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Bedside Encounter

Bedside Encounter Opinion LESS IS MORE PERSPECTIVE Unnecessary Pacemaker Say Salomon, MD Care Coordination Problems and Language Barriers Montefiore Medical Center, Bronx, New York, New York. We met an elderly patient who had a history of hyper- physicians told him to take them, and he wanted to com- James Fausto, MD tension and diabetes. He was admitted with com- ply with what the physicians said. Montefiore Medical plaints of dizziness and a “feeling of slow heart beat” for We wondered how this could have happened. The Center, Bronx, New York, New York. the past 2 weeks. He also had 1 episode of a presynco- patient was not a native English speaker, and we spoke pal event and an electrocardiogram indicating third- with him in his native language. We asked to see all the degreeatrioventricularblock.Thisseemedlikeastraight- prescription bottles and confirmed that the patient was forward admission. By the time we first met the patient, taking these medications. We immediately informed car- cardiology had already decided to place a pacemaker. diology,andthepreparationstoinsertapermanentpace- During rounds, we asked what could be the cause of this maker were stopped. We informed the patient of the patient’s bradyarrthymia. We sat down with the pa- medication mistake and provided our http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png JAMA Internal Medicine American Medical Association

Bedside Encounter

Rousseau, Paul
JAMA Internal Medicine , Volume 175 (4) – Apr 1, 2015
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References (5)

Publisher
American Medical Association
Copyright
Copyright 2015 American Medical Association. All Rights Reserved. Applicable FARS/DFARS Restrictions Apply to Government Use.
ISSN
2168-6106
eISSN
2168-6114
DOI
10.1001/jamainternmed.2014.8318
pmid
25730342
Publisher site
See Article on Publisher Site

Abstract

Opinion LESS IS MORE PERSPECTIVE Unnecessary Pacemaker Say Salomon, MD Care Coordination Problems and Language Barriers Montefiore Medical Center, Bronx, New York, New York. We met an elderly patient who had a history of hyper- physicians told him to take them, and he wanted to com- James Fausto, MD tension and diabetes. He was admitted with com- ply with what the physicians said. Montefiore Medical plaints of dizziness and a “feeling of slow heart beat” for We wondered how this could have happened. The Center, Bronx, New York, New York. the past 2 weeks. He also had 1 episode of a presynco- patient was not a native English speaker, and we spoke pal event and an electrocardiogram indicating third- with him in his native language. We asked to see all the degreeatrioventricularblock.Thisseemedlikeastraight- prescription bottles and confirmed that the patient was forward admission. By the time we first met the patient, taking these medications. We immediately informed car- cardiology had already decided to place a pacemaker. diology,andthepreparationstoinsertapermanentpace- During rounds, we asked what could be the cause of this maker were stopped. We informed the patient of the patient’s bradyarrthymia. We sat down with the pa- medication mistake and provided our

Journal

JAMA Internal Medicine – American Medical Association

Published: Apr 1, 2015

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