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Middle-Ear Problems in Childhood

George Heller, MD
JAMA. 1966;197(7):591. doi:10.1001/jama.1966.03110070115035.
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To the Editor:—  Doctor Davison's article (196:834, 1966) concerning middle-ear problems in childhood describes beautifully the absurd dichotomy that exists between the otologist and the practicing pediatrician in the matter of the therapy of acute otitis media. For example, the simple matter of examination of the child is reported as being impossible without "mummification" and the aid of two assistants. If this were true, the practicing pediatrician would never be able to care for this problem because it would be a physical and economic impossibility to make home visits along with two assistants. In 1940 (J Pediat17:322, 1940) I described a very simple method of examining the small child and I can assure Dr. Davison that no pediatrician feels the need of such terrifying maneuvers as he insists are necessary.Other items in his article seem to be at variance from scientific necessity or even common sense.


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