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To the Editor
—I have been very much interested in the discussion of the paper on "Posterior Gastrojejunostomy in Acute Perforative Ulcer of the Stomach and Duodenum," presented by Dr. John B. Denver at the Minneapolis meeting of the American Medical Association. While I fully realize the necessity of emphasizing the responsibility assumed in attempting to operate in cases of this character, I regret the somewhat personal character of the discussion when reference was made to cross-roads surgeons. Less than a century ago the superstition was prevalent that all major operations must of necessity be performed in a hospital ward; later, that a celiotomy must of necessity go to Philadelphia; and subsequent to this, that only large cities and extraordinarily wellequipped hospitals could be used for performing these grave operations. However, modern surgery of the best and most successful type is being done by these cross-roads surgeons who are criticized
Peniston P. The Cross-Roads Surgeon. JAMA. 1913;61(8):617. doi:10.1001/jama.1913.04350080093024
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