GEO. V. I. BROWN, A.B., D.D.S., M.D., CM.
JAMA. 1908;L(5):342-345. doi:10.1001/jama.1908.25310310018001d.
Text Size: A A A
Published online


In consideration of what one may safely promise those who contemplate surgical operation for the closure of cleft palates, and more or less complete correction of the defects from which such persons suffer, there are many elements that must be taken into account.

First.—Above and beyond all else is the individual feeling on the part of the afflicted ones, which no normal person can fully comprehend, that their palates are whole, that they are as their fellows.

None can know what this means save those who have reached sufficient age to suffer the scoffs and jibes of school children, the heart-trying struggle to keep up in school or college with the handicap of imperfect speech, or the bitterness of social ostracism even though largely self-inflicted through supersensitiveness, and the untold trials of wage earning in competition with the anatomically perfect, though often less gifted mentally.

Second.—More healthful conditions of nose


Sign In to Access Full Content

Don't have Access?

Register and get free email Table of Contents alerts, saved searches, PowerPoint downloads, CME quizzes, and more

Subscribe for full-text access to content from 1998 forward and a host of useful features

Activate your current subscription (AMA members and current subscribers)

Purchase Online Access to this article for 24 hours

First Page Preview

View Large
First page PDF preview




Meets CME requirements for:
Browse CME for all U.S. States
Accreditation Information
The American Medical Association is accredited by the Accreditation Council for Continuing Medical Education to provide continuing medical education for physicians. The AMA designates this journal-based CME activity for a maximum of 1 AMA PRA Category 1 CreditTM per course. Physicians should claim only the credit commensurate with the extent of their participation in the activity. Physicians who complete the CME course and score at least 80% correct on the quiz are eligible for AMA PRA Category 1 CreditTM.
Note: You must get at least of the answers correct to pass this quiz.
You have not filled in all the answers to complete this quiz
The following questions were not answered:
Sorry, you have unsuccessfully completed this CME quiz with a score of
The following questions were not answered correctly:
Commitment to Change (optional):
Indicate what change(s) you will implement in your practice, if any, based on this CME course.
Your quiz results:
The filled radio buttons indicate your responses. The preferred responses are highlighted
For CME Course: A Proposed Model for Initial Assessment and Management of Acute Heart Failure Syndromes
Indicate what changes(s) you will implement in your practice, if any, based on this CME course.
Citing articles are presented as examples only. In non-demo SCM6 implementation, integration with CrossRef’s "Cited By" API will populate this tab (http://www.crossref.org/citedby.html).


Some tools below are only available to our subscribers or users with an online account.

Sign In to Access Full Content

Related Content

Customize your page view by dragging & repositioning the boxes below.