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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.
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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.

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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.
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