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LLOYD F. CRAVER, M.D.
135 Bay Front Drive
Baldwin, L.I.
August 5, 1933.
Dr. James Ewing,
Memorial Hospital,
New York.
Dear Doctor Ewing,
On Wednesday I saw Miss Freyer at the Homeopathic
Hospital in Orange.
had
She had severe pain in her right leg for about
two months. In the right femoral triangle, I could feel
swelling about 10 to 12 in. in diameter. I could not examine
it in detail because the whole extremity was encased in a
spica cast. At the hospital I saw films made through the
cast, and at Dr. Hemphries' office I saw others that had been
made before the cast was applied. There is no evidence of fracture
of the femur or of the bone tumor in these films, yet the pain
and swelling suggested either a fracture with angulation or
a bulky tumor. I am afraid that she has some very cellular
tumor, such as Mrs. McDonald had, that does not produce changes
in the bone that are visible roentgenologically.
She seems fairly well nourished but looks pale,
and has been receiving some morphine.
Evidently the fracture to which Dr. Humphries
referred was one of the right 11th rib.
Drl Humphries said she did not know about it, so
I didn't make any reference to it. It does not seem to be causing
any symptoms, nor could I see in the structure of that rib in
the X-rays made a month ago any evidence of tumor or of marked
radiation changes in the rib that would explain the fracture.
She is in a private room, such as in New York
would cost about $8.00 a day. Under the circumstances there
seems to be nothing to do but let her remain there. She said
Dr. Humphries told her he would remove the cast in a few days.
My only communication with Dr. Humphries was
by telephone, as he is on his vacation, but was at his residence.
- 2 -
It is annoying that she did not consult us when
the pain persisted, or at least when the swelling appeared in
her thigh.
She would not listen to a suggestion of X-ray
treatment. I did not tell her that I thought she had a tumor.
When I was arranging with Dr. Humphries to go
there to see her, I asked him if she had a tumor. He mentioned
the swelling but I didn't gather that it had much significance
to him.
Frankly I think he is trying to hang on to all
these cases for all there is in it, but what can we do?
My impacted third molar was taken out very skilfully
yesterday by Dr. Dunning, and I have had practically no after
effects; much better than I expected.
Sincerely,
Lloyd F. Craver
(Signed)
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"ocrText": "COPY\nLLOYD F. CRAVER, M.D.\n135 Bay Front Drive\nBaldwin, L.I.\nAugust 5, 1933.\nDr. James Ewing,\nMemorial Hospital,\nNew York.\nDear Doctor Ewing,\nOn Wednesday I saw Miss Freyer at the Homeopathic\nHospital in Orange.\nhad\nShe had severe pain in her right leg for about\ntwo months. In the right femoral triangle, I could feel\nswelling about 10 to 12 in. in diameter. I could not examine\nit in detail because the whole extremity was encased in a\nspica cast. At the hospital I saw films made through the\ncast, and at Dr. Hemphries' office I saw others that had been\nmade before the cast was applied. There is no evidence of fracture\nof the femur or of the bone tumor in these films, yet the pain\nand swelling suggested either a fracture with angulation or\na bulky tumor. I am afraid that she has some very cellular\ntumor, such as Mrs. McDonald had, that does not produce changes\nin the bone that are visible roentgenologically.\nShe seems fairly well nourished but looks pale,\nand has been receiving some morphine.\nEvidently the fracture to which Dr. Humphries\nreferred was one of the right 11th rib.\nDrl Humphries said she did not know about it, so\nI didn't make any reference to it. It does not seem to be causing\nany symptoms, nor could I see in the structure of that rib in\nthe X-rays made a month ago any evidence of tumor or of marked\nradiation changes in the rib that would explain the fracture.\nShe is in a private room, such as in New York\nwould cost about $8.00 a day. Under the circumstances there\nseems to be nothing to do but let her remain there. She said\nDr. Humphries told her he would remove the cast in a few days.\nMy only communication with Dr. Humphries was\nby telephone, as he is on his vacation, but was at his residence.\n- 2 -\nIt is annoying that she did not consult us when\nthe pain persisted, or at least when the swelling appeared in\nher thigh.\nShe would not listen to a suggestion of X-ray\ntreatment. I did not tell her that I thought she had a tumor.\nWhen I was arranging with Dr. Humphries to go\nthere to see her, I asked him if she had a tumor. He mentioned\nthe swelling but I didn't gather that it had much significance\nto him.\nFrankly I think he is trying to hang on to all\nthese cases for all there is in it, but what can we do?\nMy impacted third molar was taken out very skilfully\nyesterday by Dr. Dunning, and I have had practically no after\neffects; much better than I expected.\nSincerely,\nLloyd F. Craver\n(Signed)"
}