Dn. Roment W.Lovert DR. FRANK R. OBER Dr.JOnN J.MoRTON 224 Manteonouen Street BosTon,MassAcHUSETTS: Towport, R. Ie, Septenber 2, 1921. Dr. E. H. Bemett, Intec, Maines Dear Dr. Bermett:— Your letter was telephoned to me this morning from Boston, and I sent you a day letter. With regard to travel, I shell be glad to send a certificate of my opinion if the legal requirenonts of New Brunswick have been complied with, but you see as Chaimman of the Harvard Infantile Par— alysis Commission I would have to be very careful. I have no fear of the trip if proper certificates are at hand. The atrophy amounts to nothing, but any considerable loss of power in the legs should mot occur. It my be dus to over-exercising the mscles in the patient's effort to see how they are. ‘There is a progressive type, mt it is not like this es a rule, and I am not vor- ried unless the loss of pover is really marked and rapid. The blad— dor symptoms eccompany ell grades, and as I said, I do not recall ev- er having seen pormanent trouble. Drugs I believe are of little or no value, and not vorth giving if they impair appetite. Bromide for sleeplessness may be useful. Massage will prolong hyperaesthesia and tenderness, and the thigh sensitivensss should be watched from this point of view.Ee He Bemmme There is nothing that can be added to the treatment, ani this is one of the hardest things to make the family understand. The use of hot baths should I think now be considered again, es it is really helpful and will encourage the patient, as he can do so mich more un- der water with his legs. There is likely to be mental @epression end sonctimes irritebility in adults, as you heard me sey to Urs. Re I should have the petient sit up in a chair as scon as it cen be done without discomfort. I shell be beck at my office in Boston after Labor Day. Ian, Yours very truly, Ry Leg