Of the second group, that of cases of apparently organic disease, the case of insanity was taken out of an insane asylum by Christian Science friends, but apparently is still insane; the diseased jaw slowly recovered, as such cases sometimes do, without any treatment. The same is very possibly true of the case of tuberculosis of the bowels (peritoneum), though the diagnosis is not certain. The cuts, bruises, and breaks healed rather slowly under ordinary surgical treatment in a hospital. Of the locomotor ataxia, the rupture, and the loose elbow-joint, nothing more can be said without knowing whether the diagnoses were correct--a point on which no opinion can be formed, owing to the scantiness of the facts recorded. _Unreliability of "Home-Made Diagnoses"_ In the analyses of these cases I am guided by my experience with the diagnoses naively given by patients entering my office for treatment--diagnoses based either upon their own unguided observation or upon what they suppose their own physician to have said to them. In such instances there is no possible motive for deception or for exaggeration; the patient is saying exactly what he believes; and yet, I have rarely found his statement to be even approximately correct. For example, when a patient comes to me with the statement that he has "kidney and bladder trouble," I generally find both the kidneys and the bladder sound. The patient has pain in his back in the region where he supposes his kidneys to be; he interprets his symptoms in the light of what he has read in the newspaper advertisements and what he has been told by his kind friends, and arrives at what is (to his mind) a perfectly solid conclusion. He has no doubts of the diagnosis, states it as a fact, and asks only for treatment. So it is with patients coming for "spinal trouble," "hardening of the spine," "inflammation of the spine," or "spinal meningitis." They almost always turn out, on careful examination, to be suffering from some form of nervous prostration. In the interpretation of their sufferings and in the names which they attach to them they have been guided quite innocently by hearsay. Similarly when patients come to me for what they call "heart trouble" and turn out on examination to be suffering from pain in the left side of the chest without any heart trouble at all, I accuse them of no deception but only of incapacity for the accurate appreciation of the value of evidence. Certain other statements recur very often in the histories given in all good faith by patients, whether in the doctor's office or in a Christian Science experience meeting. I will quote some of these: "I have had a great many doctors, and each has made a different diagnosis." "I am suffering from a complication of diseases, Bright's disease, liver and lung complaint, and other ailments too numerous to mention." "I have had a great many operations performed on me."