Tag: COPD
-
Not-so-natural history
Anthony PapagiannisThessaloniki, Greece Physicians learn about chronic disease by watching its natural history and attempting to modify it with therapies. Cardiologists record episodes of ischemic disease, oncologists follow the progression of malignancies, and pulmonologists note changes in respiratory function over time. When patients are first seen, the disease is often already established. It is less…
-
Last words
Dean GianakosVirginia, United States It’s after midnight, and I’m on the phone with the family medicine resident. “Dr. Gianakos? Sorry to wake you. I’m here in the emergency room with Hattie T. I know you know her from previous admissions. Another COPD exacerbation, Dr. G. I’ve given her antibiotics, steroids, and three neb treatments. She…