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Norman A. Welch, MD
JAMA. 1964;189(2):125-127. doi:10.1001/jama.1964.03070020053012.
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ONE OF THE determining factors in any prognosis is the ability and dedication of the attending physicians. From that standpoint, we are fortunate, because this case has been studied by experts. Some of the finest clinicians and a top pathologist have been in consultation. If we can't turn out a promising prognosis on that basis, the patient simply isn't trying.

It is as vital in this "case" as in a real one that the patient does try. No amount of therapy will help unless he tries. If he doesn't, the disappointing results will not be limited to town and gown. They will be inflicted on the public we are sworn to serve. No physician can, in good conscience, afford to be indifferent to this problem. All aspects of it cannot be solved quickly. The town-gown syndrome is one we have had always with us. It will take time and understanding


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