JAMA. 1890;XV(26):917-918. doi:10.1001/jama.1890.02410520001001.
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Your interesting editorial on the necessity of a careful diagnosis in these affections, so as not to overlook the possibility of an empyema, are to the point. Too many patients are sent to sanitoriums with an hepatized lung requiring absolute rest even to the point of strapping the chest at times, and are simply told that they will not require any medical advice, but on their arrival they are simply to take all exercise possible—advice that they not only take but are sure to overdo—a weakened heart and an impervious lung, with its tissues on the balance as to whether they shall go towards health by proper resolution or go into softening and decay, very soon render a simple case of the most common results of pneumonia that would otherwise recover, into one simulating a case of advanced phthisis, and with the same disastrous results. Eighteen years of practice among


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