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July 29, 1916


JAMA. 1916;LXVII(5):360-361. doi:10.1001/jama.1916.02590050038016

The confusion which exists in respect to the treatment of exophthalmic goiter is indicated by the remark1 that men trained to think surgically are apt to regard exophthalmic goiter altogether too much from a surgical standpoint, and internists from the standpoint of internal medicine, while men who have had much experience are liable to follow the method of treatment with which they have been most successful in the past, without due regard to whether or not the present case fits into the frame of the former cases. Physicians will therefore agree with Du Bois2 that "there is a great need of some purely objective test in hyperthyroidism to indicate the effect of treatment, since psychotherapy can modify profoundly all subjective symptoms. At present the scientific status of the treatment of exophthalmic goiter is about at the point where we would be with diabetes if there were no laboratory

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