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Paul Rousseau, MD
Phoenix, Arizona
palliativedoctor@aol.com

JAMA. 2007;297:1859-1860.

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

She was admitted to a four-bed ward that had been converted into a temporary intensive care unit. Although she suffered from scleroderma, she was there because she had experienced 22 minutes of ventricular tachycardia interspersed with bradycardia, her heart obviously suffused with the debris of connective tissue disease. Her bed stood by the entrance to the lone bathroom, an unfortunate location for anyone hoping to rest—the nurses came and went, emptying urinals and other containers of alien waste, repeatedly flushing the toilet that served as an irreverent alarm clock that prohibited repose from the constant torment of disease. A pulse oximeter hung from her earlobe because her fingers were sore and ulcerated from Raynaud’s, the digital blood flow reduced to a blue-pale coloration reminiscent of fresh death. It was a noisy room contaminated with the continuous beeps and blips emanating from the various monitors as well as . . . [Full Text of this Article]

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