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April 3, 1937

Essentials of Modern Medical Treatment

JAMA. 1937;108(14):1209. doi:10.1001/jama.1937.02780140065035

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This aims to provide the busy general practitioner with a work for ready reference on treatment. It is surprising how much practical information is packed into a small volume. Ripe experience shines through many of its maxims; e. g., "In sciatica do not attempt to stretch the nerve by extending the leg; it does more harm than good." Or, for obstinate cases of trigeminal neuralgia, "consider injection of 30 minims of alcohol, 90 per cent. This should only be done by an expert, and in any case risk of subsequent blindness is considerable. Most satisfactory treatment for intractable cases is partial ganglionectomy, which leaves out the inner and ophthalmic fibers, and so avoids risk of keratitis." In epilepsy "the ketogenic diet is only of limited benefit." In Ménière's disease, phenobarbital is recommended for the prevention of the attacks. In connection with the therapy of paralysis agitans the interesting statement is

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