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Correspondence
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Volume 328:444-445 February 11, 1993 Number 6
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The Pathogenesis and Treatment of Kidney Stones

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To the Editor: The article by Coe et al. on the treatment of renal stones (Oct. 15 issue)1 provides an excellent summary, clearly defining a thorough approach to treating patients with this disorder. The ease and economy with which their care may be managed contrasts with what I observe in the world around me. Many patients are never evaluated or treated medically, but merely offered lithotripsy. Though I frequently consult with local practitioners about stone disease, I have yet to meet a patient who has had both lithotripsy and an evaluation for the cause of the disease. Could the continuing . . . [Full Text of this Article]

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