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December 20, 1941


Author Affiliations

Ann Arbor, Mich.

JAMA. 1941;117(25):2189-2190. doi:10.1001/jama.1941.02820510077029

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To the Editor:—  May we first express our appreciation to Dr. Weiss for the keen interest he has shown in our paper and for his penetrating criticisms, indicating a thorough knowledge of the therapeutics of hypertension.The question is not at all a matter of "surgical versus medical treatment of hypertension" but rather of determining the point in the progress of the disease when surgical treatment should be called on to replace accepted medical treatment which has failed. In confirmation of this point of view may we agree with the author that we do not see "the kinds of patients who comprise most of the cases seen in private practice" but instead are asked to treat those patients who have not gained relief after a thorough trial of medical treatment. The term "versus" arises only when persistent medical therapy has proved inadequate for too long and has allowed irreversible damage

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