Fifty brief biographic clinics upon living patients / by George M. Gould.
- Gould, George Milbrey, 1848-1922.
- Date:
- [between 1900 and 1909]
Licence: In copyright
Credit: Fifty brief biographic clinics upon living patients / by George M. Gould. Source: Wellcome Collection.
Provider: This material has been provided by The Royal College of Surgeons of England. The original may be consulted at The Royal College of Surgeons of England.
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![\ , impossible for years. “Rheumatism” has both- ered her since 12 years of age. Several oculists had tested her eyes, the last prescription being: B. E.-(-sph. 1.75-]-Cyl. 0.50 ax. 90°, but her axes are 83° and 100°, a difference alone and without others which would cause the greatest eyestrain, especially in misfitting glasses. But after all this had been allowed for, I was unsatisfied. The duty to find eyestrain if it exists is no greater than that to find the inde- pendent systemic disease. The duty to be “an eyestrain crank ’ ’ is not greater than the duty not to be one. Since my college days I had not seen a case of myxedema. It struck me ihat this woman’s essential disease, produced or not by eyestrain, was myxedema. I asked a competent general physician to make a diagnosis, and after thorough tests this disease was demonstrated. And yet the general physicians who did not sns- pect it and treated the woman fo; the wrong disease (there was no kidney-tr i ) would speak with scorn of refractionis ■■ . hobby- riders. Case 2. In 1902 a married woman 32 years of age consulted me who was then addicted to chloral because of headache which had existed “every day for her whole life. ’ ’ She was what is commonly called “a nervous wreck” from “ner- vous prostration,” or “nervous exhaustion.” She was wearing—from an authority:—](https://iiif.wellcomecollection.org/image/b22409385_0008.jp2/full/800%2C/0/default.jpg)