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Philadelphia College of Osteopathic Medicine Philadelphia, Pennsylvania

To the Editor: Regarding the article by Goldstein et al that appeared in JAOA—The Journal of the American Osteopathic Association last June ("Preoperative intravenous morphine sulfate with postoperative osteopathic manipulative treatment reduces patient analgesic use after total abdominal hysterectomy." 2005;105:273–279), to the authors, I say: congratulations.

The paper is great, not only in its scientific and clinical value, but also because it approaches a clinical problem osteopathically. The approach used by Goldstein et al gives osteopathic clinicians more tools in what Michael L. Kuchera, DO, has termed our "armamentarium" of skills.

The May 2005 letter to the editor by Robert A. Cain, DO, Program Director at Grandview Hospital in Dayton, Ohio ("Promoting active engagement with osteopathic principles and practice in interns and residents." J Am Osteopath Assoc. 2005;105:236–237), underscored how important it is for residents to think osteopathically, but I believe that Dr Goldstein's article demonstrates how osteopathic skills are applicable in all medical specialties.

I have forwarded Dr Goldstein's article to one of my colleagues who is beginning her anesthesiology residency training in Milan, Italy.

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