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Published Wednesday, February 22, 2006 by incidental findings. His first trip to the ER was after his mom slammed his head into a concrete wall. The doctor made a note in the chart - thin, dehydrated, small for his age. Jimmy was sewn up and sent home with his mom. The first thing she did was try to get him.

I have an elderly patient at the end of her life. Sometimes, medical paternalism is nice. Sometimes, I really want to tell this wonderful person that I know what to do, and that I know the right answer.

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