Excerpt from Clinical Ophthalmology for the General Practitioner
When one reflects that probably 95 per cent. Of the cases a general practitioner meets in his daily work are undiagnosable from the text book point of view, the conclusion is forced upon one that it is time a change was made in the authorship of these books. The reason that text-books assume their peculiar features is that disease has been classified on the basis of the pathology of individual organs. The pathological state is not recognised until the disease has advanced so far as to produce a physical sign or until the patient has reached the post-mortem table. As, however, people with impaired health rarely Show these characteristic signs, and then only late in their history, it is manifest that the text-book description can only refer to advanced stages of disease. As the vast majority of people whom a general practitioner sees are people without those physical signs of advanced disease, it can be seen why text-books are so useless.
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