ARTHUR C. SGALIA, M.D.
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To the editor: I was appalled to read the article by Holloway and colleagues in the December 1984 issue (1). It is an example of the ease with which some physicians capitulate to the admittedly powerful pressure of thinking exclusively in terms of cost effectiveness and "health-care dollars."
By what interpretation of our professional values can we come to think of the personal tragedy of permanent nephrotoxicity and a life expectancy projected at 10 years after the event in terms only of the cost of dialysis? The neglect of the issue of suffering aside, the authors failed to cite even
SGALIA AC. Choice of Potentially Nephrotoxic Antibiotics. Ann Intern Med. ;103:162. doi: 10.7326/0003-4819-103-1-162_1
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Published: Ann Intern Med. 1985;103(1):162.
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