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July 10, 1897


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JAMA. 1897;XXIX(2):52-58. doi:10.1001/jama.1897.02440280004001b

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There are departments in medicine of which it may be truly said that "reasoning is deceptive;" in which actual experience gives the only light by which our footsteps may be guided; in which the clinical experience of a single observer, who has been wisely taught and has wisely followed the teaching, is of greater value as evidence of the justness of a conclusion, than is the subtlest reasoning of the most astute logician. This is eminently true of the subject which is presented for your consideration today.

The question which forms the title of this paper can be correctly and forcefully answered only by those who can speak from bedside experience.

The subject has already been fully and ably discussed, every imaginable argument has been adduced to establish a negative, but the force of most of these has already been broken by the silent footfalls of advancing science.

The effect

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