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Correspondence
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Volume 329:1743-1744 December 2, 1993 Number 23
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Criticism of Clinical Problem-Solving

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 by Thibault, G. E.
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To the Editor: In the April 1 issue,1 your experts recommended and implemented an extensive, unnecessary cardiologic diagnostic and surgical course of treatment for a hopelessly ill 87-year-old woman; and in the June 3 issue,2 your experts put a 71-year-old patient through an extensive workup, including antinuclear-antibody testing, protein electrophoresis, measurement of total complement, and ultrasonography of the left kidney, all before examining the chest film of a patient with obvious peripheral edema and a 50-pack-year history of cigarette smoking.

I suggest that you send your experts back into clinical practice. I think that any second-year medical student who did . . . [Full Text of this Article]

References


Related Letters:

Cardiac Surgery at 87
Feldman R., Thibault G. E., Reich J. S.
Extract | Full Text  
N Engl J Med 1994; 330:1160, Apr 21, 1994. Correspondence

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