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Eileen Reynolds, MD

JAMA. 2009;302(17):(doi:10.1001/jama.2009.1684).

	Since this article does not have an abstract, we have provided the first 150 words of the full text and any section headings.

The patient described and interviewed below faces a crossroads in his medical care. Consider his medical history and perspective, expressed in his own words, and review the questions posed. How would you approach this crossroads? Using evidence from the literature as well as your own experience, respond by using the link to the right. Responses will be selected for posting online based on their timeliness and quality, including use of the available evidence, weighing the issues, and addressing the patient's concerns. The discussion of this Clinical Crossroads case, authored by Michael D. Howell, MD, MPH, will be published in the December 2, 2009, issue of JAMA; responses must be received by November 29, 2009, to be considered for online posting.

CASE PRESENTATION

Mr A is a 37-year-old executive who is looking for a new physician and health care system.

In November 2006, Mr A awakened . . . [Full Text of this Article]

Author Affiliations: Dr Reynolds is Program Director, Internal Medicine Training Program, Beth Israel Deaconess Medical Center, and Associate Professor of Medicine, Harvard Medical School, Boston, Massachusetts.

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