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November 1, 1919


JAMA. 1919;73(18):1383. doi:10.1001/jama.1919.02610440063035

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To the Editor:  —The ever increasing advances in medical science have placed such a burden of responsibility on the profession that a physician attempting a diagnostic study on his patient, alone and unaided, may well feel appalled and helpless. To overcome this apparent paradox, diagnostic clinics or groups are coming into being whose functions are to relieve the physician of the perplexities associated with cases of a difficult nature. The sick have accepted the idea without equivocation. Physicians will do likewise as soon as they fully appreciate its beneficent influence.I am, of course, aware that physicians avail themselves of the aid given them by the laboratory and the specialist. This readily serves its purpose in a great many cases when the condition is obvious and interpretation simple. What I have in mind, in particular, is the vast number of patients presenting ill defined, vague clinical states who trudge wearily

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