1943 Ambulance and cab fares to hospital and doctors: Jefferson to Mount Sinai Aug. 14, 1942__ Osteopathic Hospital round trip, Feb. 23, Dr. Moore round trip, Mar. 29, 1944- 5.00 Rudolph H. Millarg being first duly sworn on oath, according to law, deposes and says that he now resides at 1426 Twenty-first Street NW., Washington, D. C., and will shortly change his residence to 115 Kirkwood Avenue, Fox Chase Manor, Philadelphia 11, Pa.; that he is now employed in the Department of the Interior, Fish and Wildlife Service; that on August 14, 1942, shortly after noon, he was driving in a northerly direction on Ninth Street in Philadelphia and had just crossed Chestnut Street when he saw Mrs. Dora Fruman falling down the Ninth Street steps of the William Penn Annex, United States post office, Philadelphia, Pa.; that he saw that she was unable to rise, appeared to be stunned and in severe pain and in a helpless condition, and he therefore drove his automobile up on to the sidewalk about 5 feet from where she lay on the steps; that he saw a soapylooking liquid on the steps where she had fallen, but not elsewhere on the steps, and it is his belief that the liquid was soapy water and that she slipped in this liquid, causing her fall; that he and a police officer who then appeared, lifted her off the steps and placed her in affiant's automobile and immediately took her to the Jefferson Hospital; that she was unable to taik in a coherent manner, repeated the name of her daughter many times, and complained of pain in her left side and leg; that she remained in a dazed and shocked condition up to and including the time of her delivery at the hospital; that at the hospital the hospital attendants attempted to place her in a wheel chair, but because of her condition this was found to be impossible and she was placed on an emergency table; that it was apparent that she was suffering intense pain from the time of her fall until her delivery to the hospital, since which latter time affiant has not seen her; that August 14, 1942, had been a clear, sunshiny day without precipitation in Philadelphia; that he saw no post-office guards during the entire time that he was at the scene of the accident; that there were no guard rails on the steps. This affidavit is made voluntarily, no consideration having been received or expected by this affiant, and is submitted for consideration by the Congress of the United States in connection with private legislation pending for the relief of Mrs. Fruman. RUDOLPH H. MILLARG. Subscribed and sworn to before me this 17th day of March, 1949. (SEAL] ELIZABETH V. FRANZONI, Notary Public, District of Columbia. PHILADELPHIA, January 6, 1942. Re Mrs. Dora Fruman. Philadelphia, Pa. DEAR ABE: I saw Mrs. Fruman this afternoon and noted the fracture of the hip, etc. The early reduction was certainly a pleasing one and this particular case is one of the illustrations of occasional nonunion occurring in spite of the best of intentions. The Personally I would favor a brace, double bar, ankle to groin, peroneal ring and pelvic band, the reason being that it is possible that it will go to fibrous union even with the hip in the present position The nail is intact of course. brace would give the maximum opportunity should the fibrous union occur. It is possible that the patient may be entirely comfortable without the corrective work. A period of 6 weeks with the brace would be a pretty good trial period and if progress is favorable, it should be worn for 6 or 7 months. If not, then I would favor the subtrochanteric osteotomy. With warmest personal regards, I am, Sincerely yours, J. R. MOORE. M. D. UPPER DARBY, PA., April 27, 1943. Mrs. DORA FRUMAN, Philadelphia, Pa. DEAR MRS. FRUMAN: The following is the result of my examination of your case which was made April 22, 1943. The serial X-ray studies submitted were reviewed, the most recent one being about 1 month ago. These studies reveal a complete fracture of the cervical portion of the left femur, which was later transfixed with a metallic flanged nail, which appeared to be in excellent position. The later studies reveal that you are developing an avascular necrosis or degeneration of the neck of femur and in the last studies the head of the femur was involved in the necrosis and is becoming absorbed and eventually will disappear almost completely. The nail appears to have shifted in position and is not holding the head at the present time. If nothing is done for this hip joint in all probability you will develop increasing disability and pain, with the strong possibility that eventually there will be a dislocation of the hip joint resulting in almost complete disability. There are several procedures available to you for relief of your condition and one procedure designed to not only relieve your suffering, but to restore, in part, the function of the destroyed hip joint. They are as follows: (1) The application of a brace to the left lower extremity which is so fashioned that your weight will be borne on the pelvic bone by a bar of metal under the buttocks, (2) and an operation which would be designed to produce an ankylosis of the hip joint which will result in a permanently stiff, but painless hip, or (3) a reconstruction operation of the hip joint whcih should give you approximately 50 percent normal motion of the hip joint which would enable you to get about in a comparatively normal manner. There would be some light shortening of the left lower extremity, as there is at present, which would be compensated for by the application of suitable lifts to the shoe of the left foot. Of these procedures the last mentioned, in my opinion, is the method of choice and should be followed in every patient who is a reasonably good surgical risk, which I believe you are. This operation is rather difficult and requires that the patient be kept in a plaster-of-paris cast for a period of approximately 6 weeks after the surgery, but with good nursing care and adequate preparation of the patient, there is little difficulty encountered. If you decide to proceed with the further treatment of your case, please contact me that we may make reservation for you in the hospital as it may take approx imately 2 weeks to secure a bed because of the demand for hospital service. I hope this letter has been explanatory of your condition as I find it and if you have any questions regarding the recommended treatment I shall be pleased to answer them for you at any time. With best wishes, I remain, JAMES M. EATON, D. 0. PHILADELPHIA, May 3, 1943. DEAR LIEUTENANT FRUMAN: Your mother has asked that I explain what operation is necessary to relieve the pain in her hip. This operation is called a Lorenz bifurcation operation. The upper end of the femur is divided just below the hip joint at its broadest part and is displaced inward slightly so that the fractured head and neck of the femur rests directly on top of it. This supports the broken bone which joins to the upper end of the bone and always results in a union of the fracture. Sincerely yours, ABRAHAM MYERS, M. D. |