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Controversy in Internal Medicine

Alvan R. Feinstein, MD
JAMA. 1966;196(10):920-921. doi:10.1001/jama.1966.03100230164054.
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ABSTRACT

For the 23 different topics in this book, the 73 invited experts and the three editors demonstrate medicine's traditional capacity for reaching antipodal conclusions from what appears to be the same set of available facts.

The authorities present their varied opinions on current controversies regarding dietary treatment of atherosclerosis, duodenal ulcer, obesity, and diabetes mellitus; drugs for hypertension, myocardial infarction, anxiety, and adenocarcinoma; management of gastric ulcer, urinary catheterization, asymptomatic bacteriuria, emphysema, rheumatoid arthritis, and preoperative bowel preparation; pathogenesis of hemochromatosis, glomerulonephritis, and colonic cancer; and the additional issues of fibrinolytic therapy, classification of cirrhoses, diagnosis of unilateral renal disease, significance of the autoimmunity concept, value of boards of internal medicine, and validity of etiologic decisions made via statistical associations.

The scope of the topics, the stellar array of authors, and the laudable airing of the controversies will appeal to any alert, curious spectator of today's passing medical parade. For

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