262 
G. F. STARKEY. 
ation and the escarotic agents works well in the hands of ex¬ 
perts; but in the hands of the uninitiated will not give satisfac¬ 
tory results. Evacuation and the use of antiseptics like carbolic 
acid, creoline, etc., is not successful except in the very early 
stages, before the derise connective tissue becomes the seat of 
numerous centers of fungi that cannot be reached by the anti¬ 
septic used. Lastly the complete extirpation by the knife if 
judiciously done is productive of good results. The indications 
for this treatment are first that the tumor be superficially located, 
and secondly that it be not too great in extent. 
The after treatment of these cases, consisted, in my practice, 
of application of pine tar and turpentine. All these cases do 
not permit of a cure by this method, some though they heal up 
and show no signs of external tumors during life, but on being 
slaughtered actinomycotic growth are found. 
In some of the cases I have operated on, a tumor has reap¬ 
peared before or soon after the wound was healed. In these 
cases I infer that all of the tumor was not removed. In the 
cases treated internally with potassium iodide, where the tumor 
has reappeared, I infer that all of the germs were not destroyed 
and that after the medicine had been eliminated from the system 
they again began development. 
By any of the foregoing methods of treatment failures will 
sometimes be recorded; but probably in the least number of 
cases where the knife has been judiciously used. I believe, 
however, that no cases exist where a combination of the fore¬ 
going treatment will not effect a radical cure unless the diseased 
process is located in the chest or abdominal cavities. 
The reason for an uncertainty in regard to these, is that I 
have had no experience with them, and only internal treatment 
could reach them if they could be diagnosed to a certainty, 
which is extremely improbable. 
The weather and season of the year has a marked effect up¬ 
on the treatment of this disease, and the food a still greater one, 
which seems to be entirely overlooked by Dr. Norgard, Inspec¬ 
tor in charge of the Chicago Experiments, and all other inves- 
