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August 15, 1931


JAMA. 1931;97(7):449-452. doi:10.1001/jama.1931.02730070015006

Why should a pediatrician, who is a general practitioner to the young, presume to discuss a subject that might seem to belong to a regional specialist? The answer is evident. In the first place, it is because he is a general practitioner and must therefore be usefully informed on one of the most common and most important diseases of childhood. Furthermore, he and the general practitioner, alone, are in a strategic position to acquire extensive and practical knowledge of the developmental period of middle ear disease and a resulting ability to prognosticate with some assurance in an early questionable case. The otologist commonly sees only the ear in the case presented to him for surgical judgment or treatment. The pediatrician, as a rule, sees the patient for the underlying throat infection before the ear is involved. If he is a good pediatrician he has long ago found his otoscope as

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