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May 22, 2009

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Willa

How are you. In all affairs it's a healthy thing now and then to hang a question mark on the things you have long taken for granted.
I am from Mauritania and , too, and now am writing in English, give true I wrote the following sentence: "Razor a kick spark scooter: there are serial many models of skinheads in mid-1990s of genre."

:( Thanks in advance. Willa.

John Brady, MD

Gary,
I have used Neurontin in the past with good results, but in her case, she could not take a chance at the fatigue which goes along with it. The frustration I have is that this is nothing more than denial of care. If there was actionable data showing I order too many MRIs or that I am not providing appropriate care for my patients prior to ordering expensive procedures, then fine, I will do my best to change my practices. But that data does not exist so they are sledge hammering everyone in the wrong and short-sighted attempt to reign in costs.

Gordon Moore

This is a perfect example of the kind of rationing and delays and denied care that runs throughout this system.
We need new systems that get people high quality care without rationing, with real choice, without these outrageous delays.

Gary Seto

John,
This is indeed insanity. But unfortunately in an insane system such as ours, this is all too typical. I bet if you told them the patient or her spouse was an attorney, the outcome would be different.

Also, I have had patients with similar pain get significant relief with Gabapentin. Just a thought.

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