Document nb7qOo313V8VB43dYBY3vmwa

Febru ary 26, 1958 Dr. R u ssell L. C e c il, Ed itor A Textbook o f M edicin e liJ+9 E a s t S i x t y - e i g h t h S t r e e t New Yor k 3 2 , N .Y. Dear Doctor C e c il: I am se n d in g h e r e w it h t h e c o m p le t e d m a n u sc r ip t o f th e c h a p t e r on le a d p o iso n in g . You w ill fin d i t lo n g e r t h an you s p e c i f i e d , b u t t h i s h as seem ed t o me t o be u n a v o i d a b l e . P e r h ap s some f u r t h e r e d i t i n g o f t h e t y p e D r . Loeb p r o v id e d w i l l c u t i t down f u r t h e r , b u t I h ar d ly t h in k i t can be com p ressed t o any g r e a t exte n t w ith out em ascu latin g i t , un e ss c e r t a in se c t io n s of i t are elim in ated com pletely, I h ave accep ted alm ost every ch an ge or d e le t io n su gge sted by D r . Lo e b . In on ly one o r two in st a n c e s h ave I f e l t t h a t som eth in g o f .r e a l sig n ific a n c e sh o u ld be r e st o r e d . In asm u ch a s I h ave o c c a sio n t o n o t e t h e m ist a k e s o f o m issio n an d com m ission w h ich a r e made by p h y sic ia n s in t h e ir h an dlin g o f c ase s o f occu p ation al lead p oison in g, I h av e t r i e d t o c l a r i f y som e o f t h e i s s u e s t h a t a r e m ost t r o u b le so m e . Among t h e se t h e p o i n t m ade in t h e fo o t n o t e on p age 13 m igh t seem t o be r e d u n d a n t , b u t t h i s i s , in f a c t , t h e m ost t r o u b le so m e s i n g l e p r ob lem w h ich m u st be d e a lt w it h a t o r o se n t , an d som eth in g h as t o be sa id abou t it. ` Lik e w ise , t h e m at t e r o f t h e r a p y , w h ich one w ould w ish t o h an d le more t e r se ly , i s in a st a t e o f g r e a t con fu sion even among p h y sic i a n s who w ould be e x p e c t e d t o know t h e i r way a r o u n d . T h e r e fo r e , I h ave f e l t i t n e c e s s a r y t o sp e a k o f p r in c ip le s and p u r p o se s t o a g r e a t e r e^u on t th an you may l i k e . I t may be t h a t D r . Loeb c an sh r in k t h i s s e c t i o n w ith ou t d etrim en t to i t s u se fu ln e ss as ha d id w ith oth er p ar t s of th e m an u scrip t. I f so , I sh a ll be s t i l l fu r th e r g r a t e f u l t o h im . P e r h ap s I am t o o c l o s e t o t h e p r e se n t sit u a t io n t o se e in p r o p er p e r sp e c t iv e t h a t w h ich th e m e d ic a l st u d e n t o r p h y sic ia n can be e x p e c t e d t o make u se o f. A fte r t h ir t y y ears o f experien ce th e proper h an dlin g o f o c c u p a t io n a l le a d p o iso n in g seem s v e r y sim p le , b u t I fin d i t com plicated In m edical p r a c t ic e , and e sp e c ia lly D r . Ru b s e l l L . C e c i l , E d i t o r - {2 }- F e b r u a r y 26, 1953 i n n e d i c c - i e g a l p r o c o d u r e t o a. r e m a r k a b le e x t e n t , an d th e r e fo r e , I fin d i t alm ost asn e c e sssr y to in veigh again st c e r ta in miscone eo t ion s and im proper p r a c t ic e s, as i t i s to p o i n t o 'i t t h e p r o p o r c o u r s e . T h i s , I r e c o g n i z e , i s . n o t th e way te xtbo o k:; ar e w r it t e n , and so I h ave e x e r c ise d as iuch re 3 1r a x n t a 3 I am c a p a b le o f . I t r u s t t h a t w h at I h ave done m eets g e n e r a lly w ith you r o p r p o se s. Sin cer ely y ou rs, ft o b e r t A. K e h o e , Li . D. R A K:ss En el f. f HE 0020300