The Journal of the Louisiana State Medical Society : official organ of the Louisiana State Medical Society
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We present a child with a cerebellar medulloblastoma, diagnosed at age three, treated with near total surgical resection, radiotherapy, and chemotherapy, that recurred 13 years after the initial diagnosis. This late recurrence exceeds the typical 10-year survival statistics that are in common use, and exceeds the Collins rule. Continued follow-up of these children is justified to increase the likelihood of detecting these late recurrences early and to learn more about these late recurrences.
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Many fear that the world may be on the brink of an influenza pandemic. One significant ethical issue which could occur in a pandemic is the lack of clarity regarding the duty of physicians to care for patients despite personal risk. This duty is examined through statements made by professional societies, as well as from a legal, moral, and historical perspective. Options to clarfiy this issue are also examined.