times very scanty in amount.

Pain in the back and iliac regions was severe, and finally it was decided that an operation for the repair of the lacerated cervix must be performed in order to obtain relief. This was done about nine weeks ago, but the condition was but little improved, although a curettement had been done simultaneously with "trachelorrhaphy."

The case having been previously in the hands of another physician, I requested and obtained a consultation with him, during which I suggested the use of Ergoapiol (Smith). To this he agreed, and we prescribed one capsule three times daily for a period of two weeks prior to her next menstruation, with results that surprised not only the patient, but even ourselves. There was still some pain in the regions mentioned above, and the quantity of the flow was still below normal, but, looking at the case from every point of view, and considering the very short time during which the patient had been under treatment, I regard the results as remarkable. Her present condition is good, though a slight leuchorrea remains, and I anticipate an easy menstruation, when next it occurs, which is only a few days hence. She is, of course, still taking the capsules as before, and, indeed, has been doing so right along.

CASE III. Mrs. W. A. J., a widow of three years, had always been irregular in her periods, and had been late (almost eighteen years of age) in commencing. She had never borne any children, and after hearing the usual history of pain and cramping for two or three days previous to the beginning of the flow, and more or less during its continuance, I made an examination by which I discovered that the uterus was small, poorly developed, and flabby. She was very anemic, and the quantity of discharge had always been small in amount and light in color.

I did not hesitate a moment as to treatment in this case, but put her at once on Ergoapiol (Smith), together with Blaud's Pill, and recommended a nourishing diet. There was n't much change. at the next period, but the one following, and still more so, the one after that, showed most markedly the excellent results of the Ergoapiol treatment. The uterus had gained much in tone and the cervix in firmness, while the patient herself is now in very

good health generally, and has gained almost sixteen pounds since the treatment began.

CASE IV. This case is interesting, in so far as it shows the versatility, so to speak, of Ergoapiol, or to express it more correctly, the varied and unusual forms of uterine and menstrual troubles, in which that valuable preparation may be used advantageously.

Here I shall quote the case of a young lady, Miss M. F. N., twenty-one years of age, who came under my care four months ago. All kinds of treatment had been tried on her without avail, for although she had passed the age of full womanhood, she had never menstruated. When I first saw her, she gave a history, such as follows: When she was fourteen years of age, she, on the 16th day of that particular month, got up in the morning feeling languid and disinclined for exertion of any kind; she had a slight headache, and complained later on in the day of a dragging pain in the back of the lumbar region. The family physician was called, and, naturally enough, diagnosed the approach of her first menstruation, requesting the mother to warn the girl of what she might expect and leaving some appropriate (?) prescription; Ergoapiol (Smith) being then unknown to him. However, that day passed, and another, and another, without any appearance of a flow, and by the end of the fifth day all symptoms had subsided. The girl remained comfortable until about the middle of next month, when the same course of symptoms was passed through again with similarly barren results.

Thus she had lived, undergoing all sorts of treatment, until I saw her five months ago. I at once, though with difficulty, obtained permission to make an examination, in the course of which I found the uterus flabby and ill developed, the os small and contracted, while the ovaries, with their appendages, were quite indistinguishable by palpation. I advised dilatation of the os and cervix and prescribed both special and general tonics, but although everything was done and the treatment maintained for some time, no improvement seemed to result.

At last I determined to try Ergoapiol, which had been brought prominently before me just about that time, and I at once began

giving it in addition to one or two of my former tonics, which had failed to do the work alone. The results, when the next time for menstruation came around, were easily perceptible, although the patient had only been under the new treatment for twelve days. The uterus had gained some tone and usual signs of approaching menstruation were more decided, but it was not until the second month that any actual flow appeared. About an ounce was then passed, but at the third month (i. e., the last one I have observed), the discharge was fairly free and of good color, and although the development of the uterus has not yet shown any marked gain, still it has enlarged somewhat in size, and is much firmer in consistency throughout. I do not have a doubt as to the ultimate results, and believe that within a few months the uterus will possess all the features of a comparatively normal organ.- Medical Examiner and Practitioner.

Correspondence.

207 EAST 34TH ST., NEW YORK, May 28, 1906.

DEERING J. ROBERTS, M. D.,

Editor Southern Practitioner.

