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August 1, 1953

Diagnostic Tests in Neurology: A Selection for Office Use.

JAMA. 1953;152(14):1389-1390. doi:10.1001/jama.1953.03690140097031

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Dr. Wartenberg has justly deplored the overemphasis on neurological diagnosis by laboratory methods, many of them inappropriate and, at times, misleading. His view is well expressed by quotation from Balfour: "I very much doubt if the modern doctor with the laboratory at his back... is as good at the bedside... as those who have had to trust to their powers of observation." Nowhere is that truer than in the field of neurology. Yet a losing battle is being fought; there is an ever increasing tendency to join Foster Kennedy's "Union of Slick Gadgeteers."

In this short monograph the author has discussed a number of simple clinical tests that are of value in demonstrating disorders of the nervous system. Whether such a disconnected presentation of a group of signs and tests is of value each reader must determine for himself. Neurology, however, is not "reflexology," and this book, as the author

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