THE TEACHING UNIT

THE TEACHING UNIT

" " " " " " " " " " " " " " " " " "" " " " 1029 XBD=2461 XBD=1489 XBD=1568 XBD=1834 XBD=1943 XBD=2175 XBD=2235 XBD=2332 XHG=1377 XHG=1501 XHG=1589 X...

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1029

XBD=2461 XBD=1489 XBD=1568 XBD=1834 XBD=1943 XBD=2175 XBD=2235 XBD=2332 XHG=1377 XHG=1501 XHG=1589 XHG=1848 XHG=1961 XHG=2195 XHG=2254 XHG=2352 YBD=304 YBD=312 YBD=303 YHG=273>From YHG=272>the YHG=272>audiometric YHG=273>tests YHG=271>performed YHG=272>at YHG=270>this YHG=270>clinic XBD=222 XHG=787 XBD=358 XBD=514 XBD=640 XBD=764 XBD=974 XBD=1100 XBD=1178 XBD=1268 XHG=159 XHG=245 XHG=386 XHG=538 XHG=665 XHG=1013YBD=312 XHG=1126 XHG=1201 YBD=307 YBD=314 YBD=305 YBD=313 YBD=304 YBD=311YHG=272>trainees YBD=313 YHG=277>two YHG=276>years’ YHG=283>course YHG=283>upon YHG=272>their YHG=273>and, ; YHG=273>by YHG=271>the XBD=1379 XBD=1500 XBD=1601 XBD=1737 XBD=1807 XBD=1926 XBD=2000 XBD=2181 XBD=2461 XHG=1329 XHG=1411 XHG=1532 XHG=1635 XHG=1767 XHG=1838 XHG=1958 XHG=2030 XHG=2213 YBD=350YHG=317>Skottowe’s YBD=349 YBD=358 YBD=357 YHG=327>on YHG=327>over YHG=318>200 YHG=327>cases YHG=318>of YHG=319>past YHG=327>or YHG=318>present YHG=317>suppurative XBD=240 XHG=722 XBD=348 XBD=395 XBD=467 XBD=616 XBD=700 XBD=946 XBD=1163 XBD=1267 XHG=158 XHG=259 XHG=365 XHG=411 XHG=485 XHG=633 XHG=965YBD=350 XHG=1180 YBD=359 YBD=358 YBD=351 YBD=350 YHG=328>way, YHG=329>even YHG=319>if YHG=329>we YHG=319>accept YHG=318>Dr. YHG=328>assurance YHG=317>that XBD=1434 XBD=1576 XBD=1623 XBD=1800 XBD=1902 XBD=2026 XBD=2074 XBD=2228 XBD=2458 XHG=1329 XHG=1451 XHG=1592 XHG=1642 XHG=1816 XHG=1920 XHG=2043 XHG=2091 XHG=2244 YBD=396 YBD=405 YBD=395 YBD=404 YHG=363>otitis YHG=363>media YHG=364>it YHG=373>appears YHG=363>that YHG=362>there YHG=363>is YHG=363>almost YHG=362>invariably XBD=213 XHG=871 XBD=542 XBD=658 XBD=752 XBD=845 XBD=938 XBD=1023 XBD=1267 XHG=158 XHG=236 XHG=569 XHG=683 XHG=778 XHG=964YBD=395 XHG=1047 YBD=397 YBD=405 YBD=403 YBD=395 YBD=402YHG=364>out YHG=365>the YHG=364>psychoneurotic YHG=363>does YHG=364>not YHG=372>cry YHG=365>for YHG=365>treatment, XBD=182 XHG=919 XBD=229 XBD=423 XBD=532 XBD=613 XBD=812 XBD=898 XBD=990 XBD=1185 XBD=1268 XHG=157 XHG=201 XHG=249 XHG=445 XHG=554 XHG=634 XHG=834 XHG=1014YBD=440 XHG=1208 YBD=443 YBD=450 YBD=441 YBD=450YHG=408>less YHG=411>it YHG=409>is YHG=410>probable YHG=409>that YHG=408>his YHG=408>relatives YHG=417>are YHG=408>aphonic, YHG=409>for XBD=1431 XBD=1589 XBD=1653 XBD=1837 XBD=2043 XBD=2163 XBD=2291 XBD=2409 XBD=2460 XHG=1329 XHG=1457 XHG=1613 XHG=1675 XHG=1862 XHG=2070 XHG=2188 XHG=2314 XHG=2435 YBD=451 YBD=442 YBD=448 YBD=441 YHG=418>some YHG=409>degree YHG=410>of YHG=409>residual YHG=409>deafness, YHG=419>even YHG=419>more YHG=408>than YHG=419>a XBD=1418 XBD=1556 XBD=1798 XBD=1878 XBD=1982 XBD=2126 XBD=2300 XBD=2459 XHG=1327 XHG=1458 XHG=1594 XHG=1838 XHG=1916 XHG=2022 XHG=2166 XHG=2367 YBD=495 YBD=487 YBD=488 YHG=464>year YHG=455>after YHG=455>resolution YHG=455>of YHG=455>the YHG=455>otitis YHG=455>media. YHG=455>This XBD=213 XHG=873 XBD=376 XBD=634 XBD=728 XBD=847 XBD=997 XBD=1079 XBD=1170 XBD=1267 XHG=157 XHG=236 XHG=400 XHG=659 XHG=752 XHG=1020YBD=486 XHG=1103 XHG=1193 YBD=487 YBD=496 YBD=486YHG=454>closed YHG=455>the YHG=455>Clinic’s YHG=454>waiting-list YHG=454>has YHG=454>been YHG=455>for YHG=454>the YHG=454>last XBD=1491 XBD=1678 XBD=1727 XBD=1848 XBD=2022 XBD=2080 XBD=2225 XBD=2294 XBD=2458 XHG=1327YBD=534 XHG=1508 XHG=1695 XHG=1743 XHG=1867 XHG=2039 XHG=2099 XHG=2242 XHG=2312 YBD=534YHG=500>months. YBD=542 YBD=533 YHG=501>residual YHG=501>deafness YHG=501>is YHG=501>often YHG=501>difficult YHG=503>to YHG=501>detect YHG=501>by YHG=500>clinical XBD=246 XHG=264 XBD=421 XHG=156 YBD=542 YHG=500>eight XBD=269 XHG=872 XBD=446 XBD=765 XBD=839 XBD=999 XBD=1121 XBD=1211 XBD=1268 XHG=197 XHG=298 XHG=478 XHG=799 XHG=1032YBD=577 XHG=1152 XHG=1245 YBD=588 YBD=578 YBD=576 YBD=577YHG=544>clinics YHG=545>The YHG=545>general YHG=545>establishment YHG=545>of YHG=545>calls YHG=545>for YHG=555>a XBD=1595 XBD=1697 XBD=1760 XBD=1928 XBD=2086 XBD=2154 XBD=2279 XBD=2403 XBD=2458 XHG=1328 XHG=1628 XHG=1729 XHG=1792 XHG=1959 XHG=2114 XHG=2185 XHG=2309 XHG=2433 YBD=585 YBD=578 YBD=588 YBD=580 YBD=579 YHG=546>examination, YHG=547>but YHG=547>is YHG=547>clearly YHG=547>shown YHG=547>in YHG=548>tests YHG=546>with YHG=556>a XBD=302 XHG=795 XBD=377 XBD=444 XBD=520 XBD=768 XBD=978 XBD=1145 XBD=1267 XHG=157 XHG=327 XHG=406 XHG=471 XHG=549 XHG=1006YBD=623 XHG=1169 YBD=633 YBD=623YHG=590>situation YHG=592>clearing YHG=601>up YHG=591>of YHG=601>an YHG=590>anomalous YHG=590>arising YHG=591>from XBD=1421 XBD=1537 XBD=1807 XBD=1965 XBD=2124 XBD=2190 XBD=2284 XBD=2392 XBD=2458 XHG=1328 XHG=1447 XHG=1564 XHG=1858 XHG=1989 XHG=2149 XHG=2217 XHG=2308 XHG=2418 YBD=632 YBD=624 YBD=627 YBD=634 YBD=625 YHG=601>pure YHG=593>tone YHG=592>audiometer. YHG=592>With YHG=593>regard YHG=594>to YHG=592>the YHG=594>rate