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BECOMING A PHYSICIAN Previous Volume 357:213-215 July 19, 2007 Number 3 Next

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It was the first day of my cardiology subinternship, and I was trying to catch details of the 29-year-old patient's complex history. Juan Perez, a heroin addict who had undergone aortic-valve replacement years earlier, had been admitted overnight after presenting to the emergency department with acute onset of fever, chills, anorexia, and malaise; he was thought to have infectious endocarditis and severe aortic insufficiency. He was Puerto Rican and spoke only Spanish, despite having lived in Boston for many years.

Mr. Perez quickly became the focus of morning rounds. Through the open door, I glimpsed him half-lying on the hospital . . . [Full Text of this Article]

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Dr. Taqueti is a first-year resident in internal medicine at Massachusetts General Hospital, Boston.

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