268 THE INTERNAL SECRETIONS—1920 
It is common knowledge that postoperative insanity 
follows the surgical efforts of the very best men. If 
these vital hormone producers are working in unison, 
if the various systems of the organism are in accord, 
if the calcium and natron ions in the plasma are pro- 
portionately correct, then the author claims that such 
surgical cases will emerge from their operations in 
greater safety, with more chance for recovery, and 
with less chance of postoperative mental disturbance. 
With this in mind I report another case: Mrs. K., 
housewife, age 32, had influenza, with all the severe 
symptoms enumerated in the other cases reported. 
Under the same organotherapeutic treatment, after 
three months, she was operated on successfully by the 
author for anal fissure, hemorrhoids, ventral fixation 
of the uterus, ovariotomy and appendectomy. The pa- 
tient had been so very melancholic for so long that 
it would have been but a step more to mental insta- 
bility of a pronounced type, while now she is cheerful 
and is doing her own housework; in fact, is surely 
and safely approaching a normal condition. 
Another case in question followed a street car 
wreck; cholecystectomy, appendectomy, right pyelitis, 
separation of many adhesions about Glisson’s capsule 
and the diaphragm—this being followed by pneumonia 
and diaphragmatic pleurisy. After two years the in- 
fluenza was acquired, pneumonia again affected the 
lower lobe of the right lung, and a subdiaphragmatic 
abscess broke into the bowel and was discharged. 
The patient then emerged from a long siege of suf- 
fering with the sequelae formerly noted. 
After a course of pluriglandular therapy, he re- 
gained his strength and the systemic balances, and 
then was able to be operated on for hemorrhoids and 
anal fissure. To my way of thinking his convalescence 
was greatly aided by compound organotherapy. Sur- 
geons will find organotherapy a wonderful aid as they 
learn more about such treatment. 
