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October 26, 1935


Author Affiliations


JAMA. 1935;105(17):1311-1312. doi:10.1001/jama.1935.02760430001001

Medical and surgical diagnosis rests to a large extent on the recognition of the nature and cause of gross changes in structure and their consequences on function.—Ludvig Hektoen.

Any one who has the hardihood to attempt a discussion of such a time-worn subject as the relation of pathology to practice runs the risk of producing something which, in the words of the melancholy Dane, is "stale, flat and unprofitable." And yet on an occasion like this, when we are marking the end of a period, it seems worth while to chance this risk. It is advantageous, no doubt, to take stock from time to time of the situation that confronts us, particularly during a period when both the science and the art of medicine are in a state of flux, as they have been during the last fifty years. The reasons for the rapidly changing conditions that have characterized

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