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Peru, Ind., March 8, 1897.
To the Editor:
—In the case of acute otitis media in the person of Dr. Merrill Hopkinson of Baltimore, and reported by him in the February 27 number of our Journal, the course of his ailment, infection of the middle ear by the product of a mild attack of post-nasal catarrh, after using a nasal douche, by forcibly blowing the nose, and his treatment as outlined by him does not occur to me to harmonize very well, even though he considered that his treatment obtained good results.In the first place, if his ear was infected as he states, and by the product he mentions, the indications would have been to use a Eustachian catheter in connection with an air-bag, and have blown out the offending substance, instead of continuing to jeopardize his sound ear as well as the crippled one by holding the nose
Malsbury JO. Acute Otitis Media. JAMA. 1897;XXVIII(11):516–517. doi:10.1001/jama.1897.02440110038010
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