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Amy Ship, MD

JAMA. 2009;302(21):(doi:10.1001/jama.2009.1870).

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

The patient described and interviewed below faces a crossroads in his medical care. Consider his medical history and perspective, expressed in his own words, and review the questions posed. How would you approach this crossroads? Using evidence from the literature as well as your own experience, respond by using the link to the right. Responses will be selected for posting online based on their timeliness and quality, including use of the available evidence, weighing the issues, and addressing the patient's concerns. The discussion of this Clinical Crossroads case, authored by Duane S. Pinto, MD, MPH, will be published in the January 6, 2010, issue of JAMA; responses must be received by January 3, 2010, to be considered for online posting.

CASE PRESENTATION

Mr C is a 43-year-old man who was transferred to the emergency department for exertional nausea and lateral ST-segment depressions on electrocardiogram (ECG). . . . [Full Text of this Article]

Author Affiliations: Dr Ship is Assistant Professor of Medicine, Harvard Medical School, Division of General Medicine and Primary Care, Beth Israel Deaconess Medical Center, Boston, Massachusetts.

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