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February 1940


Arch Surg. 1940;40(2):163-189. doi:10.1001/archsurg.1940.04240010003002

The steady increase in the number of clinics where internists and surgeons are cooperating closely in an attempt to solve the many problems associated with peripheral vascular diseases constitutes an encouraging index of the care which patients suffering from these conditions will receive in the future.

Although the object of all internists and surgeons may be conceded to be the ultimate benefit of the patient and his restoration to a life as nearly normal as possible, the training of the two groups tends toward different philosophic and technical approaches to this objective. This gulf is widened by isolation and narrowed by close association. The problems involved will receive sounder consideration as a result of continuous interplay of surgical and medical opinion, and no clinic devoted to this field can be considered adequate which does not make this inevitable.

In general, medical care of the extreme forms (ulceration and gangrene) of

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