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In August 1997, on her first day of clinical rotations as a medical student in New York City, Brie Williams, MD, sat down at the bedside of a young woman. The patient lay on her back, a blanket pulled up to her neck. Staring at the ceiling, she answered Williams’s questions with curt, one-word replies. Finally, Williams asked the woman to sit up so she could examine her. 
“No.”
Williams froze. Had she done something wrong? She fidgeted silently, at a loss for words, until at last the woman said, “Why don’t you ask me why I can’t sit up?” ....

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