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It is late afternoon, your eyes start to droop, head starts to nod, and you feel like someone slipped you a mickey. You rifle through drawers, pockets, or cupboards desperately foraging for chocolate to get you through the afternoon.

How effective is antimalarial therapy in patients with lupus?

A previously healthy 19-year-old woman presents with a sore throat that has become progressively more painful over the course of 1 week. She also has left-sided neck swelling, light-headedness, and intermittent headaches. She denies recent sexual activity.

In many instances, our patients receive invasive and aggressive subspecialty care at or near the end of life. Such care can become burdensome and painful without a favorable outcome.