To the Editor.
—The paper by Dr. Glover H. Copher on "Blood Transfusion" that appeared in the July issue of the Archives of Surgery, pages 125-153, contained an interesting discussion of blood transfusion, with instructive analysis of 245 cases. The references are extensive.In regard to direct transfusion, however, the author's attitude does not appear to be entirely consistent. On page 136, he says: "One still reads an occasional report of a direct transfusion by vessel to vessel anastomosis in this country (Horsley, J. S.; Vaughan, W. T., and Dodson, A. I.: Direct Transfusion of Blood, Arch. Surg. 5:301 [Sept.] 1922) and abroad. Horsley, Vaughan and Dodson, in using this method recently in twenty-four cases, did not observe even a chill in any of the patients. This method has not been used in this clinic because of its many obvious disadvantages." Immediately following this, he says: "No method of