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To the Editor.—
The article by Teele et al (1983;249:1026) entitled "Middle Ear Disease and the Practice of Pediatrics" presents once again the difference in perspective between the institutional-based pediatrician and the pediatrician in practice. The author set out "to determine the burden on pediatricians imposed by disease in the middle ear." We in practice hardly consider otitis media a "burden." Rather, this is an opportunity, since, as the authors point out, middle ear infections account for 22.7% of visits made during the first year of life, increasing to 40% in years 4 and 5. When one considers that it requires 300 pediatric office visits to equal one hip replacement, my use of the word "opportunity" is appropriate.Of course, we in practice are concerned about the problem of recurrent middle ear infection and do all we can to treat it effectively and to reduce as much as we can
Bosley W. Middle Ear Disease and the Practice of Pediatrics. JAMA. 1983;250(4):485-486. doi:10.1001/jama.1983.03340040029018