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Only Half the Story—Reply
Daniel F. Gunther, MD, MA;
Douglas S. Diekema, MD, MPH
Arch Pediatr Adolesc Med. 2007;161(6):616.
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In reply
Carole Marcus suggests that because we did not discuss the patient's breast surgery, our article told only "half the story" and was therefore misleading. We would respectfully disagree. The purpose of reporting this case was to focus attention and debate on the practice of attenuating growth in children with severe developmental disability as a strategy for improving the quality of their lives. There are many aspects of this patient's medical care that do not directly bear on this issue and were not reported. The hysterectomy was included in the discussion only because it was directly related to the complications of estrogen treatment. The medical rationale for hysterectomy is well covered in the article. Breast bud removal was a completely separate request and raised a different set of issues that were unrelated to growth attenuation (as was the incidental . . . [Full Text of this Article] AUTHOR INFORMATION
RELATED LETTER
Only Half the Story
Carole L. Marcus
Arch Pediatr Adolesc Med. 2007;161(6):616.
EXTRACT
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RELATED ARTICLE
Attenuating Growth in Children With Profound Developmental Disability: A New Approach to an Old Dilemma
Daniel F. Gunther and Douglas S. Diekema
Arch Pediatr Adolesc Med. 2006;160(10):1013-1017.
ABSTRACT
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