RT Book, Section
A1 Epstein, Ronald
A2 Feldman, Mitchell D.
A2 Christensen, John F.
A2 Satterfield, Jason M.
SR Print(0)
ID 1102936643
T1 Mindful Practice
T2 Behavioral Medicine: A Guide for Clinical Practice, 4e
YR 2014
FD 2014
PB McGraw-Hill Education
PP New York, NY
SN 9780071767705
LK accessmedicine.mhmedical.com/content.aspx?aid=1102936643
RD 2023/03/24
AB CASE  ILLUSTRATION  1Jeffrey  Borzak,  a  patient  I  knew  well,  seemed  to  be  recovering  from  coronary  artery  bypass  surgery.  On  rounds,  I  sensed  that  there  was  something  that  was  wrong,  but  I  could  not  put  my  finger  on  it.  In  retrospect,  his  color  was  not  quite  right—he  was  grayish-pale,  his  blood  pressure  was  too  easily  controlled,  he  was  even  hypotensive  on  one  occasion,  and  he  seemed  more  depressed  than  usual.  He  reported  no  chest  pain  or  shortness  of  breath,  and  had  no  pedal  edema,  elevated  jugular  venous  pressure,  or  other  abnormalities  on  his  physical  examination.  But  still  I  did  not  feel  comfortable,  and  although  there  were  no  “red  flags,”  I  ordered  an  echocardiogram  which  showed  a  new  area  of  ischemia.  An  angiogram  showed  that  one  of  the  grafts  had  occluded.  After  angioplasty,  Mr.  Borzak  looked  and  felt  better,  and  he  again  required  his  usual  antihypertensive  medications.