Medicine is an ever-changing science. As new research and clinical experience broaden our knowledge, changes in treatment are required.

Any medical opinions expressed herein represent general opinions and are not intended as specific consultative recommendations for any specific patient. These communications are not intended for inclusion in any specific patient's medical records as hard copy.  These opinions are intended solely as part of an open discussion of complex medical and ethical issues and should not be construed as an authoritative recommendation.

I have checked with sources believed to be reliable in an effort to provide information that is complete and generally in accord with the standards accepted at the time of this writing.

However, in view of the possibility of human error or changes in medical sciences, NEITHER I, NOR THE SPONSORS or any other party who has been involved in the preparation or presentation of this work warrants that the information contained herein is in every respect accurate or complete. This publication could include technical or other inaccuracies or typographical errors. Changes are periodically added to the information herein. I may also make improvements and/or changes in the articles described in this publication at any time.