Cold hands, warm and stressed heart

The case for hand temperature as a vital sign

You are running about 30 minutes late seeing patients. They are waiting. They are waiting for you. Your heart is beating quickly, as if spurring you to keep up. The last person had so many problems. You absorbed them long enough to understand, to plan, to move on as you must. Your hands are ice cold. And it’s not even that chilly in the office.

Or …