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A Piece of My Mind |

The Quality of Mercy Will You Be My Doctor?

Timothy P. Daaleman, DO, MPH1
[+] Author Affiliations
1Department of Family Medicine, University of North Carolina at Chapel Hill, Chapel Hill, North Carolina
JAMA. 2014;312(18):1863-1864. doi:10.1001/jama.2014.12933.
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I have noticed a troubling phenomenon in patients who are new to my practice and have multiple comorbidities. Joan (not her real name) first came to see me several months ago with a recent medical history that included an aggressive breast cancer, resulting in a double mastectomy, as well as a wide surgical resection of a melanoma that was discovered a short time after her first diagnosis. And if these misfortunes were not enough, just a few months out from her cancer operations, Joan was a passenger in a car that was struck by another vehicle, which eventually led to a rotator cuff repair of her right shoulder. Joan was still in a shoulder immobilizer when we first met, and she recounted each of these adversities in a measured, almost rehearsed way. Yet her emotion broke the cadence of our visit when she voiced one unaddressed concern at the end of the encounter:


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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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