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It follows that, for the majority at least, exclusive or excessive specialisation in training vocational or otherwise so far from being an advantage, is a positive drawback; for, as we have seen, a large proportion of our youth manifest no marked bent in any particular direction, and of those who do but a small proportion are capable of that hypertrophy which the highest specialisation demands.

She obstinately refused to be examined by any other doctor in case he should say she had another malady, and she spoke of "her hypertrophy" so often that it seemed as though this affection of the heart were peculiar to her, and belonged to her, like something unique, to which no one else had any right.

On account of its hypertrophy, the left auricle is able to send an increased amount of blood into the left ventricle, which in turn becomes hypertrophied and sends enough blood into the aorta to satisfy the requirements of the systemic circulation in spite of the leakage through the mitral valve. As long as this compensation continues, there are no symptoms.

On one occasion a steamboat captain refused to take him as a passenger. Treves exhibited him twice before the Pathological Society of London. His affection was not elephantiasis, but a complication of congenital hypertrophy of certain bones and pachydermatocele and papilloma of the skin. From his youth he suffered from a disease of the left hip-joint.

The right ventricle hypertrophy caused by mitral lesions has already been sufficiently discussed. The right ventricle also hypertrophies in emphysema, after repeated or prolonged asthma attacks, perhaps generally in neglected pleurisies with effusion, in certain kinds of tuberculosis, and whenever there is increased resistance in the lung tissue or in the chest cavity.

From no section does one get a better idea of the character and scope of the work than from that relating to the heart and arteries affections of the pericardium, diseases of the valves, ulceration, rupture, dilation and hypertrophy and affections of the aorta are very fully described. The section on aneurysm of the aorta remains one of the best ever written.

The cavity of the left ventricle was very small; there was evidently a concentric hypertrophy of these ventricles; the left valve of the heart was of great size.

The true pathology of the elephantoid diseases may thus be briefly summarized: A parent filaria in a distant lymphatic prematurely expels her ova; these act as emboli to the nearest lymphatic glands, whence ensues stasis of lymph, regurgitation of lymph, and partial compensation by anastomoses of lymphatic vessels; this brings about hypertrophy of tissues, and may go on to lymphorrhoea or chyluria, according to the site of the obstructed lymphatics.

Increased movement produces hypertrophy, and according to the theory here maintained, not merely enlargement of parts existing, but phylogenetic increase in the number of such parts, here fin rays and their muscles.

Therefore she pretended not to hear Nikky behind her, and was completely engrossed in the city lights. So Hedwig intended to be remote, and Nikky meant to be firm and very, very loyal. Which shows how young and inexperienced they were. Because any one who knows even the beginnings of love knows that its victims suffer from an atrophy of both reason and conscience, and a hypertrophy of the heart.