Criticism of Clinical Problem-Solving

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Abstract
In the April 1 issue,1 your experts recommended and implemented an extensive, unnecessary cardiologic diagnostic and surgical course of treatment for a hopelessly ill 87-year-old woman; and in the June 3 issue,2 your experts put a 71-year-old patient through an extensive workup, including antinuclear-antibody testing, protein electrophoresis, measurement of total complement, and ultrasonography of the left kidney, all before examining the chest film of a patient with obvious peripheral edema and a 50-pack-year history of cigarette smoking.

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