420 



GEOEGE H. HOXIE 



The advantages of radium over X-ray are: "The action is more rapid ; 

 with radium one treatment alone suffices to effect a cure." "Kadium is 

 portable." . . . "The application is so simple that the dangerous element 

 of fear is eliminated . . . and a highly skilled operator is not needed." 



Brayton and Heublein's results are illustrated by the accompanying 

 figures of a case in their series (Case 43), the time interval between the 

 two photographs being one week. 



Aside from this, I find that arsenic administered in the form of 

 arsacetin, or sodium cacodylate, intramuscularly has seemingly a dis- 

 tinctly good effect on the blood picture, as well as on the general condition 

 of the patient. 



Fig. 14. After treatment with radium (Brayton and Heublein). 



The surgical removal of the gland may occasionally be necessary, on 

 account of the urgency of the case. The tcchnic and results are perhaps 

 best illustrated by the rehearsal of Parker's case. This was a year old 

 child, suffering from convulsions that appeared to be brought on by crying. 

 During these attacks of crying there was a marked stridor. The diagnosis 

 of increased thymic dullness was confirmed by the X-ray. Parker used 

 ether and removed a portion of the thymus 5 cm. by 3 cm. by 1.5 cm., 

 weighing 9 gm. about one-half hour after removal. The child had only 

 one more convulsion, and that just a few hours after the operation. 



"The plan of operation was that of \ 7 eau. A median incision 4 to 5 

 cm. long was made with the lower end just below the upper border of the 

 sternum and extending down to the deep fascia. An incision of the deep 

 cervical fascia exposed the sternohyoid muscles which were separated by 

 incision and dissection. This exposed the pretracheal tissues and in the 



