September 26, 1931


JAMA. 1931;97(13):947-948. doi:10.1001/jama.1931.02730130051029

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To the Editor:  —In corroboration of the suggestion of Dr. de Takáts in his letter in The Journal, August 22, relative to the ambulatory treatment of phlebitis, permit me to state that for some time now at the Varicose Vein Clinic of the Boston City Hospital we have discouraged the immobilization of phlebitic legs. We have gone a step further and, in cases of phlebitis affecting varicose veins, have instituted active treatment by the injection of sclerosing solutions. The results have been most satisfactory. We have long contended that the incidence of embolic manifestations must necessarily be higher when "rest in bed" is prescribed for phlebitis. And this pertains to deep as well as to superficial infection. It is too early to discuss end-results, but in cases of deep thrombophlebitis treated ambulantly it is our observation that pain and swelling subside more rapidly, and disability is not so prolonged. No

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