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The Virginia Apgar Papers

Title:
Letter from F. W. Clement to Virginia Apgar pdf (51,389 Bytes) transcript of pdf
Letter from F. W. Clement to Virginia Apgar
Description:
Dr. Clement, an anesthesiologist, wrote to ask Apgar's advice about a case in which spinal anesthesia seemed to cause paralysis long after the operation. He had learned of her work through a colleague at Ralph Waters' Clinic at the University of Wisconsin.
Number of Image Pages:
1 (51,389 Bytes)
Date:
1938-03-28 (March 28, 1938)
Creator:
Clement, F. W.
Recipient:
Apgar, Virginia
Source:
Original Repository: Mount Holyoke College. Archives and Special Collections. Virginia Apgar Papers [MS 0504]
Rights:
Reproduced with permission of F. L. Clement.
Subject:
Medical Subject Headings (MeSH):
Anesthesiology
Exhibit Category:
Establishing a New Specialty, 1938-1949
Relation:
Metadata Record Letter from Virginia Apgar to F. W. Clement (April 25, 1938) pdf (79,176 Bytes) transcript of pdf
/ps/access/CPBBFC.pdf
Box Number: 5
Folder Number: 3
Unique Identifier:
CPBBFB
Document Type:
Letters (correspondence)
Language:
English
Format:
application/pdf
image/tif
Physical Condition:
Good
Series: Correspondence 1925-1974
Folder: 1938
Transcript:
March 28, 1938.
Dear Doctor Apgar:-
At the suggestion of Dr. H. R. Hathaway of Dr. Waters' Clinic, am writing you for some information regarding spinal anesthesia. Dr. Hathaway mentioned that you had compiled a review of several hundred cases of spinal anesthesia, mostly pontocaine. If you have a reprint of this, could I have a copy of the same?
The reason I am interested is that last fall, I gave a spinal to a woman for cholecystectomy. Used pontocaine 1 3/4 c.c. - 2/3 interspace - usual dose, no trouble getting the needle in place, etc. Nothing unusual developed during the operation, but two weeks later, the patient developed complete paralysis from waist down. No improvement resulted and patient died about a month ago. Unfortunately, no autopsy was obtained.
Am at a loss to know what happened. There are, of course, several possibilities, none of which seem to adequately explain the occurrence.
Have you had or heard of any similar cases in your experience? Would be interested in hearing anything you might suggest regarding the cause, etc.
Sincerely yours,
F.W. Clement
Metadata Last Modified Date:
2009-03-23
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