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“Perplexity: inability to determine what to think, or how to act, owing to the involved, intricate, or complicated condition of circumstances, or of the matters to be dealt with, generally also involving mental perturbation and anxiety.”1
Dr Silverman2 has called for a “formal national inquiry” to address whether opportunism has overwhelmed compassion in the American neonatal intensive care “industry”; ie, to investigate the possibility that the relatively aggressive care provided to extremely premature infants in the United States is driven by the lucrative reimbursement on which academic pediatric departments depend for fiscal solvency.
After a few weeks, I was able to put the defensiveness and righteous indignation that this commentary evoked …
Address correspondence to John M. Lorenz, MD, Children’s Hospital of New York, Division of Neonatology, CHS 115, 3959 Broadway, New York, NY 10032. E-mail: jl1084{at}columbia.edu
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