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Mr. Thurber was obliged to diagnose his own case, explain its etiology, show the deep scars of two operations to repair previous fluke damage, prognose his death within a month.

It is safe to prognose obstruction when the vomiting is severe; but if the nausea continues longer than three days, it must be due to eating or to drugs, to taking too much water while there is nausea, or there is more obstruction than can be accounted for by such diseases as suppurative inflammation of the cecum or appendix.

Did he prognose? or did he diagnose?