Vital Signs: Adding It Up

The young doctor’s complaint—chronic fatigue—was simple. Finding its cause was anything but.

By H. Lee Kagan|Tuesday, January 11, 2011
It was the end of August when Thad returned from his Caribbean honeymoon, sporting a rich tan and a look of contentment. But as he sat in my exam room he complained to me that he felt tired. “Tired after a honeymoon?” I said. “Sounds about right.”“No, it’s not that,” he said with a smile. “This is not like any kind of tired I’ve felt before.” Healthy and fit his entire life, Thad was a young physician about to begin his orthopedic specialty training. I trusted him to be an accurate observer, and...

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