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Sir: In their recent article, Schwenk et al. bring a very importantand sensitive issue to light. The authors show a high rate(11.3%) of moderate to severe depression among physicians.However, in the context of the article, they find an even moreinteresting, yet puzzling issue: the fact that 52.2% of physicianswith moderate to severe depression reported that "working hardhelps to lessen my depression."’ ‹