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Correspondence
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Volume 336:1679 June 5, 1997 Number 23
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How Should Doctors Respond to Their Calling?

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 by Miller, F. G.
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 by Loxterkamp, D.
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To the Editor: Dr. Loxterkamp's essay "Hearing Voices," on the anguish and rewards of general practice (Dec. 26 issue),1 calls on physicians to respond to the needs of patients, using their experience as a moral guide. However, the brief sketch of the patient dying in pain, who suddenly became Loxterkamp's responsibility on his admission to a nursing home, is very distressing. "Unloaded" by his oncologist, the man could be rescued only by an extraordinary effort — an emergency nursing home visit during busy office hours. The situation does not permit a defensible quality of care.

The issue is not how . . . [Full Text of this Article]

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