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John J. Callaghan, MD

JAMA. 1996;276(6):486-491.

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

Dr DALEY:

Mrs W is a 76-year-old woman who is considering total hip replacement. She is married and lives in suburban Boston, where she sees a primary care physician in private practice. She has 2 children and 3 grandchildren. She is insured by Medicare, and she and her husband have supplemental Medigap insurance.

Mrs W has been in generally good health. Her primary care physician follows her for hypercholesterolemia and situational anxiety. She has been taking pravastatin sodium, 1 tablet (20 mg) each evening for several years. Her total cholesterol is 5.69 to 5.95 mmol/L (220-230 mg/dL) with medication (7.76 mmol/L [300 mg/dL] without medication). She is calm in the face of other people's illnesses but has lived with fear of developing cancer all her life. Her primary care physician has treated her anxiety with regular checkups and reassurance along with alprazolam, which she uses occasionally (less than once a . . . [Full Text PDF of this Article]

Author Affiliations
Discussant

Footnotes
Dr Callaghan is professor of orthopedic surgery, University of Iowa College of Medicine, Iowa City.

This conference took place at the combined Orthopedic Grand Rounds of the Beth Israel Hospital, Brigham and Women's Hospital, and Children's Hospital, and was held at Brigham and Women's Hospital, Boston, Mass, April 3, 1996.

Reprints: Thomas L. Delbanco, MD, Division of General Medicine and Primary Care, Beth Israel Hospital, 330 Brookline Ave, LY310, Boston, MA 02215.

Clinical Crossroads at Boston's Beth Israel Hospital is produced and edited by Thomas L. Delbanco, MD, and Jennifer Daley, MD; Janet Walzer, MEd, is managing editor. Clinical Crossroads section editor: Margaret A. Winker, MD, Senior Editor, JAMA.

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