muscular injections repeated once or twice at long intervals (eight weeks), in those cases in which the tonic, stimulating and alterative effect is desired, as well as a certain specific action ; small, oft-repeated (week or ten days) doses, intramuscularly, over a long period of time, in those chronic diseases in which a purely tonic, stimulating and alterative effect is desired.1198 Bushwick Avenue.

This study is based on the results of 221 subtotal gastrectomies for duodenal ulcer, and represents the combined opinions of a stomach study group composed of surgeons, internists, roentgenologists, pathologists, research fellows, and a member of the social service department. The social service department was added for the purpose of studying the economic conditions of peptic ulcer patients before and after medical treatment, as well as before and after operation. All patients were admitted, not as medical or surgical, but for the stomach group to dispose of, depending on the facts disclosed by the group study. At first there were differences of opinion as to the disposition of these cases, but as we learned from our experience, these differences disap-Fig. 1.-After the blood vessels have been divided and ligated in the region of the pylorus and duodenum, the anterior duodenal wall has been opened and the duodenal contents are being aspirated by suction.peared. Of late years there has been little question as to whether a patient should be continued on medical treatment or should be operated on.

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