It will be quite impossible in the time suitable for an occasion like this to even touch upon many of the important phases of this question and I shall therefore limit myself to those aspects which it would seem desirable to discuss before a surgical society, in other words, to consider the reasons why this disease, which ideally is a surgical one, falls so largely to the lot of the medical man. In the first place, the burden of the diagnosis is on the latter, for the surgeon rarely sees these patients first. Secondly, the medical man is the one who decides which cases shall be operated on and which shall be treated by medical means, for the great bulk of the cases do not require mechanical interference, but any case may at any moment require it and some cases from the outset of the symptoms are inappropriate for medical
PREBLE RB. MEDICAL ASPECTS OF CHOLELITHIASIS. JAMA. 1902;XXXVIII(15):938–941. doi:10.1001/jama.1902.62480150032001e
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