(a) Right hip high; left arm hangs close to body. (b) Corset applied, posterior view. Notice position of left arm. (c) Corset applied, anterior view. Notice position of left arm. Leather and steel heavily padded brace. On the whole less efficient and less comfortable than the fenestrated corset. they can see the hollow side filling up, and the flesh bulging into the opening in the corset, and are greatly encouraged. The patients literally pull themselves out of a hole and wriggle themselves straight as they come through. DISCUSSION. THE PRESIDENT: The discussion on this paper will be opened by Dr. Oliver T. Osborne of New Haven. DR. OLIVER T. OSBORNE (New Haven): Mr. President and Gentlemen: I do not know why I have been asked to discuss this subject. I feel, however, like an after-dinner speaker, that it is not necessary to talk on the subject or know anything about it, in order to speak upon it. We need orthopedists. There is no question about it. Moreover, they are doing as much for the rectitude of the community as the temperance people, or more. Certain it is that, so far as the question of balance goes, I would make this suggestion: that the balance that we medical men need most is for the internist to remember that when he needs the consultation and activities and science of a specialist, he should not drop the patient. There should be a balance of coöperation. The internist should state his findings, and the orthopedist should state his; and they should both work together to correct the patient's condition. The speaker has just stated that a specialist may have a hobby, and he, perhaps, does not see past that hobby more than four hundred times. Eighteen times, he may be all right; and the other four hundred times he is riding on that hobby. That, again, means that there should be balance. Take, for instance, our neurasthenic cases, our abdominal dislocations, our ptosis cases, various kinds of neuroses, various kinds of painful reflexes, etc.; and the medical man soon learns that his patient has been from one doctor to another doctor without benefit. In these circumstances, what he should recognize is his need of a specialistand this specialist is many times an orthopedist; but if he sends the patient absolutely to the orthopedist, this is not as good for the patient as if the two coöperated. This is especially true in our eye-reflex cases. If we send a patient with an eye-reflex (it may be a migraine or a stomach that has been washed out a number of times, with nothing found to be the matter with the stomach) to an oculist, he may not find much trouble with the eyes; but there may be just enough, if he knows the whole history of the case, to enable him to put on correction for a small amount of astigmatism. Then, between the two, they will get the patient well, with the understanding that he shall go back to the oculist, to see whether the glasses are right, just as much as he would |