woman I had seen a few times for functional gastrointestinal complaints. Her major problem, other than being 87 and