Is Gut Instinct the Key?

If you've got comorbid patients, they don't do as well and the complication rate is higher. I'm tightening and modifying the guidelines for referral to my clinic in-house all the time. It's going to take a little while before we develop that clinical experience to be able to use pragmatism correctly. Equally, I think the investigation of MPH is inherently traumatic and invasive.

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