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would be less than is now the quotum for a month. At the close of the century, however, the disposition of affairs is wholly altered. Where there was one surgeon there are now ten, and the work of the operator has extended. The more ambitious performances of surgery are no longer restricted to great centers, but are carried out in the little town, in the cottage hospital, and even in the cottage itself. The general practitioner is laying claim to operate upon his own patients, and is carryingdoi:10.1001/jama.1900.02460310029002 fatcat:lum2thilc5cithgmmra6kbomxy