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A Piece of My Mind
JAMA. 1990;263(1):90. doi: 10.1001/jama.1990.03440010088039

Little Battles

  1. Robert Malcolm, MD
  1. Charleston, SC

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

Excerpt

It's about 6 PM and I sit down for the first time in 3 hours. My time in combat is over for another day. Four admissions today: Two angry young men in their 30s who are addicted to cocaine and feel they use alcohol only to mellow out. A 15-year-old girl who smokes 10 to 15 joints a day and who—with the exception of cannabis—probably has not put a single new thing in her brain in more than 3 years. A 45-year-old physician's wife who has had five abdominal operations, massive addiction to prescription narcotics, and a profound depression. I have written orders for all four. The work earlier in the day was a sick call for those patients who were previous casualties of this war on drugs. Patients with psychotic depression, second-degree burns, "flu"like illness, and chronic pain syndrome were some of the convalescent wounded. The victims of this

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