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July 8, 1893

TO BLEED OR NOT TO BLEED IN PNEUMONIA?Read in the Section of Practice of Medicine, at the Forty-fourth Annual Meeting of the American Medical Association.

JAMA. 1893;XXI(2):39-42. doi:10.1001/jama.1893.02420540005001b

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Fifty years ago when pneumonia was recognized as a pure and simple local inflammation of the lungs this question would have been answered in the affirmative, and no reputable physician would dare raise his voice against it. But in this, the last decade of the nineteenth century, the physician that resorts to bleeding in pneumonia offers an apology for so doing. Our modern views of pneumonia have undergone a radical change during the past few decades. The histological structure and the phynelogical function of the lungs are better understood than they were fifty years ago. Our knowledge of the pathological anatomy and the pathological functions of the lungs have undergone wonderful changes during that time. The bacteriologist with his cultures, his microscopic and microörgans the chemist with his reagents, his test tubes and ptomaines have greatly changed our opinions in regard to the causes and progress of pneumonia, and with

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