Only a few days since I was forcibly struck by the remark of one of my patients, now in the advanced stage of locomotor ataxia with progressive cortical changes, who tells me that on meeting his former physician he had refused his proffered hand, for the reason that he was one of several who for years had treated him for what they incorrectly took for rheumatism. However questionable the act may be as regards politeness, there can be no doubt of its import to the patient when looked at from a diagnostic view-point. Had the patient been treated by a skilled neurologist it is reasonable to infer that his condition would not be so lamentable as it is to-day.
I do not mention this incident in the way of faultfinding or unkind criticism of any one, but it seems hardly credible, in view of the numerous warnings from neurologists, that
ROSSE IC. THE IMPORTANCE OF EARLY DIAGNOSIS IN SOME FORMS OF NERVOUS DISEASE. JAMA. 1895;XXV(25):1089–1092. doi:10.1001/jama.1895.02430510025003e
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