"ST. ANDREWS UNIVERSITY MEDICAL SCHOOL."
which has long been felt. It is obvious that the needles generally used, whether right-angled or self-feeding, are clumsy to a degree, occupy too much space, are difficult to use or to guide in a confined area, and frequently tear the flaps in the hands of the most skilful; whilst in the case of a child of six months they cannot be used at all. I have myself generally used a small straight or full-curved needle, mounted on an ordinary needle-holder, on account of the comparatively small damage
... o the flaps caused by its introduction compared with that of a mounted rigid needle ; but the difficulty has been that the needleholder was cumbersome and its handles when in use too near the mouth. With Mr. Lane's needle it is obvious this difficulty is entirely removed, and we shall no longer see a child of three years with its mouth full of irritating wire sutures, vainly trying to talk, or even endeavouring to remove the sutures with its fingers. Operation in the first year, when a child is more under control, and long before it begins to talk, removes many difficulties, is more likely to lead to good results, and renders unlikely the closure of a hare-lip previously to that of a cleft-palate, the one operation only rendering the other the more difficult. How many of our so-called surgical instruments might not be relegated with advantage to a museum for antiquities ? SIRs,-In accordance with your suggestion, I proceed to give a few brief additional details of the case of Vomiting Large Masses of Cancerous Matter, which was reported in THE LANCET of Oct. 3rd. The patient paid me a visit last evening in order to show himself to me, and his healthy florid looks and robust appearance quite astonished me, for I had not seen him for some months. He told me he felt quite well and weighed more than he had done for the last thirty years. He has no pain in the stomach and can digest his food with comfort. I examined him carefully and found nothing abnormal either in the abdomen or elsewhere. The patient's progress towards recovery from his emaciated and exhausted state was necessarily slow, still he advanced in health and strength till the first week in July, when he considered himself able to resume his usual occupation, that of a sawyer, and from that time to the present he has not been off work a single day. He is a very abstemious and temperate man, and is wise enough to avoid taking any kind of food or drink which might prove difficult of digestion. He has never vomited since he threw up the I I cancerous matter," and he -hopes he will never throw up the same kind of matter again, and so do I ; and I also trust that on that occasion he expelled from his stomach the morbid growth both root and branch, and that there has not been left a single germ to strike root and spring up again. I confided to the patient's wife that her husband had made a wonderful recovery and that his case was so interesting that I took a note of it and had sent it to THE LANCET, but that I had not mentioned her husband's name. Not having mentioned her husband's name rather ruffled the lady's temper, for she remarked that "her husband never did anything that could make him ashamed of his name." This reminds me of a circumstance which occurred some years -ago. I published in THE LANCET a case of actinomycosis. A medical friend informed some of the relatives of the patient of the fact. On hearing this piece of news a copy of THE LANCET was ordered for each member of the family to be preserved as a memento. But the disappointment was great when it was discovered that the name of their dear relative was omitted from the paper. "We would willingly," said a brother to me, I have given a .65 note a piece for each copy of THE LANCET if our brother's name had only been mentioned in the account of his illness." I am, Sirs, yours faithfully, Lincoln, Oct. 6th, 1896.