respiration being almost entirely abdominal. All that was done for him was to permit him to breathe and to use his lungs in the normal way by the method above designated.

In seven months from that time he gained twentyseven pounds, had grown two inches and had developed two and three-quarters inch expansion, with a corresponding improvement in his general condition.

Dr. Hoke (in closing): I have never put on a piece of apparatus encasing the entire cliest and allowed it to remain. In Pott's cases it is the custom in most clinics to allow the jacket to remain on the patient for a month and then another jacket is put on.

The case which Dr. Andrews mentions was one in which the growth of the patient was interfered with by inhibiting the breathing. If you will put your hand on a person's chest you can detect a movement even with the least respiration. If the ribs are firmly held in a plaster cast the patient breathes abdominally and where the patient is bound up for years his development is inhibited. It has been the custom in the past to do this. The men who still apply jackets in this way are simply following tradition and they are overlooking the fact that the more oxygen you get into the lungs the better for the patient.

Here is a photograph of a child that had Pott's disease for a number of years and came to see me about two and one-half years ago. You can see the flattening of the chest and the lordosis of the spine. This another photograph of the same child taken several months later. You can see the well rounded chest and a remarkable gain in weight.

Here is another patient. This boy had the disease at the twelfth vertebra, and you see he has grown and developed like a normal child.

This is another case of a young lady with Pott's disease, and this picture shows the same young lady with the same principle carried out.

In Pott's cases I divide the cast into two halves. This photograph illustrates the method of developing the chest. You see the posterior shell arranged so that no binding of the jacket takes place and the body is held accurately in position and the patient can expand the chest.

Dr. E. R. Corson, Savannah: I would like to express my appreciation of Dr. Hoke's work. Dr. Sayre began putting supports on children's feet and accomplished great things. This principle of Dr. Hoke's is a beautiful one and I can not imagine any other possible way of overcoming a deformity of this kind. When we breathe so many times every minute we can readily see how natural this method is.

I would like to express my appreciation of Dr. Hoke's paper. Dr. Sayre, years ago, the pioneer in orthopedic work in this country, used an elastic apparatus on young children for the correction of club-foot, "the child," as he put it, "kicking himself straight." Dr. Hoke is carrying out a similar principle-the patient is compelled to breathe himself straight. When we remember that we take eighteen to twenty breaths every minute, we can realize how efficient this principle must be.

MINUTES ON SECTION OF SURGERY.

MORNING SESSION-APRIL 17, 1907.

The meeting was called to order at 11:30 by Dr. W. W. Owens, of Savannah.

Dr. T. J. Charlton read a paper on "Surgical Shock and its Treatment." Discussed by Drs. Travis, White, Corson, Harrell, Hoke, Armstrong, Jabez Jones, and Charlton (in closing).

Dr. Jabez Jones, of Savannah, read a paper entitled, "Apparatus for the Treatment of Fractured Femur," which was discussed by Drs. Travis, Harrell, White, Downing, Hoke, and Jones (in closing).

Dr. Eugene R. Corson, of Savannah, read a paper on "Suprapubic Prostatectomy," which was discussed by Dr. Jones.

Dr. J. L. Farmer read a paper on "Irritable and Hypertrophied Spinchter Ani; Causes and Treatment.”

AFTERNOON SESSION-WEDNESDAY, APRIL 17, 1907.

Dr. E. C. Davis, of Atlanta, presented a paper on "Reports of Operations for Multiple Abcess of Pelvis with slough of Six Inches of Colon Subsequent and Anastomosis with Connell Suture; Recovery." Discussed by Drs. Jabez Jones, Warring, Kime, and Davis (in closing).

Dr. Craig Barrow, of Savannah, read a paper on "Matas' Operation for Aneurism; Report of Four Cases," which was discussed by Dr. White.

Dr. A. P. Hanie, of Hartwell, presented a paper on

"Rupture of Uterus; Escape of Fetus into Abdominal Cavity; Operation and Recovery." This was discussed by Dr. Davis.

MORNING SESSION-APRIL 18, 1907.

Dr. George R. White, of Savannah, read a paper entitled "Cystocele," which was discussed by Drs. Battey and White (in closing).

Dr. R. R. Kime, of Atlanta, read a paper on "Nephroptosis." Discussed by Drs. Battey, McRae, White, and Kime (in closing).

Dr. Michael Hoke, of Atlanta, read a paper on “A Further Report on the Influence of the Respiration Upon the Development of the Chest Deformity in Scoliosis, With Its Relation to the Application of Plaster Jackets.” Discussed by Drs. Armstrong, Andrews, and Hoke (in closing).

Dr. Edw. G. Jones, of Atlanta, presented a paper on "Superficial Inguinal Hernia," which was discussed by Drs. Kime, Crowther and Jabez Jones.

Dr. Whatley W. Battey, of Augusta, read a paper entitled "A Plea for Careful Surgical Technique-Report of Case of Ante-partum Hemorrhage Due to Partial Separation of Normally Attached Placenta," which was discussed by Drs. McRae and Battey (in closing).

MORNING SESSION-APRIL 19, 1907.

Dr. F. M. Cunningham, of Macon, read a paper on "Discussion of Diseases of the Accessory Nasal Sinuses; Description of Operative Procedure on the Parts, Especially of Killian's; Report of Cases Done in Georgia," which was discussed by Drs. Corson, Hanie, and Cunningham (in closing).