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November 30, 1918


Author Affiliations

(Milwaukee) Major, M. C., U. S. Army; (Chicago) First Lieutenant, M. C., U. S. Army JEFFERSON BARRACKS, MO.

JAMA. 1918;71(22):1815-1816. doi:10.1001/jama.1918.26020480003009a

In an attempt to discover if there is any method of diagnosing the so-called neurocirculatory asthenia before the men enter service, we have been engaged in an intensive study of the syndrome. We feel that the work has gone far enough to justify us in presenting our results briefly, leaving the more detailed statistics for later presentation. Our purpose is to state our reasons for considering that we can detect these cases at the recruiting depots or at the Local Examining Boards and thus save both applicant and government time and money.

Careful study of the reports of Lewis1 and his associates leads us to believe that we are not dealing with the same class of patients. His patients were invalided from the front, where overexertion and shell shock were factors. Our patients have come from civil life, where men have been doing their daily tasks under no great