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Ignorance of Nutrition Is No Longer Defensible

Barnard ND (2019) JAMA Intern Med.  2019 July editorial; doi:10.1001/jamainternmed.2019.2273 

Web URL: Read the abstract and comments on Jama here


It was the middle of the night, and the patient’s intravenous (IV) line was clogged. Having refused the recommended foot amputation, the patient was receiving IV antibiotics to fight a festering infection, a complication of longstanding diabetes.

 During the few minutes it took to replace the IV catheter, the patient let me know that whatever pride I held in my phlebotomy skills was unjustified and that my needle sticks only added to the misery of hospital life. Each time I was called to replace the IV during the patient’s hospital stay, I found myself thinking, “Why not just get the amputation over with?” It seemed that the patient was only delaying the inevitable. But I was wrong. The patient eventually left the hospital, foot still attached.

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