Notwithstanding this, I the opinion that the milk every producer and dealer has been inspected at least once a week.
With this report I forward you the statistical report for the three quarters The clerical work the office, under the charge Mr. Charles Hoyer, Assistant Chief Clerk, has been carried perfect satisfaction, and the clerks and other employees this Department have been conscientious and competent in the discharge The especial aim this treatise beyond the usual objects a work upon medical diagnosis the particular study certain conditions in which accurate diagnosis essential the proper decision as the advisability surgical intervention. In the consideration the diseases the abdomen, note the most frequent and urgent need good team work the physician and the surgeon, but in other departments medicine a similar demand exists. The fault has lain as frequently at the door the physician as at that the surgeon for the occasional useless operations for removal the appendix when the true diagnosis was acute pneumonia the performance gastro-enterostomy in the gastric crises tabes, or the surgical drainage the bladder for supposed cystitis when the true diagnosis was that tuberculosis the kidney.
Such humiliating experiences are now commonly avoided better and more systematic cooperation between the diagnostician and the surgeon. The attainment such exact results as may obtained a Cabot in hematology or a Mills in cerebral localization beyond the possibilities abdominal diagnosis. In the more urgent instances the really important question that deciding upon the advisability, oftentimes, the imperative necessity exploration capable quite exact decision although the precise diagnosis not always within our reach. On the other hand, a host invalids travel from one physician or one sanatorium another, labelled with the diagnoses indigestion, chronic dyspepsia, nervous dyspepsia, gastralgia, biliousness, etc. in whose cases the diagnosis chronic appendicitis, gall-stones, peptic ulcer, intermittent hydronephrosis, or other definite disease perfectly possible. The diagnosis should made and should followed in many cases that absolute cure which possible and only possible surgical intervention.
I venture hope that in this particular field this embodiment experience may possibly assistance some members the profession, for not all have been fortunate as I have been in close association with a group able surgeons.
To them I owe the major part whatever may value in this work. It a difficult and costly process reproduce rontgenograms in full detail in ordinary book-making those presented in this book have been selected with a view giving a reasonable illustration the text matter, but recognizing the fact that all the detail a plate cannot brought out half-tone cuts book paper.
By diagnosis mean the classification a given disease under its proper heading.
Inasmuch as its object enable forecast the probable course the disease and treat in the best manner, should include in our diagnosis as close an estimate as possible the severity the affection, whether organic damage already present, and whether capable entire restitution.
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