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April 27, 1912


Author Affiliations


JAMA. 1912;LVIII(17):1250-1252. doi:10.1001/jama.1912.04260040266003

The ordinary case history begins with a statement of the complaint of the patient, following this is a detailed account of the family and personal history, the physical examination and the result of chemical and microscopic analyses, serum and toxin reactions, and bacteriologic findings. The incentive, the key, is the insistent complaint of the patient.

Medical science has long been active in the prevention of disease in connection with public health measures, but has been notably negligent in prophylaxis as applied to the individual. The fields of the various specialties of practice have in this individual relationship been restricted to diagnosis and treatment of disease only when the disease has reached such a grade of seriousness as to produce pain or unpleasant symptoms.

The case records of internists, surgeons and other specialists, as well as the general practitioner, contain no data of observation or investigation prior to this period of

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