In an email to his friends and family sent Thursday afternoon and reviewed by the Journal, Mr. Hamilton said the federal investigation triggered him to tell "the whole truth" for the first time, leading him to conclude that "this was the way forward" for him.

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Our ability to tell the truth and spend the time with our patients is solely a function of being employed by our patients, not their insurance company, a big hospital or a large multispecialty clinic.

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While he mocks and exaggerates and creates a dense, tough double-layered persona who takes more time to sift through than most people allow, small truths are the starting point that he twists in order to tell a bigger truth.

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This time last year, the country was practically screaming at Clinton to tell the grand jury the truth and all would be forgiven.

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"People underestimate how difficult it is to tell the truth when you have lived a secret life for a long time, " Coyle said.

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