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October 16, 1897


JAMA. 1897;XXIX(16):775-777. doi:10.1001/jama.1897.02440420009002c

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I am sure that my experience is by no means unique, in that the majority of patients with hemorrhoidal troubles come to me greatly prejudiced against any operative procedure involving the employment of general anesthesia, and especially the use of the knife. These objections have been raised not only by the laity, but also by physicians who have been similarly affected. Such an argument should not and would not prove a factor in altering the character of advice to be given to a patient were I satisfied that only one plan of treatment could effect a cure; but where a choice of several methods exists for effecting the same or similar results it is not only our duty but a necessity for us to respect the patient's wishes.

In a number of instances, sufficient to convince me of the efficacy of the method and to enable me to place my

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