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Arnold S. Jackson, M.D.
JAMA. 1925;85(21):1660. doi:10.1001/jama.1925.02670210062029.
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To the Editor:  —The frequent communications to the literature on exophthalmic goiter by Lieb, Kessel and Hyman have been a challenge not only to the surgeon but also to the internist. The article in their series in The Journal, October 3, should not pass unanswered.Just as people have become educated against a policy of watchful waiting in acute appendicitis, so are they learning that an attitude of skilful neglect is dangerous in exophthalmic goiter. Patients who have suffered serious and permanent damage to the cardiorenal-vascular system because they have been subjected to such treatment are in a class today with those who suffer a ruptured appendix. In 95 per of our cases of thyroidectomy for exophthalmic goiter the average period of hospitalization was six days. Convalescence was not longer than three weeks after leaving the hospital. Our experience, I am sure, does not differ from that of several other


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