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January 30, 1954


JAMA. 1954;154(5):412. doi:10.1001/jama.1954.02940390036012

According to Criep1 it becomes necessary occasionally to advise a patient with asthma to move to a dry, warm climate at a high altitude. "This type of change," he said, "is particularly of value in chronic intractable asthmatic bronchitis associated with bronchiectasis and infection of the paranasal sinuses." Although the author's statement is true and similar statements have appeared in other books and articles, overenthusiastic and thoughtless application of this principle often does great harm. As pointed out by Metzger2: "The mirage of climate as a curative agent for disease has long been pursued both by physicians and by the public." The results are often disappointing. Such psychogenic factors favoring improvement of the patient's condition as faith and new hope may be offset by worry over the expense involved and uprooting from familiar surroundings. Although some migrant patients are improved they are few compared with those who are

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