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Volume 331:1316-1317 November 10, 1994 Number 19
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The Train Is Leaving the Station

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It is 7 a.m. I am sitting in a heroically proportioned lecture hall trying to focus my eyes. On a table in front of me, slightly blurred, sits what was advertised as a continental breakfast: lukewarm coffee in a styrofoam cup and a Danish, which is "continental" only in the sense that it may be a leftover from D-day.

I am recovering from a bad night on call. Several assaults by telephone designed to make me "aware" of a problem at a nursing home reduced the architecture of my sleep to rubble. REM-less, my mind wanders. I catch myself thinking . . . [Full Text of this Article]


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