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You, the ear, nose, and throat (ENT) specialists, and we, the internists, have a joint problem to probe. We have long turned our backs on the unconscionable lag between the onset of symptoms and the start of therapy for tumors of the larynx, and it is time we faced up to it. It is a responsibility that we share, and we need to work together to correct it.
The contributing deficiency of the primary physician is that woefully few of us have been able to accomplish the simple process of adequately examining the larynx—either as part of a routine examination or even in response to the patient with hoarseness or pain deep in the throat. In our ignorance, we temporize over the early symptoms, while the lesions are permitted to grow unchecked for months.
Actually, the problem has its beginnings in the programming of our medical schools. In the course
KLEIN HC. Teach Us So We May See. Arch Otolaryngol. 1982;108(6):343. doi:10.1001/archotol.1982.00790540015004
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