being double (thirty-seven feet) and thirteen with calcaneovalgus, nine double (twenty-two feet). As the results of these cases, as shown in Table 5, were noted at the conclusion of the year stated above, it is evident that many of them had been under treatment but a short time when their condition was reported. TABLE 5.-REPORT OF ONE YEAR'S TREATMENT Equinovarus Calcaneovalgus 37 feet 22 feet Average age of admission. 3 mons. (7 days UK mons. (2 wks. to one year) to 2% years) Average number of manipulative treatments . 2^\y3 Average number of manipulative and plaster treatments. 22/$ 1 Average number of days until foot overcorrectible . 34.7 33. Average number of days until foot held straight. 51. Average number of days until held overcorrected . 53.50.

tioiis. That there is the aspiratory cause of complications "is also certain. I want to call attention to one point. In the administration of cocain or local anesthetics in tonsil work I believe most of the cases are injected. We are con-. stantly being surprised by the discovery of abscesses around the tonsil. The introduction of the needle through this abscess, unintentionally, and then injecting the contents of the contaminated eye of the needle directly into the blood stream, is a possible cause of embolie abscesses.Dr. C. N. Chipman, Washington, D. C. : There is one thing that I cannot emphasize too strongly, that is, the early diagnosis and treatment of these cases. Tewksbury, to whom I referred, and who limits his work to the lungs, has found that if these cases are obtained early and the lungs are com¬ pressed, from 80 to 90 per cent, will be cured. It is really appalling to see the number of men who make no attempt to cleanse or sterilize the mouth. Patients come to the operating room with their teeth and mouth filthy. We can at least have the teeth and mouth cleansed, and paint the tonsils and peritonsillar region with tincture of iodin before the operation and swab out the cavities with the same solution after the tonsils are removed. I feel that if more attention is given to sterilization of the mouth, we shall have fewer cases of lung abscess.

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