RErORTS OF CASES. 
825 
caused by the calk of her shoe. The mark was elliptical, about 
three inches long - , three-eighths of an inch wide at the widest 
part, and about one-fourth of an inch thick. He wished very 
mu ch to have it removed, but I discouraged him, because my 
experience in such operations was not at all satisfactory ; but 
he was persistent. He being of a mechanical turn of mind 
soon caused me to volunteer to operate ; so we adopted the fol¬ 
lowing method (new to me, but possibly not to more experi¬ 
enced professional brothers): 
The hair was shaven back from the edges of the cicatrix 
about three inches, two pads of cotton felt were made, about 
one-fourth of an inch thick, placed parallel with the wound. 
These were thinned back to an edge, and glued to the shaved 
dry skin. To the sloping sides of the pads were glued a strip 
of leather with holes punched for the easy passage of a needle. 
This took about two hours of patient work. Now the cicatrix 
was dissected from the edges of the hair, blood prevented from 
flowing by the use of a solution of the sulphate of copper. Io¬ 
doform was next dusted over the wound, and with a shoema¬ 
ker’s waxed thread the edges of the wound were drawn together 
by drawing the two pads together. A strong bandage was used 
and the beast turned into a box. On the ninth day we exam¬ 
ined the wound to find it clean and healed by first intention. 
It was bandaged again for fifteen days, when every sign of a 
cicatrix was gone. The bandages were readjusted and removed 
after twelve days, when the pads were taken off by means of 
warm water, etc. The cure was perfect. 
I make this report because I never saw such an operation 
recorded, and some of the Review readers might benefit by our 
work. I do not claim any credit for the ingenuity used. It was 
Dr. W.’s mechanical genius. 
TWO CASES OF TETANUS SUCCESSFULLY TREATED WITH ANTI- 
TETANIC SERUM. 
By Dr. D. W. Mack, Appleton, Wis. 
1 recently treated two cases of tetanus with antitetanic se¬ 
rum (Parke, Davis & Co.), with results that convince me of its 
specific value in this once fatal disease. 
Case /.—A farmer drove a gray gelding up to my office on 
July 22, 1901, and said his horse was acting very peculiarly. 
He wished me to examine the animal, which I did, when I was 
at once able to make a diagnosis of tetanus. I considered the 
disease to be idiopathic, inasmuch as I could find no point of 
