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" ... But elsewhere the most interesting operations are being referred to subspecialists who have completed fellowship training and can provide deeper levels of surgical expertise. Hepatobiliary surgeons, for example, now operate on the most complex cancers of the liver and pancreas. Endocrine surgeons have laid claim to thyroidectomies and adrenalectomies. Even mastectomies, once the realm of all general surgeons, are being done by a smaller number of physicians who focus their entire practice on treating breast cancer. ... "
" ... Lupus is an incredibly complex disease, requiring care from highly trained subspecialists. Such care should be available to all. ... "