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February 15, 1913


JAMA. 1913;60(7):515-516. doi:10.1001/jama.1913.04340070027013

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Case 1.—A colored man, aged 32, single, steward on a merchant vessel, came to the out-patient department of the House of Relief in August, 1906, complaining of "indigestion" for which he had been treated about eight months without benefit. His family and previous personal history were entirely negative, and may be so assumed, without further detailing. His habits with regard to alcohol and tobacco were moderately good. He did not abuse either. His immediate complaint, which was the same as he had been making for eight months, was of "pain in the stomach." Apart from this and the fact that the pain was not clearly connected with the ingestion of food (either aggravated or ameliorated by it) it was impossible to obtain a history which one could fairly say was not influenced by the questions. In other words, the patient's intelligence was such that his volunteered statements were few and

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