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“Brain of a white-collar worker”Lionel Feuillet, Henry Dufour, Jean Pelletier 

Lancet 2 00! "0# $%$

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Briti&h neurologi&t John Lor'er( Lor'er wa& the fir&t to )ro*i+e a &y&teatic &tu+y of

&uch ca&e& He ha& +ocuente+ o*er %00 &can& of)eo)le with hy+roce)halu& an+ ha& 'roken the intofour grou)

( ./ tho&e with nearly noral 'rain&

( $/ tho&e with 0-01 of the craniu fille+ withcere'ro&)inal flui+

( "/ tho&e with 0-201 of the craniu fille+ withcere'ro&)inal flui+ an+

( 3/ the o&t &e*ere grou) with 21 of the cranialca*ity fille+ with cere'ro&)inal flui+( 4f the la&t grou), which co)ri&e+ le&& than .01 of

the &tu+y, half were )rofoun+ly retar+e+ The

remaining half had IQs greater than 100.

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(  5ne&theti&t 5l'ert 6a&on worke+ with a )la&tic

&urgeon trying to graft &kin fro the 'oy7& che&t

&uffering fro icthyosiform erythrodermia, which

only a+e it wor&e 8o 6a&on &ugge&te+

hy)noti& a& a la&t +itch effort

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%1

( %1 of )riary care *i&it counication

i& )riarily 'ioe+ical

( %1 of )riary care 9inclu+ing )e+iatric:

*i&it& ha*e a )&ycho&ocially eleent or

foun+ation

( %1 Pt& entione+ eotional 'arrier& to

kee)ing a))ointent&

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3 TALES

( ;@>DT4?5L

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Cultural Inertia 

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Individual Inertia

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Situational Inertia