What You Don’t See May Be the Problem

Over the years, I have had the opportunity to hear numerous patient stories presented to me by colleagues, residents, and students. Although I find each and every one unique and interesting in its own right, occasionally there is a story that stands out as worth sharing. The following case is one such example; not because there is any major new finding or disease entity to present, but because something so simple was missed—and many other medical centers may find themselves with a similar situation.

Mr. J is a 93-year-old gentleman who was active and in his usual state of health u...