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November 3, 1956


JAMA. 1956;162(10):1004. doi:10.1001/jama.1956.02970270064026

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To the Editor:—  I have just read Dr. Benjamin Boshes interesting article, "The Responsibility of the Graduate Educator in Neurology and Psychiatry" (J. A. M. A.161:1213 [July 28] 1956), and I anticipate that this will not be the only comment on that somewhat hypercritical paper. Dr. Boshes is an experienced neurologist, but I am certain that his experiences with neurological surgeons cannot have all been as bad as his comments would indicate. While I would not deny that in some of the cases he mentioned there was apparently insufficient justification for heroic diagnostic procedures, I should like to assure him that most neurosurgeons have heard of multiple sclerosis and tension headaches. Indeed we spend much of our time discouraging further neurological examinations for the latter, but in some atypical cases we feel that spinal air studies are the more conservative approach. Most of us can readily recall patients

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