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April 9, 1927


Author Affiliations

Ann Arbor, Mich.

JAMA. 1927;88(15):1198. doi:10.1001/jama.1927.02680410074030

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To the Editor:  —The answer to the recent inquiry regarding the merits of radium in the treatment of exophthalmic goiter and toxic goiter (The Journal, March 12, page 860) deserves comment. I refer in particular to the last sentence of the second paragraph: "Unless the disease has lasted too long, the patients are restored to complete health without any disability whatever, and in the hands of competent surgeons the mortality is extremely low."The objection to this statement lies not so much in the statement itself as in the entirely erroneous implication it conveys of a complete cure by surgery. Aside from any discussion of the relative merits of the various methods of treatment, it is well known that any such sweeping conclusion would not be true.There is, however, an even more fundamental objection to such statements. In view of the as yet unsolved nature of the disease, any

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