and then healed. The patient, a married lady is still living and healthy.

Case 2. Some years ago I was askt by Dr. L to see with him one of his lady patients, aged 55. She had all the symptoms of cancer of the liver, except tumor and jaundice, and we so diagnosed, for want of something better. She ultimately died. A post revealed three gall stones in the gall bladder as large as horse chestnuts.

Case 3. Years ago I attended a clinic in one of the Philadelphia medical colleges. The professor operated on the man expecting to find one or more large biliary calculi. The gall bladder was enlarged and its outlines could be seen on the outside of the abdomen. On cutting down the professor found an enlarged gall bladder containing a light yellowish-green fluid and no gall stones. On placing his fingers under the liver he said: "Gentle men, I now have the cause of this man's sickness. He is suffering from cancer of the liver and we will leave the disease to take its course.

Case 4. A married woman, aged 45, suffering with "cramp," sent for me. I injected morphin hypodermically, followed by calomel, rhubarb, aloes and bicarbonate of soda. Pain subsided and then returned, followed by jaundice and its sequelae. Told her that a gall stone had lodged in the ductus communis choledochus. She was a stout, fat woman. Abdominal surgery was not much practist then. The patient died and a post revealed a gall stone as large as a large hazel nut, irregular in form, near the duodenum, but still in the duct. The location of the duct and stone was hard to find, and an operation as difficult to perform as the post was, would have given very little hope of recovery to the patient.

Case 5. Mr. G—, aged 68 years, suffered from pain two weeks. Was called to see him in consultation. Found him delirious; pain and swelling over region of the liver. The attending physician was not too certain in his diagnosis. Told him that I supposed him suffering from gall stones, the case hopeless, and in case of death should ask the family for a post. Patient died the next day. A post revealed the gall bladder half full of gall stones of various sizes, in nature of the cholesterin kind, brown like browned coffee.

Case 6. A married woman aged 50 years. Commenced with pain and vomiting. Hypodermic injection brought relief and recovery followed. Some time later had another attack. Pain and vomiting not so readily relieved and jaundice appeared. Diagnosed biliary calculi with colic pain. About one pint of olive oil, taken at intervals, in two days, relieved her and she has not had an attack since.

Case 7. Mrs. H., widow, bilious temperament, has had frequent attacks of cramp pain. Diagnosed bilious colic. She past number of irregular gall stones, some as large as a grain of corn and some smaller. Olive oil and phosphate of sodium seemed to do her most good. Before I gave her this treatment she had frequent attacks. Since then, none.

I have now under treatment two cases of jaundice without pain or any other symptoms of any kind except yellowness and severe itching. Both men are up and about, appetite good, sleep well, some days pass more urin than other days. Both have been in this condition over four weeks. Have been treating them about a week. No improvement thus far. Their first attendant gave them phosphate of sodium, and from all appearance, nitromuriatic acid. I dropt the phosphate of sodium and substituted calomel, podophyllin, aloes, gamboge, and bicarbonate of soda, in proportionate doses, two or three times a day; also dandelion tonic compound consisting of glycerin, sherry wine, gentian, phosphoric acid, taraxacum and aromatics. Should this not produce results, I will resort to olive oil.

The first case reported is perhaps the most interesting. She declared that she felt the swelling in her side for three years and it gave her considerable pain. Where and how long these gall stones had been lodged, I could not understand. There was no fecal escape from the opening at any time, and the opening was too near the middle line of the abdomen to suggest or support the idea of appendicitis. The pain, the tumor, its location and the period of its existence, were symptoms suggestiv of cancer, as the attendant thought, but in the end proved to be not correct.

If these few cases are of any help to Dr. Brand, he is welcome to them.

FRANK R. BRUNNER, M.D.

Eshbach, Pa.