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To the Editor.—
The special communication by Dr W. E. Mitchell entitled "How to Deal With Poor Medical Care" (236:2875, 1976) describes two examples of poor medical care. Dr A performs too many unnecessary appendectomies. Dr B performs unrecognized or inappropriate procedures.
The diagnosis of...
ALTHOUGH shock complicating acute myocardial infarction is a catastrophic event, it should not be approached with an attitude of hopelessness; instead, a stepwise logical evaluation and treatment should be undertaken. Such evaluation and treatment requires adequate monitoring of certain critical...
A broadened understanding of child abuse has enabled practitioners to think of the parents of abused children not as evil murderers but as human beings caught in a complex web of social isolation and deprivation. Concomitantly, child abuse laws have changed dramatically in the last decade to...
To the Editor.—
In response to an inquiry, we welcome the opportunity to provide some important information not included in our article. "Massive Hepatic Necrosis in a Patient Receiving Allopurinol" (237:473, 1977).
Concomitant medications included hydralazine hydrochloride, propranolol...
McKeown's monograph assembles and amplifies, in one text, ideas he has long held about the importance of "the preservative" as compared to "the mechanistic" approach to human health. The preservative approach includes all measures that promote the public health, such as population control,...
It is difficult to discuss this book as a cohesive entity, as it consists of 49 individual articles, including an introduction and an epilogue, and discussions of various papers by 33 participants in this interesting symposium. But those readers who are interested in the subject of Chinese...
A urinary tract infection with possible septicemia and endocarditis developed in a 36-year-old man. The illness was complicated by pulmonary embolism, thrombocytopenia, hematemesis, hepatic dysfunction, paralytic ileus, and accelerated hypertension. The latter finding suggested pheochromocytoma....
Epilepsy commission favors quicker use of drug to control seizures
A major new antiepileptic drug, valproate sodium, will not be available in the United States until the middle of next year at the earliest.
Members of the National Commission for the Control of Epilepsy believe that this is not...
To the Editor.—
Dr John A. Smith, in "Periosteal Elevation in a 2 1/2-Year-Old Child" (236:2323, 1976), makes the case for sequential roentgenographic studies in cases of stress fracture, and, indeed, in other cases of subtle injury to bone. It is regrettable that the discussion leaves one with...
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