DON CARLOS PEETE,M. D.
531 ARGYLE BUILDING
KANSAS CITY, MISSOURI

i wish to thank you for your follow up
note on Ralph Miller and I was very much interested
in his outcome,

Before the Oklahoma A. and M, game, about
March 10, he had an acute sinusitis, He was re-
lieved with nasal packs and on the afternoon of the
Kansas, Colorado game, March 20, Ralph complained
of having a pain at feep breathing in his right
lower chest. He said that this pain had followed
when he attempted to demonstrate a certain type
of shot that one of the Colorado players used and
that it felt like he had a catch in his back at
that time,

His temperature that day was 98.6, pulse
68 and upon fluoroscopic examination there was ne
limitation of the movements of the diaphram nor
any cloudiness seen in the fight base, Ausculat-
ion and percussion revealed normal findings, He
was quite tender over the eighth and ninth thoracic
levels and we thoucht that he had prebebly sprained
his back and was getting some nerve root irritation
ee an intercostal neuritis, secondary to his
ai nu 34 : 4, 8. ‘

We gave him some nasal packs and infra-red
heat over the intercostal area and he seemed to be
apparently relieved. He played that night as you
know and did not return the next day for any
furthur treatment,

It is rather difficult to explain the many
different unusual characteristics of the clinical
course but of course that is what makes the pract<-
ice of our own profession so fascinating.