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Article
October 26, 1895

WHAT THE PATIENT EXPECTS, AND WHAT WE ARE ABLE TO DO, IN CHRONIC CATARRH OF THE TYMPANUM OR MIDDLE EAR, WITH DEAFNESS.

Author Affiliations

Aural Surgeon to the Jefferson Medical College Hospital; President of the Sub-Section of Otology of the British Medical Association, and the Section on Laryngology and Otology of the American Medical Association: Emeritus Physician to the Department of Otology of the Howard Hospital; Member and one of the Committee of the International Congress of Otology. PHILADELPHIA.

JAMA. 1895;XXV(17):696-698. doi:10.1001/jama.1895.02430430008002

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Abstract

In the treatment of all chronic diseases of from six months' to as many years' duration, the prognosis, or what we are able to do, depends upon many factors. The first, as a rule, is the duration; the second is if the case is functional; the third, if organic, it is incurable. This not only applies to the ears but to the lungs, liver, kidneys, eyes and brain.

Can we improve them? We can, if the disease is functional and not organic. When the patient with organic disease of the lungs applies, not for a cure, but for relief, we frequently are able to diminish the cough and expectoration, build up the general health, and by changing the habits and climate, improve the case. So also with the liver, kidneys and brain. In the case of the eye, sometimes by a skillful and delicate treatment or an operation we are

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