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February 21, 1931


JAMA. 1931;96(8):631. doi:10.1001/jama.1931.02720340061025

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To the Editor:  —It was not my purpose to belittle the importance or the wide applicability of the Whitman spica, which I have used and which I feel I know how to apply. However, I do not think that the absolute comfort and safety of the elderly patient in the high spica is a universally accepted fact; for I have observed that many physicians have difficulty in completely safe-guarding such patients against the immobilizing effects of the high spica on the thorax. I have found the method of trimming which I described to be both comfortable and effective, but I do not pretend that it is in any way a radical departure from the precepts of the Whitman method of treatment.I agree with Dr. Kleinberg that my statement that the Whitman spica necessitates the dorsal decubitus is not entirely tenable, as I well know the possibility of turning the

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