closely connected with the shock as mentioned abore), and thereby removing the local pressure by lessening the fluid and hindering the blood supply by this drug's action on the heart center. Now as to his recovery. His infecting substance, even though it might have been the catarrhal product (but was probably only a drop or more of the fluid he had been using) was not of a pus-producing character, and therefore we would have scarcely expected suppuration even under more unfavorable treatment

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... n was used. He states that upon the eighth day the inflammation subsided rapidly, which I would suggest is about the usual course of all simple inflam¬ mations of like character, regardless of treatment. After the process of such an inflammation has once fully begun it passes through the three steps of engorgement, deposit and resolu¬ tion, which requires ordinarily from six to ten days as in acute tonsillitis, etc. Now, as to what the Doctor should be mindful of concerning his ear. Just such cases are the ones that most often lead to defective hearing, and once fully crippled by the process so many times following such inflammations, it is the most diffi¬ cult to restore. The preventive treatment then should be occasional mobiliza¬ tion of the drum membrane and ossicles together with the use of the Eustachian catheter and air-bag. This will prevent the anchylosis of the ossicles and stiffening of the drum membrane and the closing by adhesion of the Eustachian tube.