l’Ecole des Beaux-Arts alone, employed a _répétiteur_ who drilled me in anatomy and smuggled me into the dead-house of La Charité at great risk of detection, where I operated on the _cadavre_. I once made the rounds of his wards in the Hôtel-Dieu with Roux, heard his lectures, and saw his operations. I attended lectures on medical generalities at the College of France and Jardin des Plantes. I believe that was all in the way of Parisian study. I applied to Davenne, Director-General of the hospitals, for permission to follow the physicians—refused; applied to Dubois and Trousseau to attend lectures at the Ecole de Médecine—refused; Trousseau advising me to disguise. You see I had no introductions, no experience. I went into the Maternité soon after going to France, and came out with a sad accident, not inclined to renew the battle, not well knowing how, and with a promising chance opened to me in London. I should do differently now. I should get the most influential introduction I could; I should tell them just what I wanted, find which hospitals would be most suited to my purpose, and if by putting on disguise I could get either an assistant’s post or good visiting privilege, I would put it on. I don’t believe it would be a disguise at all to those you were thrown with, but it would be a protection if advised by intelligent men, and would make them free to help you. I should avoid crowds, because you gain nothing in them; I don’t think either the lectures at l’Ecole de Médecine or the great hospital visits, where from one to five hundred students follow, would be of any use. It is in a more private and intimate way, and in hospitals where many students do not go, that you might gain. I know no one in a position to give you more valuable letters than Dr. Simpson, if he is disposed to. You ask me what I saw at the Maternité, but I find my notes imperfect; I have only noted down nine versions, &c. But I think the most important thing in the Maternité is the drilling in the more ordinary labours, for only where the finger is thoroughly trained can you detect varieties. The cases you send me are very interesting, and I am very glad you have made such full notes, as they will be useful hints in future solitary practice. Don’t be in a hurry to leave Dr. S., for I fear you will nowhere else find a good drilling in that department. I shall see how far I can make your notes available from time to time in my own practice. With regard to my own _clientèle_, I shall have advanced 50 dollars over last year; slow progress, but still satisfactory, as it is reliable practice, not capricious success. Only think, the thermometer has been up to 102 in some of the rooms down town! We have had three