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Paul Cutler, MD
Jefferson Medical College of Thomas Jefferson University Philadelphia

JAMA. 1985;253(6):775.

	Since this article does not have an abstract, we have provided the first 150 words of the full text PDF and any section headings.

To the Editor.—

I enjoyed the anecdote about "Mr Cohen and the Headache"¹ and managed to grasp the valid points that were made by Susan Adelman, MD. But I believe she has told us even more than she intended.

Wittily she has reminded us that treatment may legitimately begin before a diagnosis is made. Unwittingly, I believe, Dr Adelman has told us much about her diagnostic workup. I take issue with much that was said and done.

I wonder if Dr Adelman's physical examination detected that the vision was not lost in the left eye, but in half the visual field of each eye. . . . [Full Text PDF of this Article]

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