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For those who have known or worked with Phil Tumulty this book will be a special delight. For anyone who reads it, it will be a delightful and rewarding experience. For the student or young physician, it will be a valuable guide to the proper approach to patient management, as it outlines principles that are applicable to all areas of clinical practice. For the "established physician," it will bring back into focus many of the fine points that are too frequently forgotten in the hurried approach to problems, too often depending on the laboratory or some fancy machine for a "quick" answer. Most of what he says is, of course, not new; but what he says needs frequently to be resaid, and he says it in a most effective and pleasing way. He is much more concerned about patients than disease and places special emphasis on communication with both the