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Volume 356:108-110 January 11, 2007 Number 2
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Concurrent Sentences — Dialysis in the State Penitentiary
Eric M. Gibney, M.D.

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 by Binswanger, I. A.

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 by Binswanger, I. A.
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I was driving the last desolate stretch of road to the state penitentiary, headed to visit patients undergoing dialysis. I was well outside my comfort zone of the university transplantation clinic, and I was tense. The prison loomed large in my imagination, a caricature of every forbidding, barbed-wire-and-cinderblock jailhouse I had seen in the movies. Along the road, a sign marked the boundary of the Great Dismal Swamp.

I called ahead to Ms. Tuttle, the nurse who would meet me at the gate. "Tuttle," she answered the phone. The others would identify themselves similarly — a curt surname only. Prison . . . [Full Text of this Article]


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Dr. Gibney is an assistant professor of medicine in the Division of Nephrology and the Hume–Lee Transplant Center, Virginia Commonwealth University, Richmond.




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