June 7, 1947


Author Affiliations

Poona City, India.

JAMA. 1947;134(6):555. doi:10.1001/jama.1947.02880230065024

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To the Editor:—  I read with interest a communication on cold packs suggested as a protective for testes in mumps in The Journal, Oct. 26, 1946. In view of the actual experience, it would be unfair to let the suggestion pass uncriticized. I am not a research scholar, nor am I given to "armchair philosophizing." With the large amount of clinical material available in India, I wish to record some observations which may have a bearing on the point at issue. I have seen patients with continuous high temperature (104-105 F.) for days on end without their productivity being affected in any way after the severe illness.In India as a result of hot climate there is often a laxity of scrotal tissues. To prevent the unpleasant sensation of "drooping" testes in the loose scrotal bag it is customary in the working classes to keep them tightly held up by

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