We're unable to sign you in at this time. Please try again in a few minutes.
We were able to sign you in, but your subscription(s) could not be found. Please try again in a few minutes.
There may be a problem with your account. Please contact the AMA Service Center to resolve this issue.
Contact the AMA Service Center:
Telephone: 1 (800) 262-2350 or 1 (312) 670-7827  *   Email: subscriptions@jamanetwork.com
Error Message ......
Surgical Reminiscences |


Hector Orozco, MD
Arch Surg. 2001;136(11):1323. doi:10.1001/archsurg.136.11.1323.
Text Size: A A A
Published online


IN 1969, during my last year of residency in the United States, I was chief resident in surgery at St Luke's Hospital (Bethlehem, Pa). One night, a 37-year-old man arrived in a critical state at the emergency department with multiple bullet wounds. This man, whom we will call Joe, had worked for a number of years at the Bethlehem Post Office but had to leave the job because of a severe mental disorder that made him act strangely on occasion.

One Sunday afternoon, Joe arrived at the post office carrying a .12 caliber rifle and asking for the head of the post office because he wanted to kill him. Fortunately, the boss was not there, and Joe left in a rage to find him. The workers called the police. I was having lunch on the third floor of 555 Springer St with my wife when we heard the police sirens close to our house, followed by gunshots. A few moments later, a call came from the hospital asking me to hurry back. When the police found Joe, who was out looking for his ex-boss to kill him, they cornered him in an alley. Police cars surrounded him. He got out of his car with rifle in hand, and the officers started negotiating with him. Apparently he agreed to turn himself in, and one of the police officers, convinced, put away his gun and walked toward Joe to take him in. Suddenly, Joe lifted his rifle and shot the officer at close range, killing him instantly. The other officers immediately fired back, shooting Joe several times in the forearms, thorax, and abdomen.


Sign in

Purchase Options

• Buy this article
• Subscribe to the journal
• Rent this article ?

First Page Preview

View Large
First page PDF preview





Also Meets CME requirements for:
Browse CME for all U.S. States
Accreditation Information
The American Medical Association is accredited by the Accreditation Council for Continuing Medical Education to provide continuing medical education for physicians. The AMA designates this journal-based CME activity for a maximum of 1 AMA PRA Category 1 CreditTM per course. Physicians should claim only the credit commensurate with the extent of their participation in the activity. Physicians who complete the CME course and score at least 80% correct on the quiz are eligible for AMA PRA Category 1 CreditTM.
Note: You must get at least of the answers correct to pass this quiz.
Please click the checkbox indicating that you have read the full article in order to submit your answers.
Your answers have been saved for later.
You have not filled in all the answers to complete this quiz
The following questions were not answered:
Sorry, you have unsuccessfully completed this CME quiz with a score of
The following questions were not answered correctly:
Commitment to Change (optional):
Indicate what change(s) you will implement in your practice, if any, based on this CME course.
Your quiz results:
The filled radio buttons indicate your responses. The preferred responses are highlighted
For CME Course: A Proposed Model for Initial Assessment and Management of Acute Heart Failure Syndromes
Indicate what changes(s) you will implement in your practice, if any, based on this CME course.


Some tools below are only available to our subscribers or users with an online account.

0 Citations

Sign in

Purchase Options

• Buy this article
• Subscribe to the journal
• Rent this article ?

Related Content

Customize your page view by dragging & repositioning the boxes below.

Related Collections