od Trans. Acad. Sct. of St. Louts 
by actual local evidence found post mortem. There are 
practically no normal appendices—all are somewhat dis- 
eased, just as tonsils are practically all slightly inflamed. 
We all have some pyorrhoea. We have all had pulmonary 
tuberculosis—not the slightest doubt about it. We laugh 
about our grey hair and our glasses, and are shocked 
when we are told of these quietly progressive internal 
changes. Now fancy the difficulty of saying which of 
these is responsible for a chronic arthritis or other sys- 
temic disease known to originate from a primary focus 
of infection. 
There are certain subjects that indicate definite trends 
in modern medicine that are so difficult to put across 
that I hesitate, though may I attempt it? One of these 
is what might be termed the subject of individualization. 
Our old doctor was credited with understanding the in- 
dividual constitutions of his patients. Whether he un- 
derstood them or not, he learned something about them. 
Now of recent time we have come to consider that each 
one of us is a law unto himself, both anatomically and 
physiologically; that our individual internal structure, 
and the operation of our internal functions are just as 
personally peculiar to us as are our faces, voices, meD- 
talities and dispositions. 
‘A few years ago we heard much of abnormal displace- 
ments of the viscera. The stomach had fallen, or the 
colon, or we had floating kidneys. During the last decade, 
since the truly wonderful revelations of the X-ray, if 
we followed such a doctrine, we should be forced to be- 
lieve that there are few normal people. Let me review 
as briefly as possible the factors leading to the conclu- 
sion that our previous views as to displaced viscera were 
largely incorrect, and only represented our ignorance. 
If one were to have arrayed before him the bodies of a 
