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The patients, especially children, should be taught to keep the nostrils clean. Many children do not know how to blow the nose. The discharge of purulent matters from the ear into the pharynx, setting up secondary troubles, is not a matter of theory with Dr. Turnbull, but is proved by observation. A verydoi:10.1001/jama.1888.02400510022006 fatcat:zlpghcsrzfebbbv4pb3akoslpm