Abstract
So many situations in family medicine will not fit the nice, neat formulae of history, physical, findings and treatment that are presented in traditional `grand rounds'. Frequently, the most logical, or the most medically sensible course of action is not possible. The family physician is left negotiating a situation in which there is not necessarily a `right' way to act, as in this case. Responses, with comments from the presenter of the case, will be published in upcoming issues. Readers are invited to submit similar cases from their own experience.
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