Board certification and a good reputation are two requirements avidly sought in order to persuade individuals in the healthcare marketplace that they are suitable to provide care, while having a medical license is simply a box to check.

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Along with an examination chair with stirrups facing the jury box, a sonogram machine and other medical devices are on permanent display in the center of the courtroom.

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In an editorial earlier this year in The Lancet, a medical journal, Topol called for the FDA to put a black box label--its most serious warning--on Vioxx.

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"A cat can withdraw, stop eating, develop a medical problem, deviate from normal cat habits -- urinate or defecate outside of box, become destructive, anorexic, aggressive, " says cat therapist Carole Wilbourn, adding that a very anxious cat could even attack the baby or other family members.

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Mr. McNamee testified that at one point in 2001, he saved medical waste from the drug injections in an empty beer can, then stuffed the can in a box and hid the material in his basement, where it sat for years.

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