YHG=593>of XBD=1506 XBD=1631 XBD=1761 XBD=1923 XBD=1981 XBD=2077 XBD=2197 XBD=2343 XBD=2457 XHG=1327 XHG=1533 XHG=1657 XHG=1788 XHG=1950 XHG=2008 XHG=2103 XHG=2223 XHG=2369 YBD=678 YBD=677 YBD=670 YBD=671 YHG=647>recovery YHG=638>after YHG=638>otitis YHG=638>media, YHG=638>it YHG=638>has YHG=638>been YHG=638>found YHG=638>that XBD=214 XHG=761 XBD=543 XBD=725 XBD=801 XBD=1154 XBD=1269 XHG=157 XHG=248 XHG=577 XHG=835YBD=669 XHG=1193 YBD=670 YBD=678 YBD=678 YBD=669YHG=636>of YHG=637>the YHG=636>developmental YHG=636>history YHG=635>psychotherapy, YHG=636>and XBD=281 XHG=950 XBD=376 XBD=609 XBD=916 XBD=989 XBD=1116 XBD=1266 XHG=155 XHG=311 XHG=408 XHG=643 XHG=1020YBD=715 XHG=1149 YBD=717 YBD=716 YBD=725 YBD=723YHG=682>of YBD=715 YHG=683>behind YHG=683>the YHG=683>ostensible YHG=683>disagreement YHG=692>your YHG=692>correXBD=1667 XBD=1794 XBD=1968 XBD=2061 XBD=2261 XBD=2456 XHG=1328 XHG=1692 XHG=1816 XHG=1989 XHG=2084 XHG=2283 YBD=725 YBD=716 YBD=718 YBD=726 YBD=717 YHG=684>non-suppurative YHG=693>cases YHG=695>recover YHG=684>full YHG=684>auditory YHG=685>function XBD=1368 XBD=1503 XBD=1596 XBD=1655 XBD=1779 XBD=1928 XBD=2111 XBD=2193 XBD=2459 XHG=1327 XHG=1386 XHG=1520 XHG=1614 XHG=1672 XHG=1794 XHG=1945 XHG=2127 XHG=2211 YBD=761YHG=728>fundamental YBD=762 YBD=768 YBD=763 YBD=771 YHG=729>in YHG=730>about YHG=730>two YHG=731>to YHG=729>three YHG=731>weeks, YHG=730>whereas YHG=730>the YHG=731>suppurative XBD=344 XHG=632 XBD=422 XBD=502 XBD=620 XBD=898 XBD=1086 XBD=1270 XHG=156 XHG=358 XHG=436 XHG=517 XHG=913YBD=761 XHG=1099 YBD=771 YBD=770 YHG=730>spondents YHG=729>lies YHG=728>the YHG=739>more YHG=729>question YHG=728>whether XBD=214 XHG=670 XBD=496 XBD=623 XBD=737 XBD=1116 XBD=1267 XHG=156 XHG=257 XHG=547 XHG=785YBD=807 XHG=1165 YBD=809 YBD=816 YBD=806 YBD=816 YHG=776>the YHG=775>psychiatrist YHG=775>and YHG=773>psychotherapist YHG=776>must XBD=1432 XBD=1542 XBD=1707 XBD=1880 XBD=1940 XBD=2132 XBD=2193 XBD=2281 XBD=2398 XBD=2460 XHG=1329 XHG=1453 XHG=1564 XHG=1728 XHG=1899 XHG=1961 XHG=2152 XHG=2214 XHG=2301 XHG=2418 YBD=807YHG=774>the YBD=817 YBD=809 YBD=808 YHG=784>cases YHG=775>take YHG=775>several YHG=775>months YHG=776>improve YHG=778>to YHG=776>the YHG=776>level YHG=777>of XBD=1426 XBD=1607 XBD=1807 XHG=1326 XHG=1445 XHG=1628 YBD=853 YBD=854 YHG=821>their YHG=820>residual YHG=821>deafness. XBD=359 XHG=816 XBD=425 XBD=645 XBD=705 XBD=797 XBD=963 XHG=155 XHG=378 XHG=447 XHG=665 XHG=727 YBD=863 YBD=852 YBD=853 YBD=861 YHG=821>necessarily YHG=821>be YHG=820>combined YHG=820>in YHG=830>one YHG=830>person. XBD=517 XHG=751 XBD=622 XBD=723 XBD=866 XBD=1100 XHG=498 XHG=548 XHG=653 XHG=893YBD=907 YBD=899 YBD=904 YBD=907 YHG=866>I YHG=876>am, YHG=866>Sir, YHG=865>faithfully, XBD=1506 XBD=1592 XBD=1787 XBD=1847 XBD=1993 XBD=2135 XBD=2326 XBD=2385 XBD=2456 XHG=1379 XHG=1526 XHG=1612 XHG=1808 XHG=1868 XHG=2013 XHG=2156 XHG=2346 XHG=2407 YBD=915YHG=876>yours YBD=906 YBD=908 YBD=907 YHG=873>Hence YHG=873>the YHG=883>presence YHG=874>of YHG=884>severe YHG=874>initial YHG=875>deafness YHG=875>in YHG=885>an MILLAIS CULPIN. XBD=325 XBD=402 XBD=493 XBD=600 XHG=188 XHG=339 XHG=421 YBD=957 YBD=956 YHG=928>London, YHG=926>W., YHG=926>Oct. XBD=1439XHG=511 XBD=1701 XBD=1901 XBD=1957 XBD=2039 XBD=2123 XBD=2175 XBD=2220 XBD=2457 XHG=1328YBD=952 XHG=1456 XHG=1722 XHG=1918 XHG=1973 XHG=2060 XHG=2144 XHG=2196 XHG=2240 YBD=962YHG=926>23rd. YBD=953 YBD=952 YBD=954 YHG=921>acute YHG=920>suppurative YHG=920>infection YHG=920>of YHG=920>the YHG=930>ear YHG=921>is YHG=930>a YHG=921>manifestaXBD=1410 XHG=2299 XBD=1488 XBD=1723 XBD=1950 XBD=2078 XBD=2156 XBD=2260 XBD=2458 XHG=1328OXYGEN XHG=1449 XHG=1525 XHG=1758 XHG=1991 XHG=2116 XHG=2194 YBD=998 YHG=967>absence YBD=1007 YBD=1005 YBD=1004 YBD=999 YHG=966>tion YHG=966>of YHG=966>in YHG=966>the YHG=966>tympanic YHG=966>infection, YHG=965>and, THERAPY XBD=1369 XHG=2317 XBD=1601 XBD=1743 XBD=1822 XBD=1930 XBD=2135 XBD=2273 XBD=2457 XHG=1329 YBD=1046 XHG=1409 XHG=1642 XHG=1782 XHG=1863 XHG=1971 XHG=2175 YBD=1054 YHG=1015>cannot YBD=1044 YBD=1045 YBD=1051 YHG=1013>of YHG=1012>localising YHG=1012>signs YHG=1013>in YHG=1012>the YHG=1012>mastoid YHG=1022>area, XBD=436 XBD=517 XBD=669 XBD=734 XBD=839 XBD=1025 XHG=386 XHG=461 XHG=540 XHG=693 XHG=863 YBD=1077 YBD=1086 YBD=1078 YHG=1044>To YHG=1045>the YHG=1044>Editor YHG=1045>of YHG=1045>LANCET XBD=1538XHG=753 XBD=1634 XBD=1903 XBD=1992 XBD=2090 XBD=2347 XBD=2455 XHG=1327YBD=1078 XHG=1588 XHG=1684 XHG=1951 XHG=2041 XHG=2138 XHG=2395 YBD=1101YHG=1045>THE YBD=1091 YBD=1090 YBD=1092 YHG=1059>justifiably YHG=1059>be YHG=1058>considered YHG=1068>as YHG=1068>an YHG=1059>indication YHG=1059>for XBD=1651 XHG=1327 YBD=1146 YHG=1105>mastoidectomy. XBD=361 XHG=719 XBD=457 XBD=606 XBD=685 XBD=875 XBD=1094 XBD=1150 XBD=1267 XHG=198 XHG=391 XHG=486 XHG=636 XHG=905YBD=1148 XHG=1111 XHG=1181 YBD=1144 YBD=1147 YBD=1138 YBD=1147 YBD=1138YHG=1106>Oxygen YBD=1139 YHG=1107>SiE,―In YHG=1115>my YHG=1115>paper