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July 20, 1940


JAMA. 1940;115(3):236. doi:10.1001/jama.1940.02810290066031

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To the Editor:—  The recent article of Dean and Dulin entitled "Pulmonary Embolism Following the Injection Treatment of Varicose Veins" (The Journal, April 6, p. 1344) has evoked two critical communications (May 25, p. 2139, and June 22, p. 2489). Tending to agree in substance with Dean and Dulin's thesis and to disagree with some of the criticisms, I wish to point out several facts.The treatment of varicose veins is divided between surgeons on the one hand and dermatologists and general practitioners on the other. It is often pointedly odd that the former, who can do either an injection or an operation, will use both methods, depending on the type of case under treatment, while the latter, with a limited repertoire, will use only the method at hand. This, of course, does not apply to dermatologists with the standing and the facilities for referring cases of Dr. Isaak but

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