As teachers in the graduate schools of general medicine we should endeavor to give that instruction which our matriculants can safely make use of after returning to their homes. I know that they receive no more enthusiastic nor more frequent instruction than that concerning adenoids. I wish to address you in behalf of those children who live in the country districts, far from the larger towns, from whence it is either impossible or inexpedient for them to be taken in order that a specialist may treat them according to some of the many vaunted methods.
It is possible to teach the general practitioner to perform the various operations suggested for the removal of adenoids, but the time required for the proper instruction in the delicate practical manipulative technic of certain methods of procedure makes many of them unfeasible. Operations with the Lowenberg's forceps or some of its modifications should not
MYLES RC. REMARKS CONCERNING THE MANAGEMENT AND TREATMENT OF RHINOPHARYNGEAL TONSILS BY THE GENERAL PRACTITIONER.. JAMA. 1903;XL(12):762-764. doi:10.1001/jama.1903.92490120001001c