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July 16, 1887


JAMA. 1887;IX(3):77-79. doi:10.1001/jama.1887.02400020013002b

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Recognizing the advantages that arise from an interchange of opinions upon the etiological and pathological conditions and therapeutic results observed in our daily routine of practice, I take pleasure in reporting the following cases.

On Sept. 17, 1886, I was called to see Mrs. C, æt. 25, in consultation with Dr. Artz. She was a delicate little woman, but with fair general health; of English birth, and for five years a resident of Kansas. She was living on a rolling prairie, half a mile from any other house, with all the surroundings healthful, excepting that the house was over-crowded with occupants. She and her husband occupied a good sized and well ventilated room, with a south and east front, which, however, was over-crowded with various articles of furniture. She had been delivered five days before of her first child. The labor, though tedious, exhausting and followed by more than ordinary

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