The Extraordinary Case of The Blue Hands

Dean M. Berger, Esq.
JAMA. 1974;229(5):522-523. doi:10.1001/jama.1974.03230430016015.
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To the Editor.—  Thursday evening was a snowy night in Palmyra, Pa, where daughter Cher and family live. We tried our luck at contract bridge, only because the game at the Distelfink restaurant in Lancaster had attracted us.After the game, Cher noticed that my hands looked blue, and she asked if I felt well. Looking at my hands, I felt a little woozy, so I sat down. One minute later I felt fine, and I let Cher drive me home since there was no sense in taking any chances. On the way, we noticed that my hands looked terrible—like those of a corpse. Again she asked if I felt well, and I said, "I'm okay." At a fork in the road, she turned into the Hershey Medical Center.It was about midnight when the nurse on duty asked what was the matter. I felt fine, but my hands were


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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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