And narcotics—be sure that you use lots of those, To treat inflammation in fingers and toes. Reduction in swelling? The joints might not show it, But your patient will be too obtunded to know it!”
So how should we deal with this unsought advice? Should we fuss and protest or instead just make nice? Should our own guidelines undergo major revision, Or should we instead merely laugh in derision?
We might instead say, “Cardiology friends, It seems that our specialties could make amends, If you, notwithstanding the size of your fees, Acknowledged some limits of your expertise,
And saw that when treating arthritic disease Rheumatology input is critical, please!”
Dr. Fox is chief of rheumatology at the University of Michigan in Ann Arbor.