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January 26, 1935


JAMA. 1935;104(4):336-337. doi:10.1001/jama.1935.02760040068026

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To the Editor:—  Permit me to express my delight in Dr. Christian's communication concerning total ablation of the thyroid (The Journal, January 5, p. 64). Doubtless, this letter will create a stop movement in regard to this operation. Dr. Christian's authoritative voice must have a sobering effect on the enthusiasts.It seems that my paper "Is Total Thyroidectomy Rational as a Method of Treatment?" (Canad. M. A. J., November 1934), pursuing the same purpose, has appeared timely.I differ with Dr. Christian on his assumption that the disturbing factors of cachexia strumipriva "will limit the applicability and the effectiveness of this new method of treating cardiac disease to a relatively small group of patients." When one speaks of selection of cases in a general way, it does not mean much. As I pointed out in my paper, so far there is no scientific way of defining such a group of

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