In reply:

I appreciate the kind remarks of Dr. Niforatos and thank him for further identifying needed research not yet done, but crucial to answering the question of how best to provide care for these patients. I hope someone has the persistence and logistics to complete such a study, and that in the meantime the US public continues to expect, and receive, treatment consistent with the prudent layperson standard. This is a good example of a societal problem that is not likely to be solved by limited and self-interested research by parties responsible for (and benefitting from) only certain aspects of the solution.

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