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QJM 2006 99(12):881-882; doi:10.1093/qjmed/hcl126
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© The Author 2006. Published by Oxford University Press on behalf of the Association of Physicians. All rights reserved. For Permissions, please email: journals.permissions@oxfordjournals.org

Response

M.L. Halperin and K.S. Kamel

Division of Nephrology
St Michael's Hospital
University of Toronto
Toronto
ON, Canada

The first 10% of the full text of this article appears below.

Sir,

We thank Dr Rosival for his interesting comments. It is true that important authorities, such as those he cited, do state that a low pH in arterial blood can lead to a decreased level of consciousness. Nevertheless, one must ask: ‘What is the compelling evidence to believe . . . [Full Text of this Article]


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