The Journal of Bone and Joint Surgery (American). 2006;88:1674-1676.
doi:10.2106/JBJS.F.00287
© 2006 The Journal of Bone and Joint Surgery, Inc.
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Professionalism in the Face of Adversity

James D. Capozzi, MD1, Rosamond Rhodes, PhD2 and George Gantsoudes, MD2

1 Department of Orthopaedics, Mount Sinai School of Medicine, 1065 Park Avenue, New York, NY 10128. E-mail address: capoz5@aol.com
2 Departments of Bioethics Education (R.R.) and Orthopaedics (G.G.), Mount Sinai School of Medicine, One Gustave Levy Place, New York, NY 10029

The first 150 words of the full text of this article appear below.

R.D. is a thirty-four-year-old man who presented to the emergency department after sustaining several deep lacerations to his hand. He underwent an irrigation, débridement, and wound closure procedure and was discharged with pain medication and antibiotics.

The patient returned to the emergency department three days postoperatively. He explained that his prescriptions had been stolen at the shelter where he lives. On examination, the bandage on his wounds was soiled and the skin of his injured hand was macerated. After his dressing was changed, R.D. was again discharged with prescriptions for his medications.

He returned the following day, again with complaints of pain and wound breakdown. In the emergency department, he was seen picking at his wounds. This time he was admitted to the hospital for observation and the administration of intravenous antibiotics.

The following morning, R.D. was found unresponsive and lying on his hospital bathroom floor. It was determined that . . . [Full Text of this Article]


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