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January 11, 1902


JAMA. 1902;XXXVIII(2):110-111. doi:10.1001/jama.1902.02480020040007

With the evolution and growth of antisepsis and asepsis, the last quarter of a century has witnessed a remarkable expansion of the field of operative surgery. The insidious transition from structural to organic disease has forced the clinician, in many instances, to invoke the early counsel, if not the operative aid of the surgeon. The former has learned that certain affections considered strictly medical have also a distinctly surgical aspect, and that if he wishes to render his patient the best service, he must be prepared for contingencies that, while they may never arise, will in the event of their development, require speedy and skilful surgical treatment. Therefore, the clinician must early have the surgeon share with him a knowledge of the details of the case, so that both may occupy common ground and be able promptly to reach an agreement as to the procedure to be followed in accordance