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January 9, 1892

Railway Injuries in their Medico-Legal and Clinical Aspects.

JAMA. 1892;XVIII(2):50. doi:10.1001/jama.1892.02411060020003

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This is a well written book on a subject that has not been overdone. The work is dedicated to Professor Charcot, who has contributed so freely to the elucidation of nervous railway problems. Mr. Page's point of view is, for the most part, that of the railway surgeon, but he aims to be fair and judicial, although always demanding good clinical testimony as to actual lesion of the cord or nervous system before admitting the latter to be the case. The author inveighs warmly against frequent examinations of the back of a person alleged to be suffering from spinal injury, for a repeated handling of the part is the very way to awaken undue nervousness and a hyperæsthesia that is often most distressing. The patient is thus oftentimes made worse and the diagnosis befogged.

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