JAMA 100 Years Ago Section Editor: Jennifer
Reiling, Assistant Editor.
Last week we called attention to the practical value of blood examination,
and its great importance as a means of diagnosis and to the simplicity of
But valuable as is this method and simple as is the technic, it yet
requires not alone a training in bacteriology, but apparatus, media, etc.,
that must constantly be on hand and ready at all times to be brought into
use. In larger cities with their medical colleges, hospitals and municipal
laboratories there is comparatively little difficulty in finding the man and
the appliances close at hand. But what about the "country doctor" and physicians
in small towns? How can they, however much they may desire it, make their
early diagnosis of typhoid or of pneumococcus bacteremia by the blood examination?
It is well-nigh impossible for the average physician in the smaller town,
or in the city for that matter, even though he may possess the requisite knowledge
and technical skill, to keep his private clinical laboratory up to the mark,
supplied with fresh culture media and stock control cultures, or to watch
and follow through carefully a bacterial growth. He must depend on assistance.
Bad Air.. JAMA. 2003;290(8):1104. doi:10.1001/jama.290.8.1104-a