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comprising the number operated upon, exclusive of a number of cases too recent to be presented in this report."

It appears that these operations cover a period of over two years. Thirty-six per cent. were completely restored mentally, 29 per cent. showed an improved mental status. In 29 per cent. the mental condition remained stationary and 3 per cent. died. He gives details of the diseased conditions and operations performed, and in analyzing the results notes that the improved mental conditions followed the relief of a certain class of uteroovarian disease of inflammatory origin.

In closing he says: "I must emphatically state, however, that many of those who recovered their reason would not have done so without surgical interference. The almost instantaneous resolution of the mental faculties in some, and the steady evolution of the normal cerebral functions in others, can not but afford incontrovertible evidence in support of the relation of physical cause and mental effect."

Replying to a letter of inquiry, Dr. T. K. Holmes, of Chatham, Ontario, writes:

"My experience with nervous affections due to pelvic disorders is gathered from private practice entirely, and embraces thirty-one cases. Twenty-eight were puerperal mania, and three cases of melancholia." (All of which are mentally cured by operation.)

In answer to my request, Dr. T. J. W. Burgess, superintendent of the Protestant Hospital for the Insane at Montreal, has furnished me with the details of three cases of insanity. (All cured by operation.)

Although there are some neurologists of note who are opposed to all gynecic theories of nervous disease, there are others of equal reputation who consent that they are correlated.

In a discussion at the College of Physicians, Philadelphia, on "The Relation of Nervous Diseases in Women to Pelvic Diseases," Dr. Weir Mitchell said: "Insanities of various types in women occur, in which the menstrual period is sometimes the original and sometimes the determinative cause of the mental disease."

The writer follows with statistics and details at length.

REPORT OF AN INTERESTING CASE.

By M. BESHORE, M.D.,

Trinidad, Colorado.

August 31, 1898, I attended Luciana Valdez, of this city, when she gave birth to a living boy and discharged what seemed to be a perfect placenta with cord. The abdomen (the walls of which were very thick) seemed uncommonly large, but no menacing symptoms appearing I let her alone.

Eight days later (September 8) I delivered her of a dead boy a mass that seemed to be the entire placenta, minus cord, preceding the fetus, which had considerable length of cord attached.

Eighty-three days later (November 30) I removed what seemed to be an entire placenta, with apparently about six inches of cord attached.

After the first birth she remained in bed till a week after the second. She then did her house work till the day of the removal of the last placental mass, when she took her bed two days, since which she has had usual health and one new boy.

Her age was thirty-four years; had had three previous natural confinements, the first at the age of fourteen years and four months.

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EDITORIAL DEPARTMENT.

Snakes and Snake Bites. Dr. B. Merrill Ricketts concludes a careful scientific article on "Serpents and Their Venom" (Cincinnati Lancet-Clinic, Sept. 3d) with the following observations: "The copperhead, coral and rattlesnake are the only serpents in the United States which possess fangs, at the base of which is a sack containing a poisonous fluid. The result of inoculation depends upon the dose and size of human being or animal. Most of the authentic cases of death by these serpents have been among children. No authentic death, as the result of the bite of either one of these snakes, has been found in the adult man by myself. If death does not result within a few hours, it is not the venom but other agencies that produce it. Over-stimulation from alcohol and other agencies is, I believe, oftener the cause of death than virus inocula

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