Did I give too little atropia? Three doses of 1–12th grain each, sufficed to counteract the poisonous influence of 1½ ozs. tinct. opii, in a case which presented much graver symptoms of poisoning, (vide pp. 65 and 66 N. C. MED. JOUR., Feb., 1879). Was I too slow in administering the antidote? In the present case the use of atropia was commenced six hours after the morphia was exhibited,—in the case above cited five hours elapsed before any atropia was given. In the case I previously reported, an aggregate of ¼ grain was given within seven hours after the opiate was taken, in the present case ½ grain within eight hours. Did I give too much atropia? At a single dose, Dr. Fothergill gave 1 grain in a similar case, and the patient recovered.[3] (_Antagonism of Medicines_, p. 133). Should I have given digitalis or strychnia hypodermically to further stimulate the heart? That poor organ appeared to be doing its best, and to tell the truth, I felt that I had had enough of hypodermic medication for one day, and felt unwilling to risk anything more, after being so disappointed in my expectation of relief from atropia. I am open to conviction upon any one or all of the questions I have propounded. * * * * * In the light of our present knowledge of laceration of the cervix uteri, Dr. Whitehead’s article on “Hypertrophic Elongation of the Cervix Uteri” (Trans. N. C. Medical Society, 1875, p. 90), has peculiar significance. LARYNGO-TRACHEOTOMY. By CHARLES DUFFY, SR., M. D., Catherine Lake, N. C. Read before the Onslow County Medical Society, September, 1878. _Gentlemen of the Onslow County Medical Society:—_ I was written to sometime ago, by a member of the State Medical Society, asking my views in regard to operating on the windpipe. My experience in such operation has been very limited, six times being the maximum of my labors in that direction. My first was a failure, done for the relief of cynanche trachealis, the operation being performed too late.