68 THE INTERNAL SECRETIONS—1920 
another operation for adhesions, although he frankly 
admitted to the patient’s husband that the operation 
would be largely useful for the psychic effect. Various 
tonics, heart-stimulants, nerve-sedatives, diets and pe- 
riods of rest had been prescribed. She changed climate 
with temporary benefit; but after a little, the same 
dreary round of discouraging symptoms again pre- 
sented itself. What was she to do? A neighbor tried 
to read “Science and Health” to her, but Mrs. S. pro- 
tested that Christian Science is for those who have 
nothing the matter with them. 
When we were called to the case, three months ago, 
we prescribed a thyroid-ovarian combination for the 
neurasthenia, a hemoglobin preparation for the anemia, 
and remineralization. You can see the results today. 
Mrs. S. is doing her own work, is sleeping normally, has 
put on flesh, has lost her despondency. A valuable life 
has been saved to the community, a delightful home has 
been preserved. These results are not imaginary, but 
real, tangible and definite. 
Our next stop is at a humble cottage. Mrs. J. M.isa 
patient similar to Mrs. S. in many respects. She is 48 
and has one child. She had a hysterectomy performed 
five years ago for submucous fibroids. After the opera- 
tion she became increasingly morbid and nervous. She 
had persistent neuralgias and headaches, mild insom- 
nia and a poor appetite. She would scarcely go away 
from home and asked to be let alone. She despaired of 
life and, at times, feared that she was becoming in- 
sane. Her friends spoke of her as being “‘a little queer.” 
Patient feared she might commit suicide in one of her 
“spells.” Bromides and other sedatives were used with 
but little effect. My recommendations in this case 
were: 
_(1) That all her decayed teeth should be extracted. 
(2) Moderate rest and a light, nourishing diet. (3) 
That she should receive the same ovarian combination 
