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The essay in Pediatrics in Review, "Giving to Our Patients—Should We Draw the Line?," by Dr Larry Nazarian (1986;8:67), although thoughtful and making many good points, goes astray, I believe, when it deals with unfair demands placed on the pediatrician by parents. Dr. Nazarian succumbs to the tendency in each of us that creates so much frustration in practicing pediatricians: in caring for children we tend to adopt a parenting attitude, but then we inappropriately transfer this attitude to adults and also parent them. Too often, instead of dealing with parents as equals, we become paternalistic; of course, we deny this to ourselves and talk about being "caring" and putting ourselves in the child's place.

Going Forward: Multiple methods will provide perspectives from the community on barriers to optimal EC access. d Case studies: Cases that present to the ED late in the course of illness will be utilized to understand aspects such as recognition of symptoms and severity, first aid administered and deliberations of the patient or caregivers. d Focus Groups: Emergency scenarios will be utilized to explore the course of action that would be taken by community members. d Community Survey: Hypothesis will be drawn from the qualitative data and tested with a quantitative survey implemented in locations frequented by a wide cross-section of the community. This program has potential to increase understanding of rural Ugandan sociocultural factors in EC seeking, impact EC implementation and increase mutual understanding between providers and similar underserved populations.