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Less Is More
February 2014

The Elephant in the Room—Your Patient Is DyingA Teachable Moment

Author Affiliations
  • 1Division of Cardiovascular Diseases, Department of Medicine and Cardiovascular Diseases, Mayo Clinic College of Medicine, Rochester, Minnesota
  • 2Division of Medical Oncology, Mayo Clinic College of Medicine, Rochester, Minnesota

Copyright 2014 American Medical Association. All Rights Reserved. Applicable FARS/DFARS Restrictions Apply to Government Use.

JAMA Intern Med. 2014;174(2):185. doi:10.1001/jamainternmed.2013.12822

A 55-year-old man was referred to our institution for outpatient evaluation of several long-standing symptoms, including fatigue; numbness, tingling, and weakness in his extremities; diffuse abdominal pain; watery diarrhea; unintentional weight loss; and orthostasis with recent syncopal episodes. He was extensively evaluated by colleagues in various medical specialties. On day 11 of outpatient evaluation, his first cardiac arrest occurred, requiring several minutes of resuscitation.