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September 25, 1886


JAMA. 1886;VII(13):362-363. doi:10.1001/jama.1886.04250090110011

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To the Editor of the Journal: 

Dear Sir:  —During the past year several valuable articles and editorials have appeared in The Journal on this subject, and I desire to contribute the report of a case:In 1852 Mr. John Tyler, of the firm of Williams & Tyler, merchant tailors of this place, consulted me for a cough which had been troubling him for nearly a year—latterly accompanied with hectic and night-sweats, and loss of flesh. Suspecting tubercle, I made a careful and very thorough physical exploration of his chest, and found incipient phthisis; a small cavity in the apex of his right lung. All the symptoms, rational and physical, warranted the diagnosis. My advice to Mr. Tyler was to give up his business at once, and go to Aiken, South Carolina, the St. Johns River, Florida, or San Antonio, Texas. His partner, being loth to give him up, persuaded him

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