A Piece of My Mind |

The “Right” to Fall

Zaldy S. Tan, MD, MPH
JAMA. 2010;303(23):2333-2334. doi:10.1001/jama.2010.792.
Text Size: A A A
Published online


When I saw Carla walk into the clinic without her mother Marianne (not their real names), I knew it would be a long day. Carla is the daughter of an octogenarian patient who I had reluctantly discharged from the hospital late Friday afternoon with strict instructions for her to return to my clinic first thing Monday morning. When Marianne heard that I had agreed to release her, a rare smile came to her wrinkled face blooming with variegated bruises of green and yellow, blue and black hues. The senior medical resident nodded in concurrence, the intern slipped out of the room and sped to the nurses' station to print out the discharge summary, and the case manager discreetly reached into her pocket and pressed the speed dial of her cell phone for an ambulance to take the patient home. There was only one person in the room who disagreed with my plan. Defeated, Carla leaned back against the wall, arms crossed, shoulders slumped, eyes cast toward the linoleum floor.


Sign In to Access Full Content

Don't have Access?

Register and get free email Table of Contents alerts, saved searches, PowerPoint downloads, CME quizzes, and more

Subscribe for full-text access to content from 1998 forward and a host of useful features

Activate your current subscription (AMA members and current subscribers)

Purchase Online Access to this article for 24 hours

First Page Preview

View Large
First page PDF preview




Meets CME requirements for:
Browse CME for all U.S. States
Accreditation Information
The American Medical Association is accredited by the Accreditation Council for Continuing Medical Education to provide continuing medical education for physicians. The AMA designates this journal-based CME activity for a maximum of 1 AMA PRA Category 1 CreditTM per course. Physicians should claim only the credit commensurate with the extent of their participation in the activity. Physicians who complete the CME course and score at least 80% correct on the quiz are eligible for AMA PRA Category 1 CreditTM.
Note: You must get at least of the answers correct to pass this quiz.
You have not filled in all the answers to complete this quiz
The following questions were not answered:
Sorry, you have unsuccessfully completed this CME quiz with a score of
The following questions were not answered correctly:
Commitment to Change (optional):
Indicate what change(s) you will implement in your practice, if any, based on this CME course.
Your quiz results:
The filled radio buttons indicate your responses. The preferred responses are highlighted
For CME Course: A Proposed Model for Initial Assessment and Management of Acute Heart Failure Syndromes
Indicate what changes(s) you will implement in your practice, if any, based on this CME course.
Citing articles are presented as examples only. In non-demo SCM6 implementation, integration with CrossRef’s "Cited By" API will populate this tab (http://www.crossref.org/citedby.html).


Some tools below are only available to our subscribers or users with an online account.

Sign In to Access Full Content

Related Content

Customize your page view by dragging & repositioning the boxes below.

Related Topics