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R M Ratzan

Publications and source records attributed to R M Ratzan.

33 records · Page 2Linked to original sources
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"Physicians must abandon the illusion of autonomy . . .".

Radical changes are occurring in medicine which are impacting the practicing physician. This is especially true for specialists caring for very acutely ill patients such as those with congenital heart disease. This article explores developments such as the reversal of fiscal and medical paradigms, risk-averse behavior, price-based costing, and competing physician priorities. Special emphasis is directed to issues in pediatric cardiology. Suggestions for action are made, the primary of which is that physicians must abandon the illusion of autonomy in order to acquire the reality of collective influence on the practice of medicine.

Cardiology↗
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Keep in touch.

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Anger↗
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The blue scrotum sign of Bryant: a diagnostic clue to ruptured abdominal aortic aneurysm.

A 73-year-old man presented to the emergency department twice with nonspecific abdominal pain. He was diagnosed as having mild diverticulitis and was discharged. Four days later he presented to the emergency department in severe abdominal pain with scrotal and penile ecchymoses. After an initial urologic consultation the correct diagnosis of ruptured abdominal aortic aneurysm was made. We discuss the pathogenesis of the genital discoloration and make the correct historical attribution of this sign to John Henry Bryant, a turn-of-the-century physician at Guy's Hospital.

Aged↗
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A near miss.

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Adult↗