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Dr.Ackerman, having known you and received my training from you, I am not surprised that you did the right thing even though it was the more difficult option. What makes the situaton even more difficult unlike the bigger cities along the coasts is that the ED's do not have uniform capabilities or the same level of personnel and that is where the 10 minutes you spent on the phone coupled with your experience comes in handy. If I have not told you before, you are my ideal pediatric critical care physician.Cheers!

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