YHG=1116>on YHG=1106>Therapy, YHG=1107>in YHG=1107>THE XBD=1588 XBD=1680 XBD=1768 XBD=1899 XBD=2119 XHG=1569 XHG=1607 XHG=1700 XHG=1785 XHG=1915 YBD=1183 YBD=1189 YBD=1192 YBD=1191 YHG=1152>I YHG=1161>am, YHG=1150>Sir, YHG=1160>yours YHG=1150>faithfully, XBD=299 XHG=842 XBD=360 XBD=466 XBD=590 XBD=627 XBD=763 XBD=817 XBD=946 XBD=1068 XBD=1178 XBD=1268 XHG=155 XHG=323 XHG=385 XHG=489 XHG=609 XHG=652 XHG=786 XHG=971YBD=1193 XHG=1091 XHG=1201 YBD=1186 YBD=1185 YBD=1191 YBD=1184 YBD=1184 YBD=1184YHG=1152>quite YHG=1154>LANCET YHG=1152>of YHG=1151>Oct. YHG=1151>15th, YHG=1153>I YHG=1152>made YHG=1152>it YHG=1152>clear YHG=1152>that YHG=1151>the XBD=398 XHG=634 XBD=535 XBD=609 XBD=702 XBD=1035 XBD=1091 XBD=1266 XHG=157 XHG=422 XHG=560 XHG=727YBD=1231 XHG=1052 XHG=1117 YBD=1232 YBD=1230 YBD=1229 YBD=1231 YBD=1230YHG=1197>the YBD=1240 YHG=1198>observations YHG=1197>made YHG=1207>on YHG=1197>administration YHG=1198>of YHG=1208>oxygen

" XBD=1127 XBD=1267XHG=866 XBD=200 XBD=280 XBD=403 XBD=596 XBD=781 XBD=843 XBD=933 XBD=1021 XBD=1082 XHG=155 XHG=218 XHG=300 XHG=424 XHG=616 XHG=802 XHG=954YBD=1277 XHG=1043 XHG=1105 XHG=1149 YBD=1287 YBD=1276 YBD=1277 YBD=1276YHG=1243>the YBD=1279 YHG=1246>by YHG=1244>the YHG=1243>nasal YHG=1242>catheter YHG=1244>referred YHG=1246>to YHG=1254>use YHG=1244>of 9 YHG=1254>a YHG=1244>No. " XBD=1268 XBD=308 XHG=635 XBD=361 XBD=448 XBD=507 XBD=619 XBD=797 XBD=948 XBD=1140 XHG=831 XHG=156 XHG=323 XHG=378 XHG=465 XHG=523 XHG=966YBD=1331 XHG=1156 YBD=1323 YBD=1322 YBD=1324 YBD=1323 YBD=1332YHG=1287>Many YHG=1291>catheter YHG=1291>in YHG=1299>one YHG=1300>or YHG=1289>both YHG=1290>nostrils. YHG=1290>different YHG=1292>types " XBD=1266 XBD=189 XHG=839 XBD=374 XBD=500 XBD=625 XBD=812 XBD=899 XBD=1004 XBD=1206 XHG=156 XHG=215 XHG=402 XHG=530 XHG=655 XHG=926YBD=1369 XHG=1033 XHG=1226 YBD=1370 YBD=1368 YBD=1369 YBD=1378YHG=1337>for YBD=1369 YHG=1338>of YHG=1336>catheter YHG=1335>have YHG=1336>been YHG=1336>advised YHG=1336>this YHG=1346>purpose, YHG=1346>so " XBD=1268 XBD=203 XHG=885 XBD=393 XBD=491 XBD=783 XBD=854 XBD=952 XBD=1053 XBD=1205 XHG=155 XHG=230 XHG=423 XHG=522 XHG=812 XHG=982YBD=1415 XHG=1082 XHG=1236 YBD=1417 YBD=1416 YBD=1416 YHG=1394>we YHG=1382>confined YHG=1392>our YHG=1382>observations YHG=1383>to YHG=1382>the YHG=1392>one YHG=1382>which YHG=1383>is

F. TYRER MADGE. Alder Hey Hospital Audiometric Clinic, Liverpool, Oct. 22nd.

THE TEACHING UNIT

" XBD=2021 XBD=2202 XBD=1634 XBD=1710 XBD=1858 XBD=1920 XHG=1584 XHG=1656 XHG=1731 XHG=1879 XHG=1936 XHG=2041 YBD=1457 YBD=1465 YBD=1456 YHG=1427>l’o YHG=1427>the YHG=1427>-Editor YHG=1427>of YHG=1427>THE YHG=1427>LANCET XBD=242 XHG=726 XBD=453 XBD=586 XBD=696 XBD=826 XBD=968 XBD=1037 XBD=1163 XBD=1268 XHG=854 XHG=156 XHG=269 XHG=482 XHG=650 XHG=997YBD=1462 XHG=1066 XHG=1193 YBD=1463 YBD=1471 YBD=1461 YBD=1461 YBD=1470YHG=1428>letter YBD=1462 YHG=1430>most YHG=1428>generally YHG=1428>used. YHG=1430>In YHG=1428>their YHG=1429>in YHG=1439>your YHG=1429>last

XBD=241 XHG=855 XBD=307 XBD=413 XBD=499 XBD=571 XBD=636 XBD=835 XBD=932 XBD=1016 XBD=1088 XBD=1268 XHG=157 XHG=261 XHG=332 XHG=433 XHG=525 XHG=594 XHG=658 XHG=950YBD=1506 XHG=1041 XHG=1113 YBD=1509 YBD=1516 YBD=1515 YBD=1508 YBD=1507 YBD=1509 YBD=1509YHG=1474>and YBD=1507 YHG=1477>issue YHG=1477>(p. YHG=1476>970) YHG=1475>Dr. YHG=1474>H. YHG=1475>L. YHG=1473>Marriott YHG=1474>Dr. YHG=1475>K. YHG=1474>Robson "" XBD=2456 XBD=1539 XBD=1663 XBD=1780 XBD=1875 XBD=1977 XBD=2098 XBD=2216 XBD=2389 XHG=1378 XHG=1564 XHG=1688 XHG=1807 XHG=1901 XHG=2002 XHG=2123 XHG=2241 XHG=2415 YBD=1525 YBD=1528 YBD=1526 YBD=1518 YBD=1527 YBD=1517 YHG=1486>SIR,-A YHG=1486>little YHG=1486>time YHG=1495>ago YHG=1496>you YHG=1495>were YHG=1485>kind YHG=1485>enough YHG=1486>to "" XBD=1268 XBD=266 XBD=332 XBD=426 XBD=662 XBD=778 XBD=873 XBD=1009 XBD=1208 XHG=157 XHG=292 XHG=360 XHG=455 XHG=690 XHG=901 XHG=1038 XHG=1236 YBD=1563 YBD=1561 YBD=1552 YBD=1553 YBD=1553 YHG=1521>object YHG=1522>to YHG=1530>my YHG=1521>statement YHG=1519>that YHG=1521>nasal YHG=1520>catheter YHG=1521>is XBD=1444XHG=806 XBD=1515 XBD=1667 XBD=1728 XBD=1848 XBD=1908 XBD=2051 XBD=2091 XBD=2191 XBD=2352 XBD=2458 XHG=1329YBD=1553 XHG=1466 XHG=1537 XHG=1688 XHG=1749 XHG=1869 XHG=1929 XHG=2073 XHG=2113 XHG=2212 XHG=2372 YBD=1573YHG=1520>the YBD=1565 YBD=1563 YBD=1574 YBD=1564 YHG=1534>quote YHG=1541>an YHG=1532>article YHG=1532>of YHG=1531>mine YHG=1532>in YHG=1531>which YHG=1533>I YHG=1531>had YHG=1531>argued YHG=1531>how " XBD=1268 XBD=287 XBD=395 XBD=665 XBD=795 XBD=1043 XBD=1213 XHG=156 XHG=308 XHG=418 XHG=685 XHG=816 XHG=1066 XHG=1236 YBD=1608 YBD=1599 YBD=1600 YBD=1609 YBD=1599 YHG=1567>usually YHG=1566>only YHG=1566>comfortable YHG=1566>when YHG=1566>insufficient YHG=1577>oxygen XBD=1410 XHG=2237 XBD=1498 XBD=1681 XBD=1939 XBD=2064 XBD=2126 XBD=2214 XBD=2457 XHG=1325 YBD=1619 XHG=1431 XHG=1521 XHG=1702 XHG=1960 XHG=2087 XHG=2148 YBD=1612 YHG=1567>is YBD=1611 YHG=1578>well YHG=1577>the