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JAMA. 1896;XXVI(26):1250-1251. doi:10.1001/jama.1896.02430780002001a.
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I shall not consume the time of this society by entering into the history, etiology, etc., of valvular heart disease, but I do wish to say, by way of preface, a few words about prophylaxis. I had the pleasure of listening to the last course of lectures delivered by the late Austin Flint, in Bellevue Hospital Medical College, in the winter of 1885-6, and if there was any one fact that he endeavored to impress upon his class more than another, it was the duty of the physician, in treating articular rheumatism, to so adjust the treatment as to place the complication of valvular disease at the minimum. The question asked most frequently by him in the weekly "quiz" was, "What shall we do in acute articular rheumatism to render the patient least liable to cardiac complications?"The reply he wished was this: "Render the secretions of the body alkaline


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