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July 5, 1902


JAMA. 1902;XXXIX(1):8-10. doi:10.1001/jama.1902.52480270008001b

The serious or fatal result that often arises from moderate or even slight operative interference with the genito-urinary apparatus, as in anuria from a nephrotomy, or serious "urinary fever" from the passage of a urethral instrument, has its counterpart in the occasional tolerance of extensive, repeated and prolonged operative procedures on these organs.

The past twenty-one years, during which a portion of the care of the kidneys has passed from the field of the physician to that of the surgeon, have been marked by notable examples of the change in our lines of demarcation for work, and even now the relative fields are changing in the claim that Bright's disease, at least in some varieties, is to come under the surgeons care.

In the somewhat over fifteen years, during which I have had occasion to resort to surgical measures on the kidneys, I have had opportunity to realize that a

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