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April 28, 1900

The Rich Specialist.

JAMA. 1900;XXXIV(17):1081-1083. doi:10.1001/jama.1900.02460170061020

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Dr. E. N. Palmer,

My Dear Doctor:  —In answer to your letter, I will say that you have my reprint reporting 234 eases of abdominal sections during 1898. (I made an error in addition. The reprint gave ten less than the actual number.) Of these, 83 paid. The rest of them I did for nothing or received a small consultation fee only, when they first saw me. I have just looked up last year's work as you requested. You remember I was sent as delegate to the International Congress of Gynecologists at Amsterdam and was away nearly three months, and lost at least a month before and after in my work, so that for 1899, I can only figure that I did two-thirds of the work. In hastily looking over the records—there might be a mistake in a case or two—I find that during that year I operated on 172

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