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Previous Volume 330:1160 April 21, 1994 Number 16 Next

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To the Editor: The December 2 issue included two letters that disturbed me. Objecting to the recommendation and implementation of "an extensive . . . course of treatment for a hopelessly ill 87-year-old woman," Dr. Reich suggested that "you send your experts back into clinical practice"¹. I reread the original case report² because I recalled that the 87-year-old patient was healthy and vigorous until a month before surgery, when an intercurrent infection tipped her into heart failure. My recall was good: she survived her surgery to resume a vigorous, independent life. Dr. Thibault, who cared for the patient, was . . . [Full Text of this Article]

References

Related Letters:

Criticism of Clinical Problem-Solving
Reich J. S., Pauker S. G., Thibault G. E.
Extract | Full Text  
N Engl J Med 1993; 329:1743-1744, Dec 2, 1993. Correspondence

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