Abstract
Is it not remarkable and likewise an indictment of our profession that hematuria—the sign of grave disorder from time immemorial—in spite of the advent of cystoscopy, ureteral catheterization and the other refinements of urologic diagnosis, continues to be regarded too lightly by practitioners in general and, therefore, by their trusting, hopeful, faithful and easily beguiled patients? By what pretext of intelligence, medical education or common sense can any physician, presumably knowing the fundamentals of disease and pathology, conscientiously prescribe some urinary antiseptic and then calmly await the vis medicatrix naturae to stop the hemorrhage? General practitioners of medicine are largely to blame for the unfortunate, inoperable and incurable state presented by many patients by the time they consult the urologist. Too often, natural processes result in the temporary cessation of hematuria. The physician allows the patient to pat him on the back, and records the case as one of essential
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More From: JAMA: The Journal of the American Medical Association
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