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September 1920


Author Affiliations


From the Pathological Laboratory, Beth Israel Hospital, and Second Medical Service (Dr. Manges), Mt. Sinai Hospital.

Arch Intern Med (Chic). 1920;26(3):259-273. doi:10.1001/archinte.1920.00100030003001

The pathologist who is also a clinician finds himself constantly in a state of disillusionment. He finds that many conventions of clinical medicine and anatomic facts do not always coincide, not in the broader sense of diagnosis, but in the finer interpretation of clinical data by pathologic diagnosis and vice versa. After years of such attempts at interpretation he becomes painfully aware that pathology, after all, does not explain everything in clinical medicine, and that in order to bring current medical lore and pathology into closer relationships, many readjustments are necessary. There can be only two such reasons why this should be: either clinical medicine is wrong insofar as clinical data have not been sufficiently "checked up" with anatomic facts in the past; or our pathology is wrong insofar as these facts have been falsely interpreted in terms of clinical medicine. Both these factors are at fault, but the clinician

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