sclerotic or as renal. Cardiorenai is a bad term and only to be used when we cannot find another.Dr. Harlow Brooks, New York : One of the most important prognostic factors is the early recognition of the involvement of the heart, because early treatment unquestionably spells cure. If not seen early, prognosis may be bad owing to the fact that the late lesions are largely fibrotic and therefore not capable of total eradication. Dr. Cabot's classification is a most valuable one, although it cannot as yet be very widely applied. Most of us now believe that a considerable per¬ centage of hitherto unclassified myopathies of the heart are of syphilitic origin.Dr. Alfred Stengel, Philadelphia : Dr. Cabot has denied stating that the etiologic treatment may be the only treat¬ ment to be applied. Improve the etiologic classification and it will lead to an etiologic treatment based on it. The kernel in the nut is that syphilis is an important cause of heartdisease and it should" not be forgotten. Etiologic treatment is out of the question. Later on, however, it might lead to something else.

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