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How do you keep them engaged

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Because of its highly variable clinical presentation, other clinical conditions, such as acute viral infections, hepatitis, sepsis, autoimmune disease, and haematologic disorders, should be considered in the differential diagnosis of DRESS syndrome

Nowadays the mantrum seems to be "do what you want" and the cardinal sin against society is saying anything that might be interpreted as casting aspersions on another's "choice." If you subscribe to such a mentality, nothing I am about to say will convince you