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In a letter to Gypsys primary care physician about the appointment, Flasterstein wrote, I believe that the mother suffers from Munchausen by proxy. Munchausen syndrome by proxy is a condition in which a caregiver, usually a parent, exaggerates, makes up or even causes a child's illness in order to get medical care and attention for themselves, not the child

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Furthermore, the reliance on case reports and self-reported data for identifying seizure incidents linked to e-cigarette usage may be inherently prone to biases, including recall bias and reporting bias