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December 13, 1952


Author Affiliations

1110 Professional Bldg. Kansas City, Mo

JAMA. 1952;150(15):1510-1511. doi:10.1001/jama.1952.03680150064026

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To the Editor:  —In The Journal, April 26, 1952, page 1508, appeared an editorial on the future of otolaryngology, which emphasized that otolaryngology is a "shrinking surgical specialty"; that there is no such thing as the "uncontested domain of otolaryngology." I have practiced medicine for 40 years, during 25 of which the measures I used were strictly orthodox, just as I was taught. During that quarter of a century I viewed each patient as a candidate for surgery of some sort and my thinking stopped just there. Many well-meaning, sincere otolaryngologists today stop thinking just there. This is crucial to our specialty and must be radically changed if we are to advance or even survive.Fifteen years ago I kept for months a daily tabulation of my patients, under four headings: (1) those I really helped, (2) those for whom I did little to relieve their troubles, (3) those for

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