60 ENDOCRINE THERAPEUTICS 



warning. Such a case I saw recently : a man, 

 aged 54, apparently in the best of health and 

 condition, very muscular, playing two rounds of 

 golf a day, with no shortness of breath, vertigo, 

 or any sense of fatigue. His only conscious 

 trouble was painful feet on walking. An un- 

 usually clever chiropodist, who could find no 

 local cause for the pain, sent him to me, thinking 

 he had high pressure : this I found to be over 

 200 mm. There was no albumin ; the heart 

 showed no signs of strain and no dilatation. 

 This man felt that he was at the top of his form 

 and lived accordingly, both as to eating and drink- 

 ing ; but how precarious is his state ! Such men 

 call to mind the 73rd Psalm : " They are not in 

 trouble as other men; neither are they plagued 

 like other men. Their eyes stand out with fat- 

 ness : they have more than heart could wish" ; but 

 as the Psalm says later, " surely Thou didst set 

 them in slippery places : Thou castedst them down 

 into destruction." The self-denying onlooker 

 says somewhat enviously, " Verily I have cleansed 

 my heart in vain, and washed my hands in 

 innocency " ; but he survives while the other 

 passes and is forgotten. It is not often that one 

 gets such a hearty man as the above to reform 

 his life, but if he is wise he can be saved. The 



