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EMPYEMA.A Lecture delivered at the Post-Graduate Medical School, Chicago, January 24, 1891.

BAYARD HOLMES, M.D.
JAMA. 1891;XVI(14):476-482. doi:10.1001/jama.1891.02410660008002.
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No surgical procedure is so little studied and so often overlooked with such deplorable consequences as empyema.

One of my neighbors, who is quite deaf, recognized a case of right-sided empyema in a man 36 years old, and sent him immediately to one of our large hospitals. He remained in the hospital three weeks and was discharged to die of phthisis. My deaf neighbor was surprised that the true condition was not recognized, and fearing he had made a mistake, he drew out a syringeful of pus with his hypodermic. Thus satisfied as to his own diagnostic acumen he took care of the patient and ' 'promoted euthanasia. ' ' Numerous instances have come to my knowledge when cases have not been recognized; others where, though recognized, proper and adequate treatment has not been instituted and others, though recognized and properly treated at first, the same degree of logic and

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