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The large number of maimed persons I have seen among railway employes, prompts me to make a few remarks with a view to enlisting co-operation in preventing the unnecessary mutilation of the injured.
It is true that we frequently encounter ungrateful patients who blame us because the member we have saved, after toiling with it more than we would have been obliged to do had we resorted to amputation, is not in as good condition as it was before the accident. Others aver that we are not surgeons if we do not mutilate. This opinion, however, is of no importance when we are conscious of having done our best. It is the better plan to preserve all we can of an injured organism, even at the risk of retaining, for a time at least, that which may ultimately be an encumbrance. I have had cases when it seemed that to
ORTEGA R. CONSERVATIVE SURGERY. JAMA. 1898;XXX(24):1388–1389. doi:10.1001/jama.1898.72440760016002b
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