April 7, 1900

Some Remarks in Reply to Dr. H. A. Kelly's Article on "Ureteral Calculus."

JAMA. 1900;XXXIV(14):889-890. doi:10.1001/jama.1900.02460140061020

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To the Editor:  —In The Journal of March 3, Dr. H. A. Kelly reports, as entirely new, the diagnosis of a ureteral calculus by means of a wax-tip bougie, and he closes with the words: "I am not aware that ureteral calculus has ever been assisted to escape in this way before." I am ready to admit that the removal of a stone from the ureter is not an old practice, that the literature on the subject is of more recent date, and does not cover a great many cases, but the practice is not unique and the ease is not a singular one, and I am very much surprised to see the statement propounded by a gentleman as well read as H. A. Kelly. Kolischer presented the first case of this kind to the Vienna Medical Society, about two years ago. The stone was found impacted in the left

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