PAPERS ON MEDIQNE AND PUBLIC HEALTH 257 



The adhesions to the various organs may be of help, ex- 

 plaining certain sj-mptoms referable to the colon or 

 stomach, but particularly do I wish to emphasize the find- 

 ing of the anomalies of the ducts and blood vessels, a fact 

 well brought out some time ago by Dr. D. N. Eisendrath in 

 a masterly article on the subject. When one finds a ses- 

 sile gall bladder with practically no cystic duct, he can 

 understand how the adhesions to the fundus caused an an- 

 gulation which produced colic quite as severe as though 

 brought about by stones. Again, the parallel cystic and 

 hepatic ducts, or the anterior or posterior spiral placement 

 of the cystic duct, as it curls about the hepatic before it 

 unites to form the common, or the constriction of a duct 

 by an abbarent blood vessel, explain symptoms which were 

 so puzzling. 



DISCUSSION OF DR. WEIGHT'S PAPER 



Relative to the relation between gall bladder infection 

 and the typhoid carrier. Dr. Thomas G. Hull called atten- 

 tion to the frequency with which cari'iers are being refer- 

 red to the State Department of Public Health by physi- 

 cians. 



Dr. Hull stated that from a public health standpoint, Dr. 

 Wright's paper is most interesting. Continually the 

 laboratory is uncovering typhoid carriers and the cry is 

 continually coming up to show how such persons can be 

 cured. 



