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September 6, 1884


JAMA. 1884;III(10):278. doi:10.1001/jama.1884.02390590026012

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Baltimore, Aug. 29, 1884.

Dear Doctor:  —While thanking you for publishing my note on Asiatic Cholera and the trouble you have taken to criticise it, I cannot refrain from drawing attention to certain facts that from haste seem to have been misunderstood. In the first place you say that "all these suggestions are founded on the assumption that the chief danger from cholera is in the loss of the water and salts of the blood, leaving that fluid too viscid to circulate." Now I wish it to be distinctly understood that I made directly no such assertion, but admit of course the importance of supplying liquid to help circulation, and think there are other circumstances that I am about to specify that are equally or more important. Prominent among these is a poisonous condition, leading to collapse in the last stages of cholera, typhus, yellow fever and Bright's disease, known

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