Abstract

To the Editor. —We read with interest the article by Dr Ifudu and colleagues 1 entitled Dismal Rehabilitation in Geriatric Inner-City Hemodialysis Patients. They indicated that they assessed functional of inner-city geriatric hemodialysis patients. We find the use of the word rehabilitation in this statement and title to be misleading. There seems to be confusion as to what constitutes rehabilitation. Webster's defines rehabilitation as the noun of the verb, rehabilitate—to bring or restore to a normal or state of health, etc, by medical treatment and physical or psychological therapy. 2 This implies an active program of intervention, which in this case was only acute medical treatment (dialysis). Often, acute medical treatment is sufficient to restore an optimum state of health or constructive activity, but on other occasions there needs to be active intervention in addition to this active medical treatment. Physiatrists would agree that restoration

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