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vii Stories that involve relationships between physicians and patients run the risk of either violating the privacy and confidentiality of the relationship or becoming so altered through efforts to disguise identities as to border on fiction. I have attempted to protect identities by changing names and altering characteristics while maintaining the key elements of the relationships and events. In some cases, temporal sequences were altered to maintain the narrative flow of a story that unfolded over twenty-five years. Some of the topics raised in this book may be difficult for some readers. However, I hope the book will deepen our understanding of the complex motives and consequences inherent in helping relationships , whether in a foreign place or in our own home communities. Preface ...

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