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so i was a family doc i uh opened up my uh practice in 1982 about an hour north of boston and i was very happy as a family doctor i became chair of family madison at leahey clinic and i was teaching at harvard medical school and really quite happy being in the community and part of the community um i had done a robot with johnson fellowship at the end of my residency and i had learned research design statistics and epidemiology with the uh idea of being able having the option to go into an academic career but it decided that i really like taking care of people in the community so thats what i was doing and i was doing it happily but as the late 90s approached it became clear that the drug companies were having a greater and greater influence on what doctors thought the right way to teach their treat their patients what was the first example was hormone replacement therapy with the idea that all postmenopausal women should without a contraindication should take hormone replacement the
