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To the Editor:
—Dr. Schulman's criticism of my article affords me the opportunity to explain the necessity for some omissions which have been, here and there, misunderstood. Space in The Journal is far too precious to be trespassed on lightly; for that reason my article, at the first writing some four times as long, was stripped to the barest essentials necessary to report the observations. These observations on apoplexy were limited by the title to the subdivisions of etiology and treatment. Dr. Schulman's letter deals mainly with the subdivision of diagnosis, a matter I designedly excluded. The criticism can probably be answered most satisfactorily to Dr. Schulman by naming some of the symptoms which were considered as justifying a diagnosis of apoplexy. In the case he cites at length (Case 1 in the article), the patient was unconscious, the face cyanosed, respiration stertorous, left arm and leg flaccid, pupils dilated
Hurst JH. A Thirty-Day Rhythm in Apoplexy. JAMA. 1912;LVIII(12):879. doi:10.1001/jama.1912.04260030277026
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