A paper that changed my practice

ICU Cornestone: A lecture that changed my practice

In 1982, the author attended a lecture by Professor Joseph Civetta dealing with the concept that, at times, the goal of care should be comfort rather than cure, and that inappropriate care prolonged dying and suffering. Efforts to improve end-of-life care subsequent to this had effects on care at a local level and at a state level. Intensive care providers should be leaders in the provision of ...

The Virus That Changed My World

When I first read this little poem in The Lancet in January 2003 (Heikkinen and Jarvinen 2003), it elicited little more than a bemused chortle. There are few who would deny the paradox that for all the medical advances providing cures for multitudinous diseases afflicting the human condition, there remains a large hole in the understanding of and treatment for the common cold. We know that it i...

A patient that changed my practice chroni polyne with in The fi rst

A patient that changed my practice chroni polyne with in The fi rst

The patient that changed my practice: A rare case of organic psychosis

Correspondence Address Jaime Moyá, Psychiatry Resident, University Clinic, University of Navarra, Avda. Pı́o XII N8 36 CP: 31080 Pamplona, Navarra, Spain E-mail: [email protected] This article presents a patient with a history of depression, progressive impairment of brain functions, diarrhoea and faecal incontinence. A cobalamin deficiency, without megaloblastic anaemia was detected, and an abnorma...

A Patient That Changed Our Practice