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Previous Volume 331:816-817 September 22, 1994 Number 12 Next

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By Jacalyn Duffin. 383 pp., illustrated. Toronto, University of Toronto Press, 1993. $60. ISBN 0-8020-2908-6.

Jacalyn Duffin, a professor of the history of medicine, has spent a decade analyzing the unique wealth of daybooks and account books from the 1844-1889 medical practice of Dr. James Miles Langstaff of Richmond Hill, north of Toronto. She shares with us the medical, social, financial, and political activities of a country doctor who was a careful record keeper: studious and thoughtful, with excellent powers of observation. Langstaff clearly described Cheyne-Stokes respiration, Kussmaul's breathing, Courvoisier's sign of pancreatic cancer, tenderness over McBurney's point, and patients who may have had Marfan syndrome, Osler's nodes, and Guillain-Barre syndrome. Some of these findings . . . [Full Text of this Article]

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