YHG=1578>medical YHG=1578>professorial YHG=1578>units YHG=1578>of YHG=1578>the YHG=1578>University "" XBD=1265 XBD=253 XBD=382 XBD=523 XBD=629 XBD=722 XBD=928 XBD=994 XBD=1109 XHG=156 XHG=266 XHG=416 XHG=539 XHG=643 XHG=738 XHG=945 XHG=1009 XHG=1125 YBD=1655 YBD=1654 YBD=1645 YBD=1646 YBD=1655 YHG=1614>being YHG=1613>given. YHG=1612>They YHG=1613>base YHG=1612>this YHG=1612>objection YHG=1623>on YHG=1613>their XBD=1368 XHG=2335 XBD=1554 XBD=1660 XBD=1860 XBD=1991 XBD=2212 XBD=2304 XBD=2457 XHG=1328 YBD=1657 XHG=1394 XHG=1582 XHG=1692 XHG=1893 XHG=2025 XHG=2247 YBD=1656 YHG=1613>experiYBD=1666 YHG=1624>of YHG=1625>London YHG=1624>had YHG=1624>justified YHG=1624>their YHG=1625>existence YHG=1623>(St YHG=1624>Bart’s " XBD=2457 XBD=233 XBD=344 XBD=393 XBD=558 XBD=757 XBD=896 XBD=961 XBD=1130 XBD=1268 XHG=158 XHG=255 XHG=371 XHG=421 XHG=586 XHG=783 XHG=922 XHG=986 XHG=1157 YBD=1693 YBD=1692 YBD=1691 YBD=1701 YBD=1692 YHG=1670>ence YHG=1659>with YHG=1669>a YHG=1658>double YHG=1659>catheter YHG=1659>made YHG=1659>of YHG=1659>bicycle YHG=1659>valve "|>" XBD=1508 XBD=1640 XBD=1731 XBD=1851 XBD=2029 XBD=2160 XBD=2223 XBD=2368 XBD=1442 XHG=1469 XHG=1538 XHG=1666 XHG=1759 XHG=1885 XHG=2059 XHG=2189 XHG=2252 XHG=2419 XHG=1327 YBD=1706 YBD=1710 YBD=1711 YBD=1712 YBD=1703 YBD=1713 YHG=1670>J. YHG=1671>45, YHG=1673>176; YHG=1670>Lancet, YHG=1672>1938, YHG=1671>1, YHG=1671>1227). YHG=1671>It YHG=1670>Hosp. "" XBD=1268 XBD=283 XBD=359 XBD=453 XBD=589 XBD=802 XBD=870 XBD=1045 XBD=1161 XHG=158 XHG=341 XHG=391 XHG=483 XHG=616 XHG=901 XHG=1073 XHG=1189 YBD=1748 YBD=1747 YBD=1738 YBD=1738 YHG=1706>tubing. YHG=1706>I YHG=1715>am YHG=1705>quite YHG=1705>prepared YHG=1705>believe YHG=1705>that YHG=1705>this XBD=1359XHG=829 XBD=1465 XBD=1647 XBD=1789 XBD=1983 XBD=2071 XBD=2178 XBD=2271 XBD=2332 XBD=2458 XHG=1326YBD=1738 XHG=1380 XHG=1484 XHG=1666 XHG=1809 XHG=2004 XHG=2091 XHG=2201 XHG=2292 XHG=2351 YBD=1759YHG=1707>to YBD=1760 YBD=1750 YBD=1749 YHG=1718>is YHG=1727>now YHG=1716>perhaps YHG=1717>worth YHG=1717>pointing YHG=1719>out YHG=1717>that YHG=1727>one YHG=1717>of YHG=1717>these "" XBD=1268 XBD=390 XBD=500 XBD=568 XBD=692 XBD=967 XBD=1059 XBD=1159 XHG=159 XHG=410 XHG=520 XHG=588 XHG=988 XHG=1081 XHG=1176 YBD=1784 YBD=1784 YBD=1784 YHG=1752>modification YHG=1761>may YHG=1751>be YHG=1761>more YHG=1752>but YHG=1752>still YHG=1751>hold XBD=1442XHG=712 XBD=1535 XBD=1719 XBD=1933 XBD=2028 XBD=2129 XBD=2203 XBD=2278 XBD=2392 XBD=2457 XHG=1327YBD=1793 XHG=1468 XHG=1558 XHG=1746 XHG=1958 XHG=2051 XHG=2154 XHG=2228 XHG=2304 XHG=2417 YBD=1802YHG=1751>satisfactory, YBD=1805 YBD=1797 YBD=1796 YBD=1795 YHG=1763>units, YHG=1763>the YHG=1763>London YHG=1763>Hospital, YHG=1763>has YHG=1763>had YHG=1774>on YHG=1763>its YHG=1764>staff YHG=1763>in "" XBD=1268 XBD=230 XBD=317 XBD=523 XBD=659 XBD=857 XBD=928 XBD=987 XBD=1049 XHG=160 XHG=254 XHG=345 XHG=552 XHG=687 XHG=887 XHG=956 XHG=1017 XHG=1077 YBD=1839 YBD=1829 YBD=1830 YBD=1830 YBD=1840 YHG=1797>that YHG=1797>the YHG=1797>ordinary YHG=1797>nasal YHG=1797>catheter YHG=1806>as YHG=1798>it YHG=1798>is XBD=1394 XHG=2395 XBD=1527 XBD=1685 XBD=1813 XBD=1889 XBD=2140 XBD=2255 XBD=2365 XBD=2458 XHG=1327 YBD=1841 XHG=1421 XHG=1554 XHG=1713 XHG=1839 XHG=1914 XHG=2168 XHG=2281 YBD=1851 YHG=1797>generally YBD=1842 YBD=1843 YHG=1808>the YHG=1809>short YHG=1809>period YHG=1809>since YHG=1810>its YHG=1809>foundation YHG=1819>men YHG=1809>who YHG=1819>are XBD=236 XHG=865 XBD=291 XBD=625 XBD=737 XBD=834 XBD=969 XBD=1098 XBD=1193 XBD=1264 XHG=162 XHG=261 XHG=320 XHG=690 XHG=767 XHG=999YBD=1876 XHG=1127 XHG=1229 YBD=1885 YBD=1876 YBD=1878YHG=1852>same YHG=1843>used YHG=1844>is YHG=1843>unsatisfactory. YHG=1844>In YHG=1843>the YHG=1843>issue YHG=1844>Dr. YHG=1844>J. "" XBD=2459 XBD=1464 XBD=1688 XBD=1748 XBD=1951 XBD=2010 XBD=2115 XBD=2244 XHG=1328 XHG=1483 XHG=1709 XHG=1768 XHG=1970 XHG=2030 XHG=2136 XHG=2265 YBD=1896 YBD=1897 YBD=1889 YBD=1888 YHG=1855>to-day YHG=1856>professors YHG=1856>of YHG=1856>medicine YHG=1856>in YHG=1856>four YHG=1855>other YHG=1855>schools"" XBD=1268 XBD=268 XBD=493 XBD=654 XBD=776 XBD=1089 XBD=1165 XHG=166 XHG=301 XHG=527 XHG=813 XHG=1126 XHG=1199 YBD=1932 YBD=1923 YBD=1922 YBD=1922 YBD=1923 YHG=1889>Argyll YHG=1890>Campbell YHG=1890>writes YHG=1889>modifications YHG=1890>of YHG=1889>the XBD=1535XHG=688 XBD=1763 XBD=1933 XBD=2022 XBD=2088 XBD=2425 XHG=1326YBD=1922 XHG=1548 XHG=1779 XHG=1947 XHG=2036 XHG=2103 YBD=1940YHG=1889>that YBD=1943 YBD=1941 YBD=1934 YBD=1937 YBD=1935 YHG=1901>Aberdeen, YHG=1902>Capetown, YHG=1902>Oxford, YHG=1902>and YHG=1902>St. YHG=1901>Bartholomew’s. "" XBD=1268 XBD=293 XBD=398 XBD=508 XBD=633 XBD=856 XBD=948 XHG=168 XHG=317 XHG=424 XHG=534 XHG=660 XHG=881 XHG=976 YBD=1978 YBD=1969 YBD=1968 YBD=1978 YHG=1936>original YHG=1936>face YHG=1937>tent YHG=1935>have YHG=1946>overcome YHG=1935>the YHG=1936>disadvantages XBD=1538 XHG=1865 XBD=1631 XBD=1720 XBD=1850 XBD=2071 XHG=1520 YBD=1991 XHG=1558 