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Jennifer Daley, MD; Erin E. Hartman, MS
From the Division of General Medicine and Primary Care, Beth Israel Deaconess Medical Center, 330 Brookline Ave, LY318, Boston, MA 02215.

JAMA. 1998;280:1439.

	Since this article does not have an abstract, we have provided the first 150 words of the full text and any section headings.

In October 1997, at Surgery Grand Rounds, Martha McDaniel, MD, discussed the management of a middle-aged woman with diabetes, coronary artery disease, end-stage disease, and claudication that was impairing her ability to walk short distances. Dr McDaniel discussed the treatment options for the patient (medication, exercise, and anatomic intervention with angioplasty or surgery) and her prognosis. We asked the patient and her physicians to comment on the year that has passed. [Editor's note: The patient, Mrs D, declined a follow-up interview.]

DR S, THE PRIMARY PHYSICIAN

I haven't seen too much of her lately. Her mother died recently and her son has had some health problems, too. She has her dialysis treatment elsewhere, so we haven't had a lot of contact. From a cardiac standpoint, she is doing well. Her dialysis is going well and she is finally having some gradual improvement in the ischemic symptoms she's had . . . [Full Text of this Article]

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