6. Bryant M. GE, Medtronic among those linking with hospitals for value-based care. https://www.healthcaredive.com/news/ge-medtronic-among-thoselinking-with-hospitals-for-value-based-care/519039/.

A healthy 21-year-old Chinese man with no relevant medical history presented to multiple general practitioners for a recurrent sore throat associated with hoarseness of voice for 3 months' duration. Despite having taken multiple courses of oral antibiotics, he saw no improvement in his symptoms. Over the course of 3 months, the patient went on to notice swelling and redness of his left ear (Figure 1A) that would resolve and recur every few weeks.Bothered by his hoarse voice and sore throat, he consulted a private otolaryngologist, who performed a nasoendoscopy, the results of which showed severe Reinke edema and chronic laryngitis. He was treated with a short course of oral prednisolone that alleviated all his symptoms.However, on cessation of oral steroids, the patient noticed a saddle-shaped deformity on his nose (Figure 1B) that appeared without any antecedent trauma. In addition, his hoarseness of voice worsened during a 2-week span and was now associated with difficulty breathing when he laid supine. In our otolaryngology clinic, physical examination results revealed a saddle-nose deformity, left pinna perichondritis, and a soft inspiratory stridor. He was unable to speak a full sentence without drawing a deep, labored breath. Laboratory test results showed elevated C-reactive protein levels of 143 mg/L, erythrocyte sedimentation rate of 97 mm/h, and a microcytic hypochromic anemia of hemoglobin level of 12.1 g/dL (to convert to grams per liter, multiply by 10). The results for antinuclear antibody, anti-doublestranded DNA, and antineutrophil cytoplasmic antibodies were negative.