XHG=1651 XHG=1737 YBD=1981 YHG=1948>faithfully, YBD=1987 YBD=1990 YHG=1949>I YHG=1958>am, YHG=1948>Sir, YHG=1958>yours " XBD=1268 XBD=199 XHG=757 XBD=257 XBD=394 XBD=526 XBD=573 XBD=650 XBD=742 XBD=861 XBD=1057 XBD=1110 XHG=169 XHG=207 XHG=267 XHG=405 XHG=555 XHG=589 XHG=665 XHG=872YBD=2024 XHG=1068 XHG=1123 YBD=2013 YBD=2014 YBD=2015 YBD=2028 YBD=2015YHG=1982>quite YHG=1982>of YHG=1982>the YHG=1982>earlier YHG=1984>types. YHG=1983>I YHG=1992>am YHG=1982>also YHG=1982>prepared YHG=1984>to YHG=1982>believe " XBD=1268 XBD=224 XHG=851 XBD=303 XBD=421 XBD=571 XBD=627 XBD=734 XBD=835 XBD=990 XBD=1048 XBD=1175 XHG=166 XHG=236 XHG=319 XHG=437 XHG=585 XHG=642 XHG=748 XHG=1008YBD=2066 XHG=1063 XHG=1191 YBD=2061 YBD=2070 YBD=2069 YBD=2060 YBD=2059YHG=2024>others, YBD=2061 YBD=2060 YHG=2027>this YHG=2029>and YHG=2028>quite YHG=2030>expect YHG=2030>to YHG=2027>hear YHG=2028>that YHG=2029>at YHG=2028>home YHG=2028>and " XBD=1266 XBD=291 XHG=846 XBD=413 XBD=550 XBD=821 XBD=886 XBD=1011 XBD=1121 XHG=164 XHG=316 XHG=438 XHG=577 XHG=912YBD=2106 XHG=1037 XHG=1147 YBD=2113 YBD=2107 YBD=2115 YBD=2106 YBD=2107YHG=2074>in YBD=2106 YHG=2073>abroad, YHG=2074>have YHG=2074>made YHG=2074>adaptations YHG=2073>their YHG=2084>own YHG=2073>modi" XBD=1267 XBD=308 XHG=865 XBD=363 XBD=450 XBD=620 XBD=739 XBD=844 XBD=986 XBD=1086 XBD=1203 XHG=161 XHG=324 XHG=383 XHG=473 XHG=641 XHG=761 XHG=1002YBD=2158 XHG=1108 XHG=1224 YBD=2153 YBD=2162 YBD=2159 YBD=2152 YBD=2159YHG=2119>mask, YBD=2152 YHG=2118>fications YHG=2120>of YHG=2120>the YHG=2130>oxygen YHG=2121>tent, YHG=2120>face YHG=2120>face YHG=2121>tent, YHG=2130>or " XBD=1268 XBD=316 XHG=907 XBD=456 XBD=550 XBD=785 XBD=891 XBD=982 XBD=1128 XHG=162 XHG=350 XHG=474 XHG=566 XHG=802 XHG=999YBD=2198 XHG=1144 YBD=2200 YBD=2199 YBD=2207 YBD=2199 YBD=2199YHG=2166>will YHG=2165>catheter. YHG=2166>Time YHG=2166>and YHG=2166>experience YHG=2165>only YHG=2166>decide YHG=2166>which XBD=186 XBD=251 XBD=353 XBD=461 XBD=636 XBD=690 XBD=768 XBD=900 XBD=988 XBD=1042 XBD=1268 XHG=161 XHG=195 XHG=262 XHG=382 XHG=473 XHG=651 XHG=703 XHG=780 XHG=911 XHG=1001 XHG=1057 YBD=2243 YBD=2244 YBD=2246 YBD=2254 YBD=2245 YBD=2245 YBD=2253 YHG=2210>is YHG=2211>the YHG=2212>best. YHG=2212>The YHG=2222>purpose YHG=2212>of YHG=2222>my YHG=2221>paper YHG=2222>was YHG=2213>to YHG=2212>emphasise "|>"XBD=2204 XBD=1635 XBD=1711 XBD=1860 XBD=1920 XBD=2022 XHG=1585 XHG=1656 XHG=1731 XHG=1880 XHG=2042 XHG=1936 YBD=2251 YBD=2260 YBD=2252 YBD=2252 YHG=2219>To YHG=2219>the YHG=2219>Editor YHG=2218>of YHG=2220>LANCET YHG=2219>THE "" XBD=1266 XBD=212 XBD=460 XBD=549 XBD=730 XBD=937 XBD=1012 XBD=1164 XHG=161 XHG=239 XHG=489 XHG=583 XHG=761 XHG=970 XHG=1054 XHG=1197 YBD=2290 YBD=2291 YBD=2300 YBD=2290 YBD=2299 YBD=2290 YHG=2256>the YHG=2258>indications YHG=2259>for YHG=2268>oxygen YHG=2258>therapy, YHG=2259>to YHG=2258>point YHG=2259>out XBD=1525 XHG=2341 XBD=1646 XBD=1714 XBD=1809 XBD=1936 XBD=2005 XBD=2119 XBD=2311 XHG=1378 YBD=2313 XHG=1554 XHG=1674 XHG=1742 XHG=1837 XHG=1965 XHG=2033 XHG=2149 YBD=2319 YHG=2279>dated YBD=2314 YBD=2312 YHG=2280>SIR,-I YHG=2281>read YHG=2281>in YHG=2280>the YHG=2280>issue YHG=2281>of YHG=2280>THE YHG=2280>LANCET "" XBD=2459 XBD=281 XBD=610 XBD=690 XBD=797 XBD=1012 XBD=1267 XHG=162 XHG=320 XHG=651 XHG=729 XHG=835 XHG=1051 YBD=2346 YBD=2336 YBD=2337 YBD=2346 YHG=2304>certain YHG=2304>disadvantages YHG=2304>of YHG=2303>the YHG=2303>methods YHG=2304>commonly XBD=1417 XBD=1560 XBD=1700 XBD=1782 XBD=1975 XBD=2047 XBD=2145 XBD=2384 XBD=2459 XHG=1326 XHG=1450 XHG=1598 XHG=1734 XHG=1816 XHG=2007 XHG=2078 XHG=2176 XHG=2417 YBD=2368 YBD=2365 YBD=2358 YBD=2359 YHG=2325>May YHG=2326>22nd, YHG=2328>1937, YHG=2336>an YHG=2328>account YHG=2327>of YHG=2325>the YHG=2327>treatment YHG=2326>of " XBD=1267 XBD=245 XHG=814 XBD=344 XBD=410 XBD=605 XBD=655 XBD=788 XBD=923 XBD=1070 XHG=162 XHG=272 XHG=369 XHG=439 XHG=633 XHG=681 XHG=947YBD=2382 XHG=1096 YBD=2388 YBD=2383 YBD=2383 YBD=2382 YHG=2350>used, YHG=2350>and YHG=2351>to YHG=2350>describe YHG=2360>a YHG=2350>nasal YHG=2349>mask YHG=2349>which YHG=2350>involves "" XBD=2455 XBD=1424 XBD=1654 XBD=1746 XBD=1849 XBD=2067 XBD=2146 XBD=2315 XHG=1328 XHG=1463 XHG=1693 XHG=1783 XHG=1887 XHG=2106 XHG=2183 XHG=2351 YBD=2415 YBD=2413 YBD=2404 YBD=2405 YBD=2406 YHG=2373>drug YHG=2372>addiction YHG=2373>by YHG=2371>the YHG=2371>injection YHG=2372>of YHG=2372>blister YHG=2372>fluid. XBD=211 XBD=289 XBD=348 XBD=513 XBD=619 XBD=839 XBD=900 XBD=1069 XBD=1265 XHG=160 XHG=229 XHG=311 XHG=370 XHG=535 XHG=638 XHG=859 XHG=922 XHG=1091 YBD=2428 YBD=2430 YBD=2438 YBD=2429 YBD=2439 YBD=2438 YHG=2394>the YHG=2406>use YHG=2396>of YHG=2397>certain YHG=2407>new YHG=2396>principles YHG=2396>in YHG=2405>oxygen " XBD=2519 XBD=1347 XHG=2388 XBD=1450 XBD=1515 XBD=1627 XBD=1744 XBD=1843 XBD=1972 XBD=2036 XBD=2264 XBD=2363 XHG=1329 YBD=2451 XHG=1372 XHG=1475 XHG=1539 XHG=1651 XHG=1766 XHG=1870 XHG=1996 XHG=2060 XHG=2317 YBD=2452 