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This book was very helpful when I was in nursing school. I studied nursing history which led me to this book. However, I have the 1920 edition which looks nothing like the cover portrayed here. Mine IS the first edition. It is blue but looks nothing like this cover. Inside was a copy of a message to another nurse signed by yet another nurse. The book was a great find at Half Price Books in Dallas back in 1978. LSU Medical Center had a copy of this book but it was issued sometime in the 1930s and was not allowed out on loan. It was a reference book only due to its rarity.