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She hadn’t always known she would be a doctor, but even her elementary-school classmates had predicted that the caring girl with the good grades would follow in her father’s footsteps. Dr. Frederick Pou was a Dominican Republic–born, New Orleans–raised internist, well known in the community but often absent from the family’s large, two-story white colonial on Fontainebleau Drive. His wife, Jeanette, was the daughter of Sicilian immigrants. She gave birth to eleven children, and he worked tirelessly to provide for them. He treated patients in a corner house in the Bywater, a working-class neighborhood on the opposite side of town. He sometimes scheduled office appointments until ten p.m. and returned home for dinner after midnight. When a new diet book was published every few years touting yet another physician’s variation on carbohydrate restriction, it was treated by Bray and his colleagues as the ultimate evidence that the diet itself didn’t work. “If such diets are truly successful,” asked Van Itallie in his AMA denunciation of Atkins, “why then, do they fade into obscurity within a relatively short period of time only to be resurrected some years later in slightly different guise and under new sponsorship. Moreover, despite the claims of universal and painless success for such diets, no nationwide decrease in obesity has been reported.” Of course, the efficacy of the diet could explain the continued popularity of such books. The diet had survived more or less continuously for over a century and had certainly thrived since the end of World War II. That the medical and nutrition establishments refused to take it seriously, and had even taken to advocating carbohydrate-rich diets instead, could explain the continued high prevalence of obesity. Virginia Rider—Special agent, Medicaid Fraud Control Unit; lead investigator, Memorial case transcribe or play the illusory music. (His best chance of“catching” this phantom music, he has found, is to set up a newspaper on the music stand and play it as soon as the newsprint