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Dr C Thomas L. Delbanco, MD
Beth Israel Hospital Boston, Mass

JAMA. 1997;277(3):212-213.

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In Reply.

—As the patient's primary physician, I agree with Dr Enker's important comments regarding the devastating effects Parkinson disease can have on patients and their families. Perhaps it would be most helpful to present some further information about the patient discussed in the Clinical Crossroads articles.^1,2 After he gave up his dental practice, faced with loss of esteem and with new financial burdens, Dr H became clinically depressed. He was treated with counseling and medication by a psychiatrist, in collaboration with his consulting neurologist and me. He received important social service support and had the good fortune to have a remarkably supportive and loving family. The therapy proved helpful and he gradually improved. This man of healing felt a need to continue on in his life as a healer and began volunteering in a local hospice. His participation in the Clinical Crossroads conference was a source of great pride to . . . [Full Text PDF of this Article]

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