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To the Editor:—
Dr. Ramsay Spillman's communication published in The Journal April 19 directs attention to certain fundamental difficulties such as the tendency to consider the roentgenologist as a technician rather than as a consultant.The matter of medical costs is, of course, another fundamental question. It would seem that the cost of poor results following improper and insufficient treatment based on incorrect or incomplete diagnosis may be found to exceed the cost of better results following proper and sufficient treatment based on more correct and complete diagnosis."A proper examination of the complete tract" and of the entire patient will improve results and, by so doing, reduce costs.
Connell G. THE GASTROINTESTINAL EXAMINATION. JAMA. 1941;116(20):2336. doi:10.1001/jama.1941.02820200106027
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