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Previous Volume 344:861 March 15, 2001 Number 11 Next

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By Pamela Grim. 307 pp. New York, Warner Books, 2000. $23.95. ISBN 0-446-52423-9.

"I, Dr. Grim, will kill you if you touch this IV." This is the sign taped by Dr. Pamela Grim above the sickest patients in her makeshift intensive care unit — a fly-ridden tent — during a meningitis epidemic in Nigeria, where she works as an emergency physician with Médecins sans Frontières. Here she relies on little more than chloramphenicol, fashions most of her own instruments, and steps over the bodies of patients she is unable to save. By contrast, in an American emergency room, she deploys a dazzling array of high-tech drugs and equipment to resuscitate her patients, many . . . [Full Text of this Article]

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