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Recalling that Paul Beeson, a former editor of Cecil, became incensed at reviewers who thought the weight of the book was important, I shall refrain from mentioning the 19th edition's hefty 8.75 pounds. Yet size may eventually spell the end of the traditional textbook of medicine. What is truly important, however, is whether the 19th edition of the Cecil Textbook of Medicine has achieved the goals set by the editors. Russell Cecil believed that "in terms of biological processes fragmentation of the discussion of disease is artificial." He therefore attempted to integrate clinical description, pathological information, physiologic knowledge, diagnostic criteria,
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