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On Monday morning,a patient named Guernsey...
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male, middle 70s, was admittedto the hospital complaining of chest pains.
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He had been referred by a nursing home...
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where the doctor haddiagnosed his condition as Angina pectoris.
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It is axiomatic...
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that nursing-home doctorsare always wrong.
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The intern who admittedMr. Guernsey, however...
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accepted the diagnosisand prescribed morphine...
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a drug suitable for angina,but not at all suitable for emphysema...
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which is unfortunatelywhat the old man actually had.
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Within an hour, the patientbecame unresponsive and diaphoretic...
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and was raced up to Intensive Care,with an irregular pulse of 150...
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blood pressure 90 over 60,respiration rapid and shallow.
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The resident on duty in Intensive Carecompounded the blunder...
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by treating the old manfor pulmonary edema.
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He gave him digitalis, diuretics and oxygen.
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This restored the old man's color.
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He was sent to his roomin the Holly Pavilion...
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ruddy-complected and peacefully asleep.
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But the patient was in CO 2 narcosis,and died at 7:30 that evening.
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I mention all this only to explainhow the bed in Room 806 became available.
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The intern involvedwas a prickly young buck named Schaefer...
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who had a good thing going for himwith a technician in the Hematology Lab.
prev.