!! QQQ?

research on the residents working hours

Dr Chen neurologist is over-worked related cardiac incident?

1. evidence of disease

myocarditis, post-infectious? fatigue signs which may be detected by by-stander or coworkers

past history:

annual physical exams may discover the underlying causes that may play a role in hyperacute incident

uric acid elveation with episodic attacks of gouty arthritis
myocardial infaction
aneurysm rupture is less likely.


2. working hours should be collected
how to investigate the time and details, and /or course of his spending times

in the past three to six months

3. temporal relationship

4. dose-response or consistency

5. competing causes

hypertension
high uric acids
usual medications