TAPEWORMS. OL 



tions, it was quite likely that they looked for the 

 elimination of an additional thirty feet of tape- 

 worm, including the head. 



When you have to deal with persons on whose 

 good sense you may confidently rely, experiences of 

 this kind will not occur; but the impatience of 

 some individuals to realize what they term " prac- 

 tical results " prevents their appreciation of advice 

 and treatment which is not immediately operative. 

 I will give one instance, amongst many, where I 

 have advised delay with a satisfactory termination 

 of the case. 



CASE XXXIII. C. M., an Oxford graduate, 

 about thirty years of age, consulted me on the 

 3rd of April, 1869. He had recently been treated 

 for tapeworm with a considerable amount of success, 

 but felt quite sure that he still entertained the para- 

 site. Not that he had any ocular evidence of the 

 fact from the passage of proglottides ; but that 

 he still experienced persistent sleeplessness and 

 general debility, frequently amounting to exhaus- 

 tion. These symptoms he could only account for 

 on the supposition that the tapeworm was still 

 present. From the statements advanced respecting 

 the amount of tapeworm dislodged by previous 

 treatment, I conjectured that in the event of its 

 being still attached it would require about five 

 weeks more in order to arrive at maturity. On 

 this account I advised delay. At the expiration of 



