In a busy and overcrowded clinic, where only the most obvious and pressing needs can be seen at a glance, it is much easier to give the individual patient the immediate care which he needs than to grasp and classify the multifarious problems which the patients as a whole present. By watching and weighing these problems, in the course of time it became clear that the luetic children who were attending the various clinics in the St. Louis Children's Hospital presented a serious medical and social problem out of all proportion to their numbers in the clinics. It was noticed that many of the luetic children were brought to the clinic for a short period only. Some never returned after the initial visit. Others were brought until the immediate symptoms were cleared up and then were lost track of completely. This waste effort brought to the attention of the physicians
JEANS PC, BUTLER EM. HEREDITARY SYPHILIS AS A SOCIAL PROBLEM. Am J Dis Child. 1914;VIII(5):327–335. doi:10.1001/archpedi.1914.04300010336002
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