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October 12, 1912


Author Affiliations


JAMA. 1912;LIX(15):1374-1375. doi:10.1001/jama.1912.04270100142012

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It requires but a short experience in taking gynecologic case histories and in reading such histories as taken by students and resident physicians to demonstrate the difficulty of grasping quickly and remembering accurately the patient's exact menstrual history. Unless a rather wordy description is written and referred to at each visit, the same questions will be put to the patient repeatedly, and, after the history has extended over several months, only moderately accurate replies will be obtained.

After a considerable period of dissatisfaction with present conditions I endeavored to formulate a method of graphically recording the patient's menstrual history similar to that universally used for recording variations in pulse, temperature and respiration. The resulting chart, after several months' trial in private and hospital practice, has proved a great improvement over anything previously used.

In private practice a chart is given to the patient at her first visit with directions as

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