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April 16, 1904

Clinical Report.

JAMA. 1904;XLII(16):1020-1021. doi:10.1001/jama.1904.02490610030003

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WOUND OF THE MEDIASTINUM.  J. A. GUTHRIE, M.D.Passed Assistant Surgeon United States Navy.PORTSMOUTH, VA.

Introduction.  —This case came under my care while I was stationed with the Army at Zamboanga, Philippine Islands, and while serving as medical officer in charge of the garrison at the naval station, and of the inhabitants of the Island of Basilan who are subject to the American governor. Basilan is the most southerly island of the Philippines proper, and has about eight thousand inhabitants, mostly Yacan and Mollussa Moros. The building assigned to me as a hospital was a ramshackle, tumbledown, barn-like affair, constructed on piling over the water. Outside of my apothecary, an excellent man, my help was the poorest and most inefficient. Occasionally a young graduate in medicine, who was then in the lumber business at Port Isabella, came to offer his advice; but aside from this meager assistance, I was

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