YHG=2395>therapy. YHG=2421>I YHG=2419>had YHG=2421>at YHG=2419>that YHG=2419>time YHG=2420>two YHG=2428>cases YHG=2419>of YHG=2418>addiction. YHG=2419>In YHG=2426>one "" XBD=1266 XBD=200 XBD=231 XBD=373 XBD=428 XBD=514 XBD=779 XBD=877 XBD=1002 XBD=1128 XBD=1179 XHG=158 XHG=216 XHG=251 XHG=390 XHG=448 XHG=535 XHG=799 XHG=895 XHG=1021 XHG=1147 XHG=1196 YBD=2473 YBD=2474 YBD=2482 YBD=2475 YBD=2475 YBD=2475 YHG=2441>As YHG=2442>I YHG=2442>stated YHG=2443>in YHG=2442>the YHG=2443>conclusions, YHG=2442>this YHG=2442>nasal YHG=2442>mask YHG=2443>is YHG=2444>not XBD=1436 XBD=1504 XBD=1592 XBD=1805 XBD=1902 XBD=2045 XBD=2122 XBD=2164 XBD=2295 XBD=2392 XBD=2460 XHG=1329 XHG=1454 XHG=1525 XHG=1613 XHG=1825 XHG=1921 XHG=2064 XHG=2143 XHG=2185 XHG=2316 XHG=2410 YBD=2507 YBD=2505 YBD=2496 YBD=2506 YBD=2497 YBD=2498 YHG=2467>(Case YHG=2466>A) YHG=2465>the YHG=2465>addiction YHG=2463>had YHG=2464>lasted YHG=2465>for YHG=2465>2 YHG=2474>years YHG=2465>and YHG=2464>he "" XBD=1268 XBD=295 XBD=575 XBD=681 XBD=729 XBD=855 XBD=929 XBD=1050 XHG=158 XHG=323 XHG=606 XHG=710 XHG=759 XHG=881 XHG=957 XHG=1079 YBD=2529 YBD=2530 YBD=2522 YBD=2521 YBD=2520 YBD=2529 YBD=2530 YHG=2488>entirely YHG=2489>satisfactory, YHG=2489>and YHG=2490>I YHG=2488>shall YHG=2488>be YHG=2499>very YHG=2488>surprised XBD=1404 XBD=1565 XBD=1642 XBD=1711 XBD=1784 XBD=1937 XBD=2004 XBD=2159 XBD=2210 XBD=2314 XBD=2458 XHG=1326 XHG=1430 XHG=1590 XHG=1669 XHG=1743 XHG=1812 XHG=1964 XHG=2028 XHG=2187 XHG=2237 XHG=2339 YBD=2553 YBD=2544 YBD=2543 YBD=2542 YBD=2552 YHG=2521>was YHG=2512>taking YHG=2521>up YHG=2513>to YHG=2512>12 YHG=2510>grains YHG=2510>of YHG=2510>heroin YHG=2520>a YHG=2511>day YHG=2510>hypo"" XBD=1267 XBD=182 XBD=219 XBD=400 XBD=438 XBD=545 XBD=723 XBD=780 XBD=862 XBD=1047 XBD=1104 XHG=157 XHG=193 XHG=232 XHG=416 XHG=453 XHG=560 XHG=739 XHG=796 XHG=877 XHG=1064 XHG=1120 YBD=2565 YBD=2574 YBD=2567 YBD=2566 YBD=2575 YBD=2566 YBD=2576 YHG=2532>if YHG=2533>it YHG=2534>provides YHG=2544>a YHG=2534>final YHG=2535>solution YHG=2535>to YHG=2534>the YHG=2534>problem YHG=2535>of YHG=2544>oxygen XBD=1555 XBD=1649 XBD=1735 XBD=1865 XBD=1993 XBD=2061 XBD=2149 XBD=2362 XBD=2461 XHG=1328 XHG=1603 XHG=1669 XHG=1755 XHG=1887 XHG=2013 XHG=2083 XHG=2170 XHG=2381 YBD=2598 YBD=2596 YBD=2589 YBD=2590 YHG=2557>dermically. YHG=2559>In YHG=2555>other YHG=2557>(Case YHG=2556>B) YHG=2556>the YHG=2557>addiction YHG=2567>was " XBD=1073 XBD=308 XHG=723 XBD=485 XBD=592 XBD=694 XBD=838 XHG=156 XHG=469 XHG=518 XHG=624 XHG=865YBD=2616 YBD=2613 YBD=2616YHG=2590>yours YHG=2578>therapy. YHG=2582>I YHG=2590>am, YHG=2580>Sir, YHG=2580>faithfully, " XBD=2457 XBD=1369 XHG=2409 XBD=1449 XBD=1604 XBD=1832 XBD=1935 XBD=2118 XBD=2288 XBD=2372 XHG=1329 YBD=2634 XHG=1404 XHG=1484 XHG=1644 XHG=1868 XHG=1969 XHG=2154 XHG=2323 YBD=2636 YHG=2612>an YBD=2640 YBD=2633 YBD=2643 YBD=2644 YBD=2635 YHG=2603>of YHG=2605>38 YHG=2605>years’ YHG=2602>duration, YHG=2601>the YHG=2603>patient YHG=2603>taking YHG=2613>on RONALD V. CHRISTIE. " XBD=2456 XBD=1487 XBD=1534 XBD=1686 XBD=1750 XBD=1948 XBD=1997 XBD=2099 XHG=1329 XHG=1515 XHG=1560 XHG=1712 XHG=1776 XHG=1974 XHG=2024 XHG=2123 YBD=2681 YBD=2691 YBD=2680 YBD=2688 YBD=2679 YBD=2690 YHG=2658>average YHG=2650>7 YHG=2648>grains YHG=2647>of YHG=2647>morphia YHG=2657>a YHG=2647>day YHG=2647>hypodermically. Dunn Laboratories, St. Bartholomew’s " XBD=2459 XBD=1431 XHG=2361 XBD=1571 XBD=1769 XBD=1852 XBD=1952 XBD=2330 XHG=1329 XHG=1464 XHG=1603 XHG=1804 XHG=1886 XHG=1983 YBD=2736 YBD=2726 YBD=2735 YBD=2727 YBD=2728 Oct. 22nd. YHG=2694>Both YHG=2694>these YHG=2694>patients YHG=2703>on YHG=2704>my YHG=2694>recommendation YHG=2705>were Hospital, E.C., " XBD=2459 XBD=1478 XBD=1566 XBD=1625 XBD=1850 XBD=2087 XBD=2163 XBD=2267 XHG=1327 XHG=1512 XHG=1603 XHG=1662 XHG=1887 XHG=2122 XHG=2200 XHG=2303 YBD=2774 YBD=2772 YBD=2781 YBD=2782 YBD=2773 YHG=2740>treated YHG=2741>by YHG=2750>a YHG=2739>colleague YHG=2740>according YHG=2741>to YHG=2740>the YHG=2740>method SEVERE INITIAL DEAFNESS AS A SIGN " XBD=2459 XBD=1523 XHG=2420 XBD=1587 XBD=1678 XBD=1835 XBD=2078 XBD=2235 XBD=2393 XHG=1330 YBD=2818 XHG=1546 XHG=1612 XHG=1705 XHG=1860 XHG=2104 XHG=2288 YBD=2817 YHG=2786>of YBD=2821 YBD=2819 YHG=2786>described YHG=2787>in YHG=2785>the YHG=2785>article YHG=2786>mentioned YHG=2786>above. YHG=2786>Each

