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	Since this article does not have an abstract, we have provided the first 23 words of the full text and any section headings.

In Reply: We thank Dr Brown and colleagues for their comments in response to our Commentary. We agree completely.

Financial Disclosures: None reported.

Allan S. Detsky, MD, PhD, FRCPC
allan.detsky@uhn.on.ca

Mark Otto Baerlocher, MD
University of Toronto
Toronto, Ontario, Canada

Letters Section Editor: Robert M. Golub, MD, Senior Editor.

JAMA. 2007;298:739.

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