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Michael F. Sorrell, MD

JAMA. 1996;275(13):1023-1029.

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

Dr Delbanco: Mr E is a 47-year-old married man. In 1992, while in prison, he was found to have asymptomatic hepatitis C infection. Currently he works part-time through a temporary agency. He does not have health insurance, but receives care at an inner-city neighborhood health center.

Mr E has been in good medical health except for a long history of substance abuse. At 19 years of age he began to experiment with marijuana, followed thereafter by the use of heroin intravenously, "uppers and downers," and cocaine. He denies using drugs in the past 3 months since leaving prison. He has used little alcohol over the years, drinking one or two beers about twice a month. He has smoked for many years and currently smokes 1 packs per day.

In 1991 he tested positive for syphilis and received a series of six injections of a penicillin preparation. In 1992 he took . . . [Full Text PDF of this Article]

Footnotes
Dr Sorrell is the Robert L. Grissom Professor of Medicine and Medical Director, Liver Transplant Program, University of Nebraska Medical Center, Omaha.

This conference took place at the Medicine Grand Rounds of the Beth Israel Hospital, Boston, Mass, on December 7, 1995.

Reprints: Janet Walzer, MEd, Division of General Medicine and Primary Care, Beth Israel Hospital, 330 Brookline Ave, LY339, Boston, MA 02215.

Clinical Crossroads at Boston's Beth Israel Hospital is produced and edited by Thomas L. Delbanco, MD, and Jennifer Daley, MD; Janet Walzer, MEd, is managing editor. Clinical Crossroads section editor: Margaret A. Winker, MD, Senior Editor, JAMA.

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