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Published in Canadian Medical Association Journal • Oct 11, 2004
NobleIDNI7P78W25R68S48

Abstract

Clare was 300 pounds, middle-aged and short of breath. She was a longtime smoker who looked as if she'd puffed in the womb. She suffered from a crippling emphysema and was noncompliant with her medication regimen. She regularly missed appointments. In short, she was one of my sickest and — Why do

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