Hi everyone John Huang here. I'm a general internist at NYU working at Bellevue Hospital, New York, and I wanted to welcome you to the first episode of what I hope will be a recurring case discussion series here

on the Core I.

We're calling it Hookbeats. Let me introduce you to my partner on this segment,

Cindy Fang. Cindy do you want to say hi?

Hi everyone. This is Cindy Fain. I'm a hospice at NYU, currently working at NYU Langong Health right next door to Bellevue.

I'm very excited to be here.

So Cindy and I are both junior attendings.

We're about, what, Sunday three years out of residency at this point and this

segment grew out of a discussion of what we were missing most about residency and I

think that my personal answer that question is the ability to work with different people, you know,

attendings, consultants, even other residents and just hear how other people, how they were thinking

about the cases we were taking care of. I feel sometimes like I practice you know in an echo

chamber that I'm getting complacent in the way I think about my patients and this is the

segment is our attempt to kind of break out of that. So in this

podcast what we're going to do, Cindy and I will be challenging you to solve

diagnostically difficult real-world cases and we'll hear from experienced

clinicians who will be trying to solve them with you in real time.

As you might have guessed from the podcast segment title,

Cindy and I are hoping to avoid a trophy hunt for zebras, even though the cases might well be complex and unusual. Instead... on rules of thumb, diagnostic schema, any cognitive tools that might be helpful for our next patient.

We'd like to get ourselves thinking about how it is we think about making visible what is so often invisible. In this episode one of our colleagues at

NYU, Dr. Nehas Sate, brings us the very unusual story of a patient she took care of about two years

ago as a second year resident and here she is

...