This small book is written primarily for the general practitioner. To evaluate and criticize its contents properly, one must be familiar with "office practice" as it is conducted in some parts of Germany. There the average general practitioner is equipped to do more in his office than would be expected of him in the United States. For example, repeated diagnostic punctures for subphrenic abscess would not be condoned in the U. S., particularly if conducted in a physician's office. Such a practice would be condemned even in a well-equipped hospital.
Other procedures described, such as drainage of breast abscesses, tracheostomies, drainage of chest empyemas, pericardial punctures, and finger amputations, would require a greater armamentarium than is found in the average physician's office in the U. S. If the term Sprechstunde implies a small clinic or sanitarium, then the procedures might be permissible.
Several of the illustrations are inadequate. On page