JAMA Network April 25, 2024
James R. Nicholas

She walked toward me and my wife, stopped directly in front of us, and said, “Two old people walking hand in hand. You have made my day!”

“Not just old people. We have been walking like this for more than 70 years,” Joan laughed.

A couple of years later, Joan tripped as we were walking. I lifted her hand, which may have saved her from hitting her head, but as soon as she was on the ground, she knew her hip was broken.

Joan had a comminuted fracture of her femur. No weight-bearing for a month. But the more serious complications were postoperative kidney injury, ileus, worsening of chronic obstructive pulmonary disease (COPD) symptoms (which had not previously required supplemental...

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