EVERY-DAY ENDOCRINOLOGY Al 
gland was administered. The patient is now feeling 
much stronger and his blood pressure has risen to 110 
systolic and 70 diastolic. He is still taking treatment 
under my observation. 
CASE No. 2. A young girl of 18, complaining of at- 
tacks of nervous spells, consisting in uncontrollable 
movements of the upper and lower extremities, and 
other parts of her body, accompanied at times by laugh- 
ing, but most of the time by crying with tears. During 
the attack, the patient experiences a sharp pain in the 
epigastrium and a sensation of dizziness. No foaming 
at mouth or involuntary discharge of feces or urine 
ever occurred during an attack. This trouble began 
about one year ago, and was accompanied by a change 
in her menstrual function. Her menses, previously 
normal, now occur every two or three months, and are 
very painful. The nervous spells, as the patient calls 
those attacks, occur from one to several times a day, 
and may be brought on by a sudden noise, or by any- 
thing hot or cold coming in contact with her body. 
Very often the attacks take place without any apparent 
cause. I have witnessed these attacks in my office while 
examining her for, at one time, putting the stethoscope 
to her chest was sufficient to bring on an attack exactly 
as the patient described it to me. 
Considering the simultaneous occurrence of irregular 
painful menstruation and the above-described attacks 
of nervous spells as one abnormal phenomenon, due, 
possibly, to an insufficiency of the ovarian or the thy- 
roid secretion, or, perhaps, both—the patient was put 
on a combination of these principles with gratifying 
results. The attacks occur now at far less frequent 
intervals, and the patient is able, at times, to control 
herself when she feels the oncome of an attack, a thing 
which she could not do before. She is still under ob- 
servation. 
CASE No. 3. A woman, aged 32, consulted me for 
obesity. She is 5 feet 4 inches tall and weighs 225 
pounds. She felt very uncomfortable with such an 
excessive amount of tissue about her body. She had 
been several times on a diet reduced in carbohydrates 
and fat, but no reduction in her body weight resulted. 
Exercise would only tire her out. Her urine examina- 
