title: Author`s Reply.
authors.affiliation: Department of Internal Medicine, Texas Tech University health Sciences Center, Lubbock-TX-USA.
authors.forename: Marcella
authors.initials: M
authors.lastname: Rivas
authors.affiliation: Department of Internal Medicine, Texas Tech University health Sciences Center, Lubbock-TX-USA.
authors.forename: Atul
authors.initials: A
authors.lastname: Ratra
authors.affiliation: Department of Internal Medicine, Texas Tech University health Sciences Center, Lubbock-TX-USA. kenneth.nugent@ttuhsc.edu.
authors.forename: Kenneth
authors.initials: K
authors.lastname: Nugent