Foreword
A Letter from Dr， Lendon H. Smith to Dr. Michael A. Schmidt
As a pediatrician I knew how to treat otitis media: give the
child penicillin， sulfa drug， or ampicillin and take another look
in 10 days. If it is all cleared up， fine. If not， send the child
to an ENT specialist for myringotomy and adenoidectomy. But
why did they get sick in the first place? Their parents loved
them， wanted them， fed them well， and even gave vitamins.
I was confused when parents would ask， \"Why is he sick all
the time?\" We never got a course about reasons in our medical
training. It was just make a diagnosis and write out the pre-
scription. The pharmaceutical companies told us that we should
become good diagnosticians; they would provide the treatment
protocol.
You have brought up some embarrassing questions and
also have made some connections about which we had no
knowledge. But you are right. There are reasons for everything.
You have given us the reasons， and some new ways of
looking at some old problems. In a clear and logical fashion
you have outlined the factors involved in--not just ear infec-
tions-but sickness in general. Your revelation of the connec-
tion between fats and infection-susceptibility is a classic; I
have never read anything so easy to uN~NIN， Thg g~lag~gC
on alternative treatment is especially valuable because it shows
parents that methods other than antibtiotics and surgery are
being used to care for earaches. This chapter is valuable to doc-
tory beeauge it outlines thc details of thc~c nacthods.
You have thoroughly researched the field and have carefutt-，1
separated out the logical from the spurious. You are caretul to
state if you have found some real controversy in the treatment
of otitis media. The general public should have your book as
a ready reference so that the average parent can confront the
treating doctor with the published studies.
XII
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