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September 12, 1891


JAMA. 1891;XVII(11):417-418. doi:10.1001/jama.1891.02410890035006

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A review made a few years ago of the cases of pneumonia treated at the Massachusetts General Hospital showed that there was little or no difference in the mortality under various methods of treatment; that whether heroic onslaughts were made on the disease by the so-called antiphlogistic plan, blood-letting, and active purgation, or whether a purely expectant plan of treatment was pursued, or supporting efforts by stimulation were employed, the percentage of mortality was not materially different. Nevertheless, but few practitioners are ready to admit that their efforts in this disease are without avail, although many will be ready to admit that the results of treatment are sufficiently unsatisfactory to warrant careful attention being given to any plan which offers a rational procedure, no matter how widely it may differ from the methods now generally in vogue.

All authorities are agreed that the danger point in pneumonia is the heart,

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