RT Journal T1 RIver rock garden JF Archives of Internal Medicine JO Archives of Internal Medicine YR 2011 FD May 9 VO 171 IS 9 SP 839 OP 839 DO 10.1001/archinternmed.2011.159 UL http://dx.doi.org/10.1001/archinternmed.2011.159 AB Courtesy of: Seth Ian Weber, MD, Internal Medicine, Susquehanna Health, Williamsport, Pennsylvania.