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Do you approve of this leteer. ? DEPARTMENT OF PATHOLOGY CORNELL UNIVERSITY MEDICAL COLLEGE FIRST AVENUE AND 28TH STREET Mr. H.H. Barker NEW YORK Copy of letter sent to Februnry 10, 1932. Miss Larice, Miss Fryer, Miss Shaub and Mrs. Hus sman. During the past year bille for medioal and other services for the radium patients of the U. S. Radium Corporation have increased in number and size and have becom rather missellaneous in character. Many of the expenses have not beon authorized by the Commission, and some of them seem to un not proper medion) charges. For theme ressons and beceuse of the present very depreased state of business the on feels that they must sorutinize expenses more carefully and urge upon our patients the necessity of practising economy as for as possible. We cannot approve of routine visits at a cost of $20.00 to $25.00 by physicians in cases in which the condition of the patient does not vary much from month to month. We think these medical visita should be requested only f or some definite reason. The services of visiting nurses, while probably decirable and agreeable seen to us to fall, not in the clasa of necossary medionl services, but rather in the closa of attentions. The use of expensive tonice and medioines, we do not feel are useful or desirable, unless the patient is suffering from definito e enemin. X-ray photogrsphn should bo requested only for definite ressons, approved by the Commissione Jor these reasons wo wish to inform you that on and efter February 15th, 1932, no bills will be approved by the Commission for any services which have not be en specificelly approved for the Commission by Dr. Lloyd 3. Craver. Dr. Craver onn be reached any norning at the Memorial Hospital, telephone Academy 2 - 6140. We do not wish to indiente by this note that any worthwhile medical sttention or servico of any kind will be withrow. On the contrary, we propose to do everything possible for the bonefit of our patiente. We thorefore eak your co-operation in the effort to do juatice to nll parties concerned. Sincerely yours, January James Dwing.