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August 2, 1930


Author Affiliations

Washington, D. C.

JAMA. 1930;95(5):361-362. doi:10.1001/jama.1930.02720050049029

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To the Editor:  —In Queries and Minor Notes (The Journal, June 28, p. 2085), a correspondent asks advice as to "the treatment of patients with thyrotoxicosis who will not submit to surgery."Your answer indicates that the nonsurgical treatment of thyrotoxicosis is of little or no value and concludes with the statement that "the physician in charge has a definite responsibility imposed on him to influence such patients to submit to an operation."Your answer, of course, is quite in harmony with the surgical point of view, but you ignore the fact that many able clinicians do not subscribe to that point of view, at least, without more or less latitudinous reservations.As an example of the latter I quote the following concerning [ill]e medical treatment of hyperthyroidism from Osler's Practice of Medicine, edition 10, page 901:It is usually well to try medical treatment before surgery is considered. Halfway

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