The Importance of Realizing That we all Have Secrets

Your Neighbor Is An Alcoholic, Redux

 by Alex Lickerman, M.D. 

Photo: peteSwede

My patient smiled a toothless grin and told me, "I feel fine, doc." But he was far from it. His liver enzymes had risen into the thousands, his skin was a pasty yellow I didn't need the benefit of sunlight to see, and his albumin (a protein whose level indicates the liver's functional capacity as well as a patient's degree of malnutrition) had fallen...
ar too low. Further, he'd been admitted to the hospital with a chief complaint of vomiting blood, which turned out to have been caused by esophageal varices, a potentially...FULL ARTICLE 
About the Writer:

Alex Lickerman, M.D., is a general internist and former Director of Primary Care at the University of Chicago and has been a practicing Buddhist since 1989.
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