E. 1. McKmOn, M. D
F. W. Clenent,M. D.
K. C. McCarthy, M. D.

hnothethb

     Office Addrai
9998 ASHLAND AVENUE
   Phone JEffcrron 4412
    TOLEDO, OHIO

March 28,19380

Dr . Virginia Apgar,
Presbyterian Hospital,
New York, N.Y.

Dear Dootor Apgarr-

At the suggestion of Dr. H, R. Hathaway of Dr. Waterst Clinic,
am arriting you for some information regarding spinal anesthesia.
Dr. Hathaway mentioned that you had compiled a review of several
hundred cases of spinal anesthesia, mo-ktly pontooaine.
have a reprint of this, could I have a copy of the same?

If you

The reason  am interested is that last fall, I gave a spinal
to a woman for cholecyste~tamy.
inters ace - usual dose, no tnouble getting the needle in place,
eto. gothing unusual developed during the operation, but two
weeks later, the patient developed complete paralysis fromwaist
dawn.  No improvement resulted resulted and patient died about a
month agoo

Used pontooaine 1s C.C. - 2/3

Unfortunately, no autopsy was obtained.

Am at a loss to haw what happened. There are, of course, several
possibilities, none of whioh seem to adequately explain the OOOW-
rence.

Have you had or heard of any similar oases in your experienoe?
Would be interested in hearing anything you might suggest re-
garding the cause, etc,

Shoerely yours, 4

FWC*HC