Lisa Rosenbaum, M.D generic cialis .: Transitional Chaos or Enduring Damage? The EHR and the Disruption of Medicine A decade ago, a primary care doctor I undone admired seemed to come. His effectiveness had derived not really from rushing between sufferers but from understanding them therefore well that his charting was effortless and fast. But he became distracted instantly, losing his grasp on the details of his patients’ lives. He slumped around, shirt half-untucked, perpetually pulling a yellowed handkerchief from his pocket to clean his perspiring forehead.
Linkage and cytogenetic analyses have resulted in the identification of 29 X-connected and 5 autosomal recessive genes associated with nonsyndromic mental retardation, which together account for less than 10 percent of cases.1-6 Furthermore, autosomal dominant genes have yet to be identified, because mental retardation outcomes in lower reproductive fitness mainly, which in turn decreases the probability of identifying families that are amenable to linkage evaluation. Nevertheless, the fact that de novo chromosomal rearrangements represent the mostly recognized cause of mental retardation shows that monoallelic lesions are enough to cause this disorder.