October 17, 1931


Author Affiliations

Montefiore Hospital for Chronic Diseases, New York.

JAMA. 1931;97(16):1168-1169. doi:10.1001/jama.1931.02730160050027

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To the Editor:  —The clinical biography of ward patients in hospitals is normally constituted of three parts: (a) the purely medical and nursing bedside record, which is an historical outline in syllogistic order of the progress of the malady from the pathologic point of view, in accordance with the observations of the patient and those who take care of him; (b) the laboratory record, which provides clues to the solution of the problem which only the exact sciences can furnish, and (c) the social record, which provides the social background for the scientific picture and tells of factors which do not lend themselves to exact scientific treatment but which in a real way influence the origin, clinical course and outcome of the disease. That these three essential parts of the patient's record overlap and may not be considered independently by the medical scientist on whom the solution of the medical

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