OF ACUTE MASTOIDITIS " XBD=2460 XBD=1445 XHG=2389 XBD=1612 XBD=1851 XBD=2097 XBD=2231 XBD=2356 XHG=1327 XHG=1470 XHG=1635 XHG=1881 XHG=2128 XHG=2261 YBD=2871 YHG=2842>one YBD=2872 YBD=2873 YBD=2865 YBD=2864 YHG=2832>them, YHG=2831>having YHG=2831>previously YHG=2831>undergone YHG=2842>more YHG=2832>than " XBD=2458 XBD=1507 XBD=1629 XBD=1800 XBD=1884 XBD=1994 XBD=2086 XBD=2264 XBD=2327 XHG=1329 XHG=1531 XHG=1656 XHG=1824 XHG=1907 XHG=2019 XHG=2111 XHG=2288 XHG=2349 YBD=2915 YBD=2909 YBD=2911 YBD=2910 YHG=2877>so-called YHG=2887>cure, YHG=2886>assures YHG=2887>me YHG=2877>that YHG=2877>the YHG=2877>distress YHG=2878>of YHG=2877>withXBD=440 XHG=743 XBD=517 XBD=666 XBD=728 XBD=830 XBD=1012 XHG=391 XHG=462 XHG=537 XHG=686 XHG=850YBD=2907 YBD=2906 YBD=2916 YBD=2906 YHG=2873>To YHG=2874>the YHG=2874>Editor YHG=2874>of YHG=2875>THE YHG=2875>LANCET "" XBD=2459 XBD=1470 XBD=1535 XBD=1625 XBD=1758 XBD=1995 XBD=2110 XBD=2158 XBD=2291 XBD=2395 XHG=1329 XHG=1495 XHG=1559 XHG=1652 XHG=1786 XHG=2021 XHG=2138 XHG=2185 XHG=2317 XHG=2419 YBD=2956 YBD=2964 YBD=2955 YHG=2923>drawal YHG=2923>of YHG=2922>the YHG=2922>drug, YHG=2923>occupying YHG=2923>only YHG=2926>8 YHG=2923>days, YHG=2932>was YHG=2924>in XBD=378 XHG=841 XBD=617 XBD=808 XBD=882 XBD=1015 XBD=1125 XBD=1267 XHG=198 XHG=416 XHG=656 XHG=918YBD=2966 XHG=1050 XHG=1169 YBD=2972 YBD=2975 YBD=2974 YBD=2966YHG=2934>in YHG=2933>SiR,-Mr. YHG=2934>Asherson, YHG=2934>writing YHG=2944>your YHG=2934>last YHG=2935>issue "" XBD=2462 XBD=1377 XBD=1484 XBD=1743 XBD=1856 XBD=1964 XBD=2230 XBD=2300 XHG=1328 XHG=1398 XHG=1505 XHG=1762 XHG=1877 XHG=1986 XHG=2251 XHG=2320 YBD=3009 YBD=3010 YBD=3000 YHG=2978>no YHG=2978>way YHG=2968>comparable YHG=2967>with YHG=2967>that YHG=2969>experienced YHG=2979>on YHG=2968>former XBD=198 XHG=894 XBD=329 XBD=464 XBD=654 XBD=712 XBD=761 XBD=868 XBD=933 XBD=1069 XBD=1266 XHG=157 XHG=213 XHG=344 XHG=482 XHG=672 XHG=739 XHG=787 XHG=959YBD=3011 XHG=1086 YBD=3010 YBD=3012 YBD=3021 YBD=3011 YBD=3012YHG=2979>of YHG=2987>on YHG=2988>severe YHG=2979>initial YHG=2979>deafness YHG=2989>as YHG=2989>a YHG=2980>sign YHG=2981>acute YHG=2979>mastoid" XBD=2462 XBD=1518 XBD=1626 XBD=1748 XBD=1855 XBD=1970 XBD=2040 XBD=2178 XBD=2275 XHG=1330 XHG=1550 XHG=1656 XHG=1777 XHG=1887 XHG=2000 XHG=2072 XHG=2208 XHG=2305 YBD=3045 YBD=3047 YBD=3046 YBD=3055 YHG=3015>occasions YHG=3013>and YHG=3013>each YHG=3023>was YHG=3014>able YHG=3015>to YHG=3015>leave YHG=3013>the YHG=3014>nursing XBD=221 XHG=779 XBD=351 XBD=518 XBD=677 XBD=749 XBD=948 XBD=1089 XBD=1268 XHG=157 XHG=243 XHG=375 XHG=548 XHG=710 XHG=999YBD=3058 XHG=1122 YBD=3062 YBD=3055 YBD=3056 YBD=3065 YBD=3057 YBD=3057 YBD=3057YHG=3025>interest. YHG=3023>itis, YHG=3024>raises YHG=3025>several YHG=3025>points YHG=3025>of YHG=3025>This YHG=3025>sudden " XBD=1440 XBD=1501 XBD=1589 XBD=1684 XBD=1745 XBD=1787 XHG=1328 XHG=1461 XHG=1522 XHG=1611 XHG=1706 XHG=1767 XHG=1809 YBD=3091 YBD=3092 YBD=3094 YHG=3059>home YHG=3061>at YHG=3059>the YHG=3059>end YHG=3059>of YHG=3061>3 YHG=3059>weeks. " XBD=1942 XBD=263 XHG=835 XBD=353 XBD=415 XBD=593 XBD=746 XBD=810 XBD=857 XBD=1048 XBD=1204 XBD=1267 XHG=156 XHG=283 XHG=376 XHG=436 XHG=617 XHG=768 XHG=880YBD=3101 XHG=1072 XHG=1227 YBD=3111 YBD=3102 YBD=3102 YBD=3112YHG=3080>a YBD=3103 YHG=3068>initial YHG=3069>loss YHG=3069>of YHG=3069>hearing YHG=3079>occurs YHG=3071>to YHG=3071>variable YHG=3071>degree YHG=3071>in " XBD=2463 XBD=1456 XBD=1643 XBD=1872 XBD=1948 XBD=2050 XBD=2253 XBD=2366 XHG=1377 XHG=1492 XHG=1679 XHG=1909 XHG=1983 XHG=2085 XHG=2288 XHG=2401 YBD=3154 YBD=3145 YBD=3144 YHG=3112>The YHG=3113>general YHG=3113>condition YHG=3113>of YHG=3113>the YHG=3114>patients YHG=3122>was YHG=3112>far XBD=199 XHG=801 XBD=312 XBD=367 XBD=498 XBD=621 XBD=780 XBD=898 XBD=1168 XBD=1268 XHG=158 XHG=220 XHG=330 XHG=391 XHG=516 XHG=644 XHG=921YBD=3148 XHG=1192 YBD=3146 YBD=3147 YBD=3154 YBD=3156 YBD=3147YHG=3116>both YHG=3115>all YHG=3123>cases YHG=3115>of YHG=3116>acute YHG=3116>otitis YHG=3115>media, YHG=3117>suppurative YHG=3116>and " XBD=2462 XBD=481 XHG=909 XBD=624 XBD=796 XBD=872 XBD=976 XBD=1086 XBD=1163 XBD=1267 XBD=1454 XBD=1527 XBD=1677 XBD=1858 XBD=1987 XBD=2065 XBD=2166 XBD=2276 XBD=2350 XHG=157 XHG=545 XHG=662 XHG=833 XHG=1012 XHG=1123 XHG=1199 XHG=1328 XHG=1487 XHG=1563 XHG=1711 XHG=1892 XHG=2024 XHG=2100 XHG=2202 XHG=2311 XHG=2386 YBD=3199 YBD=3192 YBD=3193 YBD=3192 YBD=3193 YBD=3199 YBD=3190 YBD=3189 YBD=3198 YHG=3160>non-suppurative. YHG=3160>The YHG=3162>extent YHG=3161>of YHG=3160>the YHG=3161>loss YHG=3162>in YHG=3161>the YHG=3158>better YHG=3158>in YHG=3168>every YHG=3160>respect YHG=3159>than YHG=3160>at YHG=3158>the YHG=3158>end YHG=3158>of YHG=3167>any XBD=380 XBD=522 XBD=585 XBD=724 XBD=798 XBD=959 XBD=1033 XBD=1185 XBD=1266 XBD=1112 XHG=158 XHG=411 XHG=554 XHG=619 XHG=757 XHG=832 XHG=992 XHG=1144 XHG=1221 XHG=1066 YBD=3245 YBD=3237 YBD=3238 YBD=3237 YBD=3237 YBD=3238 YBD=3239 YHG=3204>suppurative YHG=3206>types YHG=3206>is YHG=3206>often YHG=3215>as YHG=3215>severe YHG=3216>as YHG=3208>to YHG=3208>60 YHG=3208>55 "|>|>" XBD=1503 XBD=1748 XBD=1977 XBD=2019 XBD=2150 XBD=2297 XBD=2457 XHG=1327 XHG=1522 XHG=1767 XHG=1996 XHG=2037 XHG=2169 XHG=2315 YBD=3235 YBD=3246 YBD=3236 YBD=3244 YBD=3243 YHG=3204>previous YHG=3204>treatments YHG=3205>occupying YHG=3214>a YHG=3204>much YHG=3204>longer YHG=3203>period. " XBD=2459 XBD=1420 XBD=1485 XBD=1605 XBD=1646 XBD=1797 XBD=1985 XBD=2083 XBD=2187 XBD=2247 XBD=2397 XHG=1330 XHG=1439 XHG=1507 XHG=1625 XHG=1665 XHG=1819 XHG=2005 XHG=2103 XHG=2205 XHG=2266 XHG=2416 YBD=3282YHG=3251>normal YBD=3286 YBD=3290 