title: Response to Dr. Palma's letter to the editor.
authors.affiliation: Froedtert and Medical College of Wisconsin, Milwaukee, WI, USA. CoreyOC@aol.com.
authors.forename: R Corey
authors.initials: RC
authors.lastname: O'Connor
authors.affiliation: Froedtert and Medical College of Wisconsin, Milwaukee, WI, USA.
authors.forename: Alexandru C
authors.initials: AC
authors.lastname: Barboi