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October 1962

Juvenile Rheumatoid Arthritis

Arch Intern Med. 1962;110(4):549-550. doi:10.1001/archinte.1962.03620220141029

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One of your recent reviewers said he seldom wrote at length about a bad book. This is a very bad book, but I shall write at length because it exemplifies the weaknesses of that disorganized mass known as modern rheumatology. I had polyarthritis in 1934, and I have read nearly everything written on rheumatism since then. I have observed every change of fashion and have tried to preserve those which are good. I was a general practitioner until 1941, then an orthopedic surgeon in the days when polyarthritis was regarded as a disease of the joints. I thought of a rheumatologist as a bloodless orthopedic surgeon chiefly concerned (like the polio orthopedist) with muscle balance and the prevention of deformity. F. M. McKeever said in a presidental address to orthopedists (McKeever, F. M.: The Need for Basic Investigation in Orthopedic Surgery, J. Bone Joint Surg. 35A:285 (April) 1953):

The real

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