In response to Tobin's interpretation, they pointed out that the note was written well after 1921, that no one present during Roosevelt's illness mentioned the invasive procedure being done, that it would have demanded resources not available at Campobello, and that the note made no mention of results.
In response to Tobin's analysis, they noted that the note was written after 1921, no one during Roosevelt's illness mentioned the invasive procedure being performed, it would have needed resources unavailable at Campobello, and the note did not reference any outcomes.