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If the delirium that occurs in the course of certain diseases should be continued, the patient would be judged insane. In severe cases of Graves' disease the patient is insane. Individuals under overwhelming emotion may be temporarily insane. Every clinician has seen great numbers of cases in which insanity is a phase of a disease, of an injury, or of an emotion.

Necessarily the work was rather unsystematic and undisciplined, but system and discipline could arise only when the new approach had already achieved some measure of success. Through the casual approach of amateurs this necessary foundation could be built. Boyle, as a clinician, remained on excellent terms with medical practitioners. For one thing, he took great care not to compete with them.

The specialized laboratory worker will, at first, fail to see the broader clinical view, and the trained clinician may hesitate to accept the laboratory findings. Our viewpoint has been gained from a consideration of both lines of evidence on rather a large scale.

But withal, though he must have been well aware of John Hunter's advice to Jenner on vaccination, "Don't think, make some observations," his training in the indirect reasoning and deductions of the clinician prevented him from going right on to a direct experimental test of his theories. This Brown-Séquard proceeded to do.

The brain-cells and the adrenals are securely, concealed from the eye of the clinician, hence the changes produced in them by different causes escape his notice, but the thyroid has always been closely scrutinized by him.

Certainly the five o'clock tea, with women, is on the increase, and we must deal with one more cerebral and nervous excitant in our consideration of what we shall do to slow this rapid age. In spite of the fact that a large number of men today do not smoke, more and more frequently every clinician has a patient who smokes too much.

There were still lectures on Hippocrates three times a week, and bleeding was the principal plan of treatment: one morning Frank saw thirty patients, out of one hundred and twelve, bled! Corvisart was the strong clinician of his generation, and his accurate studies on the heart were among the first that had concentrated attention upon a special organ.

The clinician knows that every one of the above-mentioned causes of increased brain-cell, adrenal, liver and muscle activity may cause an increase in the activity of both the normal or the enlarged thyroid; and lie knows only too well that in a given case of exophthalmic goiter the same stimuli which excite the brain, the adrenals, the liver, and the muscles to increased activity will also aggravate this disease.

Prolonged bed rest must be continued, visitors must still be proscribed, long conversations must not be allowed, and the return to active mental and physical life must be most deliberate. No clinician could state the extent to which the valvular inflammation will improve or how much disability of the valves must be permanent.

Hence, we believe, it may be generally stated that the clinician is far less likely to get valuable points as to the social exteriors of his patients from the contents of their social delusions than he proved to be able to get when reasoning from somatic delusions to somatic interiors.