button hole incision perpendicularly in front of the spur, at the same time making counter pressure with the little finger in the opposite nostril; then, with any of the perichondeal elevators used in submucous septal resections, (I use Freer's), elevate the mucous membrane and perichondrium freely from over and around the spur; then slip the shave here shown, a modification of Nichols' spoke shave made for me by F. A. Hardy & Co., through the button hole incision and back over the spur, when with short steady strokes the spur is shaved off, the shavings being removed with forseps or cotton swab. After cleansing the wound, I take one or two sutures and pack the nostril closely with strips of absorbant cotton impregnated with Bismuth Subnitrate. The wound is dressed in 48 hour, and later daily. The sutures removed in four or five days.

Of course, this operation is far more tedious than the one made with a saw, but the after care is much easier, less tedious and less uncomfortable to the patient. And when we take into consideration the fact that with this operation you have only the fine linear scar which is soon obliterated, and by the old method you have an area, varying from 14 to 34 of 1 inch in one or both directions covered over with a poorly nourished scar tissue that frequently scabs over and is sensitive to the least irritation, causing your patient lifelong annoyance, it is well worth the task.

RESUME:-I claim for this operation: (1) That, though more tedious than the removal of the spur with a saw, it is comparatively easy operation. (2) The scar, being linear, soon heals, leaving no scabby area such as is left if the spur is sawed off.

A PLEA FOR LEGISLATION HAVING FOR ITS

OBJECT THE PREVENTION OF OPHTHALMIA

NEONATORUM.

H. H. Martin, M.D., Savannah, Ga.

In order that I may not take up too much of your valuable time, I have caused to be distributed, for the past two days, reprints of a paper read before this Association at the Macon meeting last year. This paper contains practically all that I have to say on this subject and I beg that those of you who have not read it will do so at once. The essential arguments in that paper are substantially as follows:

Ophthalmia Neonatorum is responsible for one-half to one-third of all blindness in the world today. It is absolutely preventable. A single case of Ophthalmia Neonatorum in any educated community today is an everlasting disgrace to the medical men of that community.

Other states are adopting more, or less, drastic laws for the prevention of this disease. The one which I offer for your endorsement is not drastic, but will prove effective in that it forces midwives and some others to use a prophylactic which is harmless and only resuires of physicians in private practice, that they state on the birth certificate whether or not prophylactics were used, leaving the use of the prophylactic entirely in the discretion of the physician. There is no authentic case of record in which the so-called "Silver Catarrh" ever occasioned serious damage to the eye.

In other states such legislation has become an established fact and I again ask that you instruct the legislative committee of this body to secure the enactment of such legislation in this state.

I have here a sample of the outfit furnished midwives and physicians by the State Board of Health of New York, together with the instructive literature on this subject, which it is unnecessary to read here as it will be passed around for your inspection.

In closing, permit me to quote from Pamphlet No. 6, issued by the New York Association for the Blind.

Needless Blindness of Babies-Average of new admissions in ten schools for the blind in 1907 showed that 28.19% were victims of ophthalmia of the new-born.

"In ninety-nine cases out of a hundred, the ophthalmia of infants is preventable and may be prevented by a few simple precautions."

The Cost of Preventing It-A little extra care; a single preventive drop in each eye when the baby is born.

Unwearied and continued effort in spreading knowledge concerning the need of these simple measures.

The Economy of Preventing It-Two minutes of time may save seventy years of darkness.

Helen Keller, when writing on the "Prevention of Blindness," said: "Try to realize what blindness means to those whose joyous activity is stricken to inactivity." "It is to live long long days, and life is made up of days. It is to live immured, baffled, impotent, all God's world shut out. It is to sit helpless, defrauded, while . your spirit strains and tugs at its fetters, and your shoulders ache for the burden they are denied, the rightful burden of labor."

"Once I believed that blindness, deafness, tuberculosis and other causes of suffering were necessary, unpreventable. I believed that we must accept blind eyes, deaf ears, diseased lungs, as we accept havoc of tornadoes and deluges, and that we must bear them with as much fortitude as we could gather from religion and philosophy. But gradually my reading extended, and I found that those evils are to be laid not at the door of Providence, but at the door of mankind."

There are in the United States, at a conservative estimate, 6,000 persons blind as a result of ophthalmia neonatorum.

"Pity the blind'! Yes, pity those

Whom day and night enclose

In equal dark; to whom the sun's keen flame
And pitchy night-time are the same.

But pity most the blind,

Who cannot see;

That to be kind,

Is life's felicity."

BRAIN TUMOR WITH EXHIBIT OF TWO LIVING

CASES.

Wesley Taylor, M.D., Atlanta, Ga.

My first case is a carpenter, aged 38, married and with seven healthy children. He has always been healthy and there is no suspicion or history of lues.

About June 1, 1908, he fell fifteen feet, striking on his back. Not until he got home did he notice that his head was slightly injured as well. For ten days he noticed some dizziness, which was soon followed by headache in the left Rolandic region. This headache gradually increased and there was a tendency for him to fall in that direction. There was, however, no nausea and no symptoms on the part of his eyes or ears or any difficulty with swallowing or with speech.

On the 28th of June he went out in the morning to get a bucket of water. When he started back, he noticed that his right arm and leg were weak and that he could not use his arm for carrying. From this moment, the weakness increased rapidly and at the time of my visit, on the 2d of July, he could not cross his right leg or raise his right arm to his face. though his left side was about normal. Muscular force was very much diminished in the arm and to a lesser extent in his limb. Sensations likewise were lessened on the entire right side and all reflexes were increased. There was a sensitive spot over the Rolandic area found when one tapped with the finger on the left side of his head. His speech had begun to show hesitation and he tired rapidly from speaking. After talking with him five minutes, he became so tired he could not answer in an intelligent manner. I decided that it was necessary to bring him to a hos