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February 18, 1928


Author Affiliations

Lowell, Mass.

JAMA. 1928;90(7):563. doi:10.1001/jama.1928.02690340065034

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To the Editor:  — Under Queries and Minor Notes (The Journal, January 7) you state that you do not know of any hospital that irradiates all children prior to operation.It is a rule of the Boston City Hospital that no patient under 16 years of age be anesthetized until a roentgenogram of the chest has been made to rule out (or in) an enlarged thymus. If a large thymus is found (which occurs in about 3 per cent) none except emergency operations are performed until the thymus has been irradiated and shrunken to its normal size for the age of that particular patient. This usually requires from three to six exposures.I am not stating these facts for the hospital, but as a recent house officer I know the procedure.As a nose and throat man I believe that in the vast majority of cases bleeding following tonsillectomy is

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