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By Gabrielli, Layon, Yu

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Extra info for Civetta, Taylor, and Kirby’s Critical Care

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She was taken to the county hospital, where resident physicians tried to realign the fractures, but she was left with a deformity. These last two patients have been particularly influential for one of us (H W), as they were his parents. These individuals were proud people, who worked hard throughout their lives and were very reluctant to avail themselves of public welfare or insurance programs. As such, they viewed their problems as their own responsibility. At various times, they expressed the view that they somehow deserved the misfortunes that befell them, because they had not found a way to attend college during and after the Great Depression.

Upper gastrointestinal hemorrhage from a bleeding duodenal ulcer, with resulting loss of consciousness, was diagnosed. After treatment with transfusions and medications, the patient slowly recovered. N early 1 year after losing his job, the patient found employment again as an office worker, received insurance coverage, and returned to his former physician for care. ■ A 53-year-old woman, who had worked as a receptionist and clerical worker, was not working partly because of symptoms of pain and limited mobility associated with premature osteoporosis.

Scalea, MD Francis X. Kelly Professor of Trauma Surgery Trauma Department University of M aryland School of M edicine Physician-in-Chief R Adams Cowley Shock Trauma Center Baltimore, M aryland Denise Schain, MD Associate Professor Division of Infectious Diseases Department of M edicine University of Florida College of M edicine Gainesville, Florida Michael Schlame, MD Department of Pharmacy Services Shands H ospital at the University of Florida Gainesville, Florida Associate Professor Department of Anesthesiology N ew York University School of M edicine Attending Anesthesiologist Department of Anesthesiology N YU M edical Center N ew York, N ew York Stephen J.

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