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I had just finished rounding in the skilled nursing facility when the phone rang. “Something is wrong. The doctor is here. Talk to him,” she said to me from my father’s bedside. The cardiologist got on the phone, and he must have told me about the myocardial infarction or the hypotension, but all I heard was “emergency heart cath,” and I could only think about the first one just 18 hours prior. The first one had been elective, but instead of resulting in an open coronary artery, it led to complications from the stent. This second one was an emergency. I stopped in front of my desk and could feel my colleague watching me, waiting.

Preeti malaniJessica kalenderDepartment of internal medicineUniversity of kansas medical centerJessica kalender richGeriatric medicineInternal medicineKansas medical centerKansas cityபிரீதி மாழனிதுறை ஆஃப் உள் மருந்துபல்கலைக்கழகம் ஆஃப் கன்சாஸ் மருத்துவ மையம்வயதான மருந்துஉள் மருந்துகன்சாஸ் மருத்துவ மையம்கன்சாஸ் நகரம்