Charles Harris, MD
To the Editor: Kahn and Letz (1) properly think that the practice of clinical ecology should be validated by controlled, reproducible clinical trials. It is true, as they say, that clinical medicine discarded tonsillectomy as a routine procedure, but only after antibiotics rendered it useless. Its worth before the advent of antibiotics has not been determined. Radical mastectomy was given up only begrudgingly after its routine and thoughtless use for about 80 years. After all, it was never designed for the small lump, but rather for massive tumors that extended into the axilla and sometimes into the neck.
Harris C. Clinical Ecology and the Open Mind. Ann Intern Med. ;111:690. doi: 10.7326/0003-4819-111-8-690_1
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Published: Ann Intern Med. 1989;111(8):690.
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