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April 30, 1898


Author Affiliations

Professor of Diseases of the Mind and Nervous System, and Electro-Therapeutics in the Louisville Medical College; Consulting Neurologist to the Louisville Medical College, and to the Louisville City Hospital; Professor of Hygiene in the Kentucky Military Institute; formerly Resident Physician to the Anchorage (Insane) Asylum; Member of the American Electro-Therapeutic Association, American Medical, Mississippi Valley Medical, Central and North Eastern Kentucky Medical Associations, The Kentucky State Medical, and Mitchell District Societies, and Fellow of the Louisville Academy of Medicine. LOUISVILLE, KY.

JAMA. 1898;XXX(18):1009-1012. doi:10.1001/jama.1898.72440700001001

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A chronic invalid is one who has passed through the acute stages of a disease, and failing of cure, remains in this state, or gradually growing worse, becomes partially or completely incapacitated for labor or the duties of life. In no sense of the word can chronic disease be distorted into meaning incurable disease, for a very large percentage are capable of entire relief, and of the remainder there are few indeed that can not be so improved as to render their lives useful and free from suffering. The failure to realize this difference, and to act promptly, has resulted in the loss of valuable time and entailed much suffering. We must understand that an incurable disease is one which has resisted the scientific, careful and persistent application of all remedial measures, singly or combined, and applied under favorable conditions. Nearly all chronic diseases and disorders fall principally into three

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