"After the tonsils have been removed, the morbid matter which they were eliminating usually finds the nearest and easiest outlet through the adenoid tissues and nasal membranes. These now take up the work of 'vicarious' elimination and, in their turn, become hyperactive and inflamed. "Sometimes it happens that the adenoid tissues become affected before the tonsils. In that case, also, relief through the surgeon's knife is sought and then the process is reversed: after the adenoids have been removed, the tonsils develop chronic catarrhal conditions. "When both tonsils and adenoids have been removed, the nasal membranes will, in turn, become congested and swollen. Often the mucous elimination increases to an alarming degree, and frequently polyps and other growths make their appearance or the turbinated bones soften and swell and obstruct the nasal passages, thus again making the patient a 'mouth breather.' "But in vain does Nature protest against local symptomatic treatment. Science has nothing to learn from her. "When the nose takes up the work of vicarious elimination, the same mode of treatment is resorted to. The mucous membranes of the nose are now swabbed and sprayed with antiseptics and astringents, or 'burned' by cauterizers, electricity, etc. The polyps are cut out, and frequently parts of the turbinated bone and septum as well, in order to open the air passages. "Now, surely, the patient must be cured. But, strange to say, new and more serious troubles arise. The posterior nasal passages and the throat are now affected by chronic catarrhal conditions and there is much annoyance from phlegm and mucous discharges which drop into the throat. These catarrhal conditions frequently extend to the mucous membranes of stomach and intestines. "When the drainage system of the nose and the nasopharyngeal cavities has been completely destroyed, the impurities must either travel upward into the brain or downward into the glandular structures of the neck, thence into the bronchi and the tissues of the lungs. "If the trend be upward, to the brain, the patient grows nervous and irritable or becomes dull and apathetic. How often is a child reprimanded or even punished for laziness and inattention when it cannot help itself? In many instances the morbid matter affects certain centers in the brain and causes nervous conditions, hysteria, St. Vitus' dance, epilepsy, etc. In children the impurities frequently find an outlet through the eardrums in the form of pus-like discharges. This may frequently avert inflammation of the brain, meningitis, imbecility, insanity or infantile paralysis.