It is probable that most medical men, if asked as to the instrumental aids to the diagnosis of ear diseases, would think first and perhaps only of a speculum. Too many would try to excuse their failure to study a case by their lack of such an instrument; and yet many would undertake its treatment upon some fancied basis without knowing anything as to what was really before them or having the means and skill to treat it if they knew. The foundation of such foolhardiness is a total ignorance of the methods of aural diagnosis and skepticism as to the ability of any one to do more than guess in the matter. Yet it is axiomatic that diagnosis is essential to prognosis and both of these are requisites for any rational treatment. Even among men practiced in otological matters there is a woful failure to understand and employ diagnostic
RANDALL BA. DIAGNOSIS AND PROGNOSIS OF EAR DISEASE. JAMA. 1901;XXXVI(12):785–788. doi:10.1001/jama.1901.52470120009001c
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