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A Piece of My Mind
July 6, 2011

The Silent Majority

Author Affiliations

Author Affiliations: Lankenau Medical Center and Institute for Medical Research, Main Line Health Systems, Wynnewood, Pennsylvania; Jefferson Medical College, Philadelphia, Pennsylvania(

JAMA. 2011;306(1):18-19. doi:10.1001/jama.2011.904

It was the end of a long day in the office. Although I vowed I wouldn't schedule new, complicated patients after 2 PM, the young man's mother had pleaded with the scheduling secretary. The family was desperate for a second opinion. They were worried that their 20-year-old would collapse under the weight of his anxiety and depression. They couldn't wait—could Dr Kowey possibly fit him in? My secretary put him on my calendar and knew I wouldn't complain.

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