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Clinical Problem-Solving
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Volume 347:749-753 September 5, 2002 Number 10
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Out of Africa
Demetrios J. Sahlas, M.D., J. Dick MacLean, M.D., John Janevski, M.D., and Allan S. Detsky, M.D., Ph.D.

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A 42-year-old man with a recent history of insomnia and problems concentrating during the day presented to the hospital with emotional distress and an inability to cope. He denied any history of medical, surgical, or psychiatric conditions. He was not taking any medications and did not drink alcohol or use illicit drugs.

The patient was a French professor and former human-rights leader in the Democratic Republic of Congo (formerly Zaire). He had been taken prisoner and tortured during the civil war in 1998, but he managed to escape and spent a year in the bush. He had come to Canada . . . [Full Text of this Article]

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From the Department of Medicine, Sunnybrook and Women's College Hospital, Toronto (D.J.S.); McGill University Centre for Tropical Diseases, Montreal General Hospital, Montreal (J.D.M.); the Department of Medicine, Mount Sinai Hospital, University Health Network, Toronto (J.J., A.S.D.); and the Departments of Medicine and Health Policy, Management and Evaluation, University of Toronto, Toronto (A.S.D.) — all in Canada.


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