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From the Heart
June 14, 2023

Reflections on a Posthumous Existence

Author Affiliations
  • 1Division of Cardiology, Department of Medicine, Penn State University College of Medicine, Hershey, Pennsylvania
JAMA Cardiol. 2023;8(8):717. doi:10.1001/jamacardio.2023.1456

I got an 8 am call from the hospital: all my cultures were positive for Staphylococcus aureus. I told my wife, “Honey, I’m in big trouble!” and indeed I was. I’d had a transaortic valve replacement a year before, and as a retired cardiologist, I knew the dire implications of Staphylococcus endocarditis on a prosthetic aortic valve.

My son had taken me to the emergency department the night before with fever (temperature as high as 104 °F) and chills. It was flu season, and the physician thought I might have influenza or COVID-19 infection. But a physician friend, who knew about my prosthetic aortic valve and my fever and chills, had told my son to be sure they got blood cultures. In my fever-altered mental state, I might not have asked. My friend was so right. He also said I’d be in the hospital for a month. And he was so right about that, too.

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