the gall-bladder she would have died. I was compelled to go back a third time to give her relief, and found, of course, the trouble that Dr. McRae has alluded to, and that is always present when you have to go back a second time. I drained the gall-bladder into the intestine itself and the patient got well. I believe that is the preferable operation when you fail to get satisfactory results at first. It was some consolation to me in looking up the literature on the subject to find that Mayo Robinson had had four cases just like mine in which he had gone back the third time.

Dr. W. W. Battey, Jr., Augusta: As to the treatment of cholelithiasis, every case of gall-bladder surgery is a law unto itself. In the simple drainage of the gall-bladder the attaching of the gall-bladder to the abdominal wall will sometimes give a great deal of trouble because of adhesions, for the liver in these cases is somewhat congested, and as the liver shrinks there is pulling on the gall-bladder, which accounts for the pains that the patient so frequently complains of in that region. Before draining the gall-bladder we must satisfy ourselves that there are no stones in the common duct. Instead of attaching the gall-bladder to the abdominal wall we may put in a tube with a purse-string suture around it, and in this way let the gall-bladder assume its natural position.

As to the post-operative treatment of these cases, it has probably been the experience of Dr. McRae and the others that there is a tendency to pernicious nausea and vomiting. Now, this can be, in a large measure, prevented by lavage on the table and the frequent use of the stomach-pump during convalescence.

Dr. Willis Jones, Atlanta (closing): So convinced am I of the fact that in nearly all cases of sour stomach as

sociated with cramps, shortly after taking food, chronic cases of so-called indigestion or dyspepsia, neuralgia of stomach, etc., that the etiological factor lies in some lesion in the gall-bladder or its ducts, that I advise exploration of these organs. In every instance where I have made such a practice, draining the gall-bladder or removing stones if present, my patients have been entirely relieved of their annoying symptoms. Surgery in the treatment of these conditions is far more productive of results than the continued administration of olive oil, and various other drug mixtures; our object is to cure the trouble and not palliate.

SAFETY-PIN BY A CHILD TWO YEARS OF
AGE-SUBSEQUENT PASSAGE BY BOWELS

WITHOUT SYMPTOMS.

BY WILLIS JONES, M.D., ATLANTA.

I wish to report this case to show how quickly foreign bodies pass from stomach into bowel, and to show how we may be misled notwithstanding most perfect skiagraphic charts and, further, the absence of pain during passage of foreign body.

W. H., age two and one-half years, while mother was

ERRATA.

On page 141, "Report of Case of Ingestion of Open Safety Pin," etc., the author's name should read W. W. Battey, M.D., Rome, instead of Willis Jones, M.D., Atlanta.

one would think that she was mistaken. There was no pain over stomach upon palpation. Water was taken and swallowed without difficulty. I advised a skiagraphic examination of stomach, esophagus and intestinal tract, which was made by Miss Dendy.

Child was put upon farinaceous foods with directions to watch him carefully for any symptoms of pain or other trouble.

The skiagraph showed nothing in the esophagus, stomach or intestinal tract. I was inclined to believe that the mother was mistaken. On second morning following ingestion I was phoned that child had passed the pin.