The call from the neurosurgical resident came at 4 am. He had just gotten off the telephone with the patient’s family–they were struggling with the decision to proceed with emergency surgery and wanted me to help them decide.
I had known the patient for more than 20 years. I had not seen him in recent years because it was difficult for him to travel to my office, but I had continued to care for his wife and, over those 20 years, had treated several other family members. I became, if not the “family physician,” then the “family medical consultant,” fielding calls seeking my advice on every medical issue they faced from pneumonia to dementia.
Identify all potential conflicts of interest that might be relevant to your comment.
Conflicts of interest comprise financial interests, activities, and relationships within the past 3 years including but not limited to employment, affiliation, grants or funding, consultancies, honoraria or payment, speaker's bureaus, stock ownership or options, expert testimony, royalties, donation of medical equipment, or patents planned, pending, or issued.
Err on the side of full disclosure.
If you have no conflicts of interest, check "No potential conflicts of interest" in the box below. The information will be posted with your response.
Not all submitted comments are published. Please see our commenting policy for details.
Nash IS. Hail Mary. JAMA Neurol. 2020;77(2):159. doi:10.1001/jamaneurol.2019.3950
Monkeypox Resource Center
Customize your JAMA Network experience by selecting one or more topics from the list below.