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N. SENN, M.D., Ph.D., LL.D.
JAMA. 1902;XXXVIII(17):1079-1081. doi:10.1001/jama.1902.62480170033001j.
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The physicians in sparsely settled tropical countries have many disadvantages, difficulties and hardships to contend with unknown to their colleagues in prosperous countries in the temperate zone. They are isolated from the great centers of medical education, and the benefits arising from professional intercourse and attendance upon active medical societies. The defective mail service interferes with the regular supply of recent medical literature. The physician in remote country and coast towns is often thrown upon his own resources in the treatment of grave cases, as satisfactory counsel is frequently unavailable. He is seldom adequately remunerated for his services as the majority of those who apply to him for aid are too poor to reward him for his work. In many instances he furnishes the medicines or dressings without any expectation of a return of his cash outlay. If he is not in possession of an unusual degree of energy, he


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