YBD=3280 YBD=3281 YHG=3250>Case YHG=3248>A, YHG=3248>after YHG=3250>6 YHG=3249>weeks’ YHG=3249>holiday, YHG=3259>was YHG=3249>able YHG=3249>to YHG=3250>return YHG=3250>to XBD=298 XHG=829 XBD=436 XBD=524 XBD=743 XBD=806 XBD=975 XBD=1165 XBD=1268 XHG=159 XHG=320 XHG=458 XHG=547 XHG=766 XHG=997YBD=3283 XHG=1191 YBD=3281 YBD=3282 YBD=3292 YHG=3248>decibels YHG=3249>below YHG=3249>the YHG=3250>threshold YHG=3251>of YHG=3251>hearing, YHG=3251>and " XBD=2459 XBD=1426 XBD=1609 XBD=1806 XBD=1915 XBD=2016 XBD=2241 XHG=1328 XHG=1459 XHG=1640 XHG=1840 XHG=1948 XHG=2048 XHG=2273 YBD=3334 YBD=3326 YBD=3335 YHG=3294>busy YHG=3293>general YHG=3295>practice YHG=3295>and YHG=3295>has YHG=3294>remained YHG=3293>perfectly XBD=237 XHG=821 XBD=323 XBD=443 XBD=527 XBD=801 XBD=874 XBD=1061 XBD=1265 XHG=157 XHG=256 XHG=344 XHG=465 XHG=550 XHG=896YBD=3336 XHG=1084 YBD=3335 YBD=3326 YBD=3327 YBD=3328 YBD=3337YHG=3296>by YHG=3302>very YHG=3295>few YHG=3304>cases YHG=3305>are YHG=3296>complicated YHG=3297>mastoid YHG=3304>suppura" XBD=2460 XBD=1411 XBD=1491 XBD=1644 XBD=1713 XBD=1901 XBD=2043 XBD=2112 XBD=2159 XBD=2337 XHG=1327 XHG=1432 XHG=1513 XHG=1671 XHG=1738 XHG=1953 XHG=2068 XHG=2139 XHG=2184 XHG=2361 YBD=3379 YBD=3374 YBD=3373 YBD=3377 YBD=3370 YBD=3371 YHG=3339>well YHG=3339>for YHG=3339>nearly YHG=3341>18 YHG=3340>months. YHG=3341>Case YHG=3339>B, YHG=3341>8 YHG=3338>months YHG=3339>after XBD=236 XHG=775 XBD=360 XBD=466 XBD=522 XBD=711 XBD=759 XBD=992 XBD=1060 XBD=1264 XHG=157 XHG=275 XHG=375 XHG=483 XHG=539 XHG=728 XHG=1008YBD=3373 XHG=1077 YBD=3381 YBD=3372 YBD=3382YHG=3341>unrelieved YBD=3383 YHG=3339>tion. YHG=3339>This YHG=3342>type YHG=3341>of YHG=3341>deafness YHG=3341>is YHG=3342>by YHG=3342>myringoXBD=260 XHG=726 XBD=342 XBD=517 XBD=648 XBD=703 XBD=891 XBD=1172 XBD=1266 XHG=157 XHG=279 XHG=362 XHG=540 XHG=671 XHG=913YBD=3418 XHG=1195 YBD=3425 YBD=3417 YBD=3419 YBD=3419YHG=3386>mastoid YHG=3383>tomy, YHG=3386>not YHG=3386>because YHG=3386>there YHG=3386>is YHG=3386>involvement YHG=3387>but " XBD=2460 XBD=1546 XBD=1603 XBD=1806 XBD=2011 XBD=2164 XBD=2265 XBD=2411 XHG=1327 XHG=1572 XHG=1628 XHG=1830 XHG=2034 XHG=2189 XHG=2289 XHG=2436 YBD=3422 YBD=3427 YBD=3418 YBD=3416 YBD=3417 YBD=3415 YHG=3385>treatment, YHG=3384>is YHG=3384>enjoying YHG=3385>excellent YHG=3383>health YHG=3383>and YHG=3383>shows YHG=3393>a " XBD=1268 XBD=297 XBD=359 XBD=448 XBD=583 XBD=650 XBD=860 XBD=1163 XHG=158 XHG=322 XHG=382 XHG=473 XHG=609 XHG=885 XHG=1189 YBD=3462 YBD=3464 YBD=3463 YHG=3427>because YHG=3430>of YHG=3430>the YHG=3433>acute YHG=3441>or YHG=3431>inflammation YHG=3432>still XBD=1457XHG=677 XBD=1521 XBD=1690 XBD=1791 XBD=1984 XBD=2141 XBD=2270 XBD=2456 XHG=1327YBD=3463 XHG=1483 XHG=1546 XHG=1715 XHG=1813 XHG=2008 XHG=2166 XHG=2293 YBD=3462YHG=3431>subacute YBD=3471 YBD=3469 YBD=3461 YHG=3431>return YHG=3429>of YHG=3431>mental YHG=3431>and YHG=3430>physical YHG=3429>vigour YHG=3428>quite YHG=3428>remark" XBD=2460 XBD=1412 XBD=1474 XBD=1522 XBD=1634 XBD=1698 XBD=1811 XBD=1880 XBD=2013 XBD=2075 XBD=2176 XBD=2330 XHG=1329 XHG=1435 XHG=1499 XHG=1545 XHG=1659 XHG=1722 XHG=1836 XHG=1903 XHG=2036 XHG=2099 XHG=2227 XHG=2352 YBD=3507 YBD=3508 YBD=3516 YBD=3514 YBD=3505 YBD=3506 YHG=3475>able YHG=3474>in YHG=3484>a YHG=3484>man YHG=3475>of YHG=3486>over YHG=3478>60 YHG=3484>years YHG=3474>of YHG=3483>age. YHG=3473>Both YHG=3473>these XBD=289 XHG=854 XBD=346 XBD=430 XBD=645 XBD=806 XBD=935 XBD=1030 XBD=1090 XBD=1267 XHG=158 XHG=309 XHG=366 XHG=450 XHG=667 XHG=955YBD=3509 XHG=1051 XHG=1110 YBD=3514 YBD=3508 YBD=3517 YBD=3509 YBD=3509YHG=3476>The YBD=3517 YHG=3477>present YHG=3476>in YHG=3476>the YHG=3477>tympanic YHG=3476>cavity. YHG=3478>loss YHG=3478>of YHG=3477>hearing " XBD=2458 XBD=1495 XBD=1582 XBD=1764 XBD=1872 XBD=1971 XBD=2232 XBD=2320 XHG=1328 XHG=1519 XHG=1604 XHG=1786 XHG=1895 XHG=1994 XHG=2253 XHG=2342 YBD=3552 YBD=3551 YBD=3559 YBD=3550 YHG=3520>patients YHG=3529>are YHG=3520>medical YHG=3530>men YHG=3520>and YHG=3518>approached YHG=3517>the YHG=3520>treatXBD=186 XHG=757 XBD=399 XBD=513 XBD=734 XBD=952 XBD=1055 XBD=1148 XBD=1266 XHG=159 XHG=207 XHG=421 XHG=537 XHG=980YBD=3560 XHG=1080 XHG=1172 YBD=3551 YBD=3554 YBD=3562 YBD=3554 YBD=3554YHG=3522>infection, YHG=3518>is YHG=3522>associated YHG=3521>with YHG=3522>tympanic YHG=3523>and YHG=3524>not YHG=3522>with " XBD=2461 XBD=1433 XBD=1543 XBD=1666 XBD=1904 XBD=2055 XBD=2134 XBD=2235 XHG=1329YBD=3607 XHG=1450 XHG=1560 XHG=1684 XHG=1949 XHG=2072 XHG=2151 XHG=2253 YBD=3604YHG=3576>process. YBD=3605 YBD=3602 YBD=3594 YBD=3595 YHG=3566>ment YHG=3563>with YHG=3566>great YHG=3566>scepticism. YHG=3563>They YHG=3572>are YHG=3573>now YHG=3563>convinced XBD=383 XHG=732 XBD=441 XBD=528 XBD=713 XBD=892 XHG=159 XHG=404 XHG=462 XHG=549 YBD=3606 YBD=3599 YHG=3567>suppuration YHG=3568>in YHG=3567>the YHG=3567>mastoid

L. J. WITTS, Nuffield Professor of Clinical Medicine. Radcliffe Infirmary, Oxford, Oct. 24th.

TREATMENT OF DRUG ADDICTION