F. R. SCHEMM, M.D., F.A.C.P.
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It is only in the last 50 years that the limitation of fluids in the presence of edema has been taught and practiced so universally. Earlier clinicians noted that the theoretical fear of water in dropsy was not justified by close bedside observation.42-45
In 1772 Sir George Baker reported that dropsy clears in patients given large amounts of water, and comments: "I much wish to see an indulgence of this kind extended to poor thirsty dropsical patients. In making such an experiment, indulge the patient to the utmost extent. A limited permission may be pernicious."
In 1777 William Withering said
SCHEMM FR. A HIGH FLUID INTAKE IN THE MANAGEMENT OF EDEMA, ESPECIALLY CARDIAC EDEMA. II. CLINICAL OBSERVATIONS AND DATA1. Ann Intern Med. ;21:937–976. doi: 10.7326/0003-4819-21-6-937
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Published: Ann Intern Med. 1944;21(6):937-976.
Cardiology, Heart Failure.
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