Excerpt from Case Histories in Medicine: Illustrating the Diagnosis, Prognosis and Treatment of Disease
Although the first edition of this book, printed without answers to the questions, was for undergraduate use only, the accompanying teachers edition, which contained answers and discussion, proved of interest and use to practitioners. I have therefore planned the present edition with practitioners primarily in mind.
To present medicine in terms that will make the reader work - to present puzzles like those which confront us at the bedside, and then to offer at the end of each case my own solution of these puzzles - is the plan pursued in this as in the last edition. We learn, I believe, only by that which makes us work, not by any attempt to present a truth as a free gift.
In the present edition I am less limited as to space and have therefore gone into the details of prognosis and treatment - what the patient and his family want - more thoroughly.
I have changed the order of the cases, collecting in one group those dealing with the heart, in another those concerning the lungs, etc. I have also added a number of cases, bringing the total number up to one hundred.
Medical teachers are often charged with nihilism in therapeutics. To refute this accusation I have added in this edition a list of the drugs which actually are used by the internists (most of them teachers) attached to the Massachusetts General Hospital - a list very similar, I think, to that used by most others who are popularly supposed to scorn drugs altogether.
I hope that in this edition, as in the last, I shall be aided by the frank criticism of those who differ from my diagnoses, my prognoses, or my therapeutics.
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