To the Editor:—
It is well known that there is nothing so misleading as statistics are at times, or rather the interpretation of them. The article "Absence of Tonsils as a Factor in the Development of Bulbar Poliomyelitis" by Dr. Anderson and Mr. Rondeau, page 1123 in the July 24 issue of The Journal, may be one of the times that the cart may be before the horse. Could it not be that the very conditions that caused the tonsils to be removed favor the bulbar type of poliomyelitis? If we accept the conclusion that removing tonsils favors the development of the bulbar type, many who need their tonsils removed may be deprived of the benefit. I am not trying to build up business, as I have never removed a tonsil. I have referred patients to specialists for the operation when I felt it desirable.