My next case was the woman alluded to, the wife of Mr. Amos Wooten, of New Hanover county. A piece of beef gristle got into the wrong passage. After several spasms, and vain attempts to get it out she sent for me. I got to her as soon as possible—the distance being sixteen or seventeen miles. On enquiry I learned the particulars of her case. I found her composed. I told her it might not be in the windpipe, and we had better be certain about it. I passed a probang down the œsophagus and found that it was not there. After waiting a little longer, she had a violent spasm that hurried and increased her determination to have it out. So violent was the spasm, that it created doubts on her mind as to her chances of living, or of being able to bear up under the operation. She next turned her head toward me and remarked that she was ready. I had no medical assistant with me. I operated without chloroform—the woman fainted. There was camphorated spirits close by, and I sprinkled it heavily and forcibly in her face and over her chest, and rubbed some in her mouth. She revives with a vim and sends the gristle forcibly, not only out of her mouth, but nearly out of doors, rejoicing all hands around. I applied sticking plaster and left; saw her in a few days; she was well. My next operation was on the child of Mr. Enoch Foy, who had the misfortune to get a watermelon seed in his windpipe. The usual symptoms occurring, he came on with his little boy and had him relieved—the seed coming out several hours after the operation. The next was a child of Mr. Marshall, (another fine boy), another case of watermelon seed, which was operated on with like success. My last case was a child 8 or 9 months old, a very pretty and fine little girl, the daughter of a Mr. Padjet of this county. She had been playing with an ear of corn, given to amuse her; some of the grains coming off and one and a half getting into the windpipe, as shown by the sequel. She was operated on, assisted by Drs. Cox and Nicholson. The foreign substance did not come out as soon after the operation as the other cases. The wound was not kept open by the attendants, and in consequence I had to re-visit, reöpen and somewhat enlarge the incision which was attended with the usual good results. The child was very fat, and the space for operating in so young a child, was necessarily very limited. One grain of corn and the part of another was expelled. I will next give my “modus operandi,” or rather my imperfect manner of operating.