DEAR DOCTOR AND FRIEND: Well, here I am, "sticking right at it," as you advised, at the New York Polyclinic Medical School and Hospital, which I find the best place in the world to learn the latest and most approved methods in medicine and surgery, and how to apply them. Our class is quite large, over fifty, and as some leave others come to take their places. Some who have been "across the waters" say that the N. Y. Polyclinic is far superior in the line of practical teaching to anything over there; the instruction here being more practical and in many ways far better. Every department here is supplied with the best and most wide-awake teachers that can be found. We have over twentyfive professors, forty adjunct professors, thirty instructors, fortytwo clinical assistants, and about thirty trained nurses at the hospital. The house surgeon has five assistants on his staff, I

being on the house staff for the week, and would stay longer if I could spare the time, but I must soon get back to my practice in good old Tennessee.

I went on to fill the place of Dr. DeWitt of Nashville, who has been operated on by Dr. Bodine for appendectomy. Local anesthesia was used, one fifth of a one per cent. solution of cocaine, not more than three fourths grain of the alkaloid being used in the entire operation. Dr. DeWitt wanted to hold the retractors

during the operation.

He is doing finely and will be able to return to duty in a few days more.

The school is full of Southern boys, and all love Dr. Wyeth, who is always more than ready and willing to impart knowledge to "the sucklings." He is a splendid teacher and surgeon, and is quite a drawing card to the institution, yet there are other men here who cannot be turned down anywhere in their special lines. Professor Wyeth relates many interesting incidents of the late J. Marion Sims, which I will give you in detatil when I see you. He has a little boy who has won first honors for five years in school having been in school only that length of time.

I wish I had time to tell you something of Professors Wylie, Goffe, Lyle, Dawbarn, Chetwood, Townsend, Whitman, Keyes, and other surgeons here. Professor Tuttle is one of the best teachers here in his line. I saw him operate last Monday on a gentleman from Lynchburg, Va., age 47, weight 155. He had a history of diarrhea for eight years. Bowels would move from six to fifteen times a day. No sick stomach at any time, no pain in rectum, and he kept at his work as a hardware salesman. He had been under the care of leading practitioners of Lynchburg, and was sent to Professor Tuttle by Dr. Rawlings of that city. Upon examination before the class Professor Tuttle found a rectal polypus about four and one half or five inches up, using the proctoscope, it being too high up to diagnose by digital palpation. I saw the polyp before it was removed with snare and cauterized. It was about one inch long and about the diameter of your little finger. There were two other smaller ones removed.

The operation was done without either local or general anesthesia, and a very large proctoscope was used to afford room for

the necessary manipulation. The operation is quite simple, and any general practitioner should be able to both diagnose and relieve such cases. It taught me one thing that in persistent diarrheas not yielding to general medication, a cause should be sought for, and this man could have been relieved if a proper examination had been made after six months of general treatment, instead of going on for eight years ineffectually. I men

tion this case to show the great importance of making a correct diagnosis the point you so harp on - and I can see your point now as I never saw it before. Make a correct diagnosis, and there will be but little trouble about finding a suitable means of successfully treating a case. This man you see had been treated by the best practitioners of his locality for eight years, and then had to come seven hundred miles to find out what was the matter with him. This is where the general practitioner so often loses out, and there are none that I have yet met that would not be benefited by a sojourn for a few weeks or months at this most excellent place for post-graduate instruction.

Well, I will not tax you longer at this time, and hoping to have the pleasure of meeting you soon in Boston at the A. M. A., I desire to remain, with best wishes and many thanks for your kindness in the past, very truly and respectfully yours,

C. C. SULLIVAN, M. D.

Becords, Becollections and Beminiscences.

NINTH ANNUAL MEETING OF THE ASSOCIATION OF MEDICAL OFFICERS OF THE ARMY AND NAVY OF THE CONFEDERACY.

Held at New Orleans, La., April 25 and 26, 1906.

THE Association of Medical Officers of the Army and Navy of the Confederacy was called to order at 10: 30 A. M., Wednesday, April 25, 1906, in the Tulane Medical University by Dr. H. B. Gessner, Chairman of Committee of Arrangements, when