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The blood should be allowed to flow freely out of the cut ends, and then a bandage applied. For extirpation, the skin having been shaved beforehand, the vein should be made prominent, and then carefully laid bare. When freed from all adhesions, it should be lifted out on a hook, and either completely extirpated or several rather long pieces removed.

A considerable portion of the wound healed by adhesions, and the patient was discharged, cured, in fifty-four days. No exfoliation of bone occurred.

The treatment is influenced by the nature of the original lesion, the variety of the ankylosis, and the attitude of the joint. When there is restriction of movement due to fibrous adhesions, these may be elongated or ruptured. Elongation of the adhesions may be effected by manipulations, exercises, and the use of special forms of apparatus such as the application of weights to the limb.

To strengthen her position she entered into relations with Rome, which gladly welcomed any adhesions to her cause in this remote region. Sapor's second war with Rome was, like his first, provoked by himself.

It is to be inferred, as there were adhesions, that there had been pleurisy and deposit of lymph and serum, as in case 1, and that Nature had commenced the cure by absorbing the serum from the chest, and the lymph from the free pleural surface, and smoothed off every thing to a good working condition.

From this experience may he traced three of the most delightful of the "Walking-Stick Papers." It was while at Scribner's that he met Joyce Kilmer, who also served as a Scribner book-clerk for two weeks in 1909. This friendship meant more to Bob Holliday than any other. The two men were united by intimate adhesions of temperament and worldly situation.

#Delayed Tetanus.# During the European War acute tetanus occasionally developed many weeks or even months after a patient had been injured, and when the original wound had completely healed. It usually followed some secondary operation, e.g., for the removal of a foreign body, or the breaking down of adhesions, which aroused latent organisms.

In dry pericarditis with serious adhesions, or if adhesions occur as a sequence of acute pericarditis, the future prognosis is bad, as myocarditis may develop and sudden death or acute dilatation may occur.

The crepitation may be soft like the friction of snow, or may resemble the creaking of new leather "saddle-back creaking." There may be swelling in the long axis of the tendon, and redness and œdema of the skin. If there is an effusion of fluid into the sheath, the swelling is more marked and crepitation is absent. There is little tendency to the formation of adhesions.

The most marked instance which ever came under my notice was due to irritation in the ovaries, which had been forced down in front of the uterus and been fixed there by adhesions. Here there was little sexual proclivity, but the eyes were very remarkable. They flashed and glittered unceasingly, and at times perfect lightning bolts shot from them.