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To the Editor:
—In gynecologic examinations, cleanliness is of greater importance to the patient than exposure. Apropos of the article on the divided sheet by Dr. Curran Pope, published in The Journal, July 17, I beg to remark that the sheet when tucked about the speculum as suggested succeeds admirably in precluding exposure of the patient, but the procedure is insanitary and abets communicability of infection, unless a clean sheet is provided for each patient and it is doubtful if this is the intention. It is a well known fact that the table or chair of the general practitioner is supplied with a head-rest and sheet, for gynecologic examinations, and that the sheet may be in service too long before renewing; it is doubtful if an equal degree of carelessness is displayed in any other department of office work, in guarding against infection, as in gynecologic examinations.The less complicated
Spangler CF. Paper Napkins in Gynecologic Examinations. JAMA. 1909;LIII(5):395. doi:10.1001/jama.1909.02550050061013
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