Document 9Ep9ZdmBGQn1vpaG2GjaY2XV

July 21, 195 8 M r s. An n Tourfcellot 85 E lb e r t Str e e t Ram sey, New Je r se y D ear M rs. Tou rteilot: ' _ I retu rn to you, by retu rn m ail, the galley p r o of of the ch ap ter on "Le ad P o iso n in g " o f ?,A T e xt b o o k o f M e d ic in e . " T h ere a r e b u t two d e fe ct s to w h ich I h ave calle d atten tion on th e galle y p r o of, w ith su gge st io n s fo r a lt e r a t io n s w h ich in volve a m in im u m of d ifficu lty . In th e fir st of th ese, I m ay be regar d ed a s a bit quixotic an d m y su ggestion d isr e gar d ed . If so , I sh all not p r o t e st o r fe e l ill- u se d , but on ly so r r y . I h ave an av e r sio n , h ow ever, to th e w ord "e v alu at e d , " fo r a n u m ber of r e a so n s, an d I h ave su gge st e d th at it m igh t be r e p lace d by th e w ord "a p p r a ise d " (of th e sam e n u m b er of le t t e r s), in colum n 726, p aragrap h 6, lin e 3 from the en d. Th e o th er is m o r e se r io u s, in th at an e r r o r in th e r e ar r an ge m e n t of a sen ten ce, w ith out pu n ctu ation to o v e r co m e th e m isle ad in g e ffe ct of th e bad seq u en ce of c la u se s, m u st b e d e a lt w ith . I h ave co n t en t ed m y se lf w ith th e in tr od u ction of th e n e c e ssa r y pun ctuation , on ly. Th is is in d icated in the m ar gin of p ar agr ap h 7, lin e 7 an d 3, of the sam e colum n , #726. I th in k I sh ou ld sa y fo r th e r e c o r d , th at th e ch an ges in trod u ced in to m y la st d r aft of th e a r t ic le h ave sav ed on ly a litt le sp ace , at som e co st to th e w orth of the a r t ic le . In asm u ch a s I am fa ir ly fa m ilia r w ith th e p r o b le m s of an e d it o r , I t ak e th ese alt e r atio n s in st r id e , but it is tr u e, n e v e r t h e le ss, th at su b tle d iffer en ces in p h r aseo logy an d in th e exclu sion o r in clu sion of clau se s th at eith er state ad d ition al fa c t s o r qu alify th ose stated , can a lt e r th e su b stan ce, a s w ell a s the in t en t , o o n e 's sp e e c h . Sin ce in on e o r tw o in st a n c e s, w h ich a r e e sp e c ia lly n otew orth y in the deletion s an d r ep h r asin g of m y d iscu ssio n in Etiology and D iagn o sis, th e effect of ce r t ain ch an ges h as n ot b een s.pparen t to th e fin al e d ito r , it is p rob ab le th at th ese su b t le t ie s w ould be lo st on an y r e a d e r excep t th e m ost exp er t. It is lik ely , h ow ever,' th at I sh all be c r it ic ise d by som e of m y co lleagu es, p ar t icu lar ly fo r so m e of th e o m issio n s, an d I m ay w ell h ave to d efen d m y se lf in cou r t a g a in st w h at w ill h e, in e ffe ct , m y ow n w o r d s. A s an exam p le o f what I m ean , the seem in gly in n ocen t con traction of m y explan ation of the m ean s by winch a le a d b u lle t c a n g iv e r i s e t o a b so r p t io n o f a d a n g e r o u s am o u n t o f le a d , b r in gs th is statem en t p e r ilo u sly clo se to a con trad iction of th e con clu sion s of o u r fa ir ly e xt e n siv e in v estigation of th is m at te r in a se r ie s of c a se s. Th is is KEf 0020293 M r s. An a Tou r t ellot - (2} - Ju ly 21 , 1958 n ot, in fact* a a u n im portan t m at t e r , n o r is th e elim in ation o f an y r e fe r e n ce to the problem of b attery b oxes a n egligib le m atte r , sin ce som e con sid erab le e ffo r t , b y no m e an s alt o ge t h e r su c c e ssfu l, h a s gon e in to th e elim in ation o f th is h azard . , - , ; .. . H ow ever, th ese a r e not m at t e r s o f gr e at con sequ en ce, an d I sh all not dw ell upon th em h e r e o r in m y ow n m in d. I am m uch m or e gr at ifie d at.h avin g h ad th e opportu n ity to r e st a t e th e c a se , in r e lat io n to t h is d ise a se , in t e r m s w h ich seem to m e to be n eeded, th an I am d istu rb ed by th ese m in or d e tails, rI sh all ap p r e ciat e it if you w ould con vey th is la st sen tim en t to D r s, C e cil an d Lo eb . . , . ,r . ... C o r d i a l l y y o u r s, ^ *r-,. , : * , ' . - . . . . - r A k e f 'T' En c. ' i \ Robert A . Keh oe, M .D . 1 J. . . .- - . .' . ...... . 1. .SIC i'sJjJ, 4 - r K 0020294 -x ' . . - ' r. a .** ' ; ><ij . ? ; .i '. s' ' i