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July 8, 1988

Routine Preoperative Screening for HIV

Author Affiliations

Bridgeport, Conn

Bridgeport, Conn

JAMA. 1988;260(2):180. doi:10.1001/jama.1988.03410020039014

To the Editor.—  I write to comment on an article in the March 4 issue of JAMA.1 I am truly disturbed about the comments and conclusions reached by Hagen et al.As a practicing neurosurgeon, it is essential for me to be aware of every medical aspect of the patients on whom I operate. I grow weary of the posturing of physicians who are not daily in the trenches. The Division of Clinical Decision Making in the Department of Medicine of the Tufts University School of Medicine in Boston has little or nothing to do with the neurosurgical operating room.All of their statistics can be thrown out the window if a surgeon who is operating on a patient with acquired immunodeficiency syndrome inadvertently punctures his skin with a needle or a scalpel and is not aware that the patient is infected. Two patients on whom I have operated