In subsequently commenting on my published report of this case, that most accomplished writer and physician, Henry M. Lyman--than whom there is no greater authority on anaesthesia--observes that the plan proposed and adopted by me on this occasion (that of compressing both vein and artery) is far preferable to compression of the vein alone. The reason for this is not far to seek. When we compress the veins alone there is a rapid accumulation of blood in the extremities through the accessions derived from the uninterrupted arteries. Now, as this blood is derived from the trunk, and consequently also from the organs contained within the cerebro-spinal canal, there is danger of syncope and even heart failure. When, on the other hand, both artery and vein are compressed no such derivative action occurs, and all danger is, consequently, removed. With an apology for this brief digression, I now return to the interesting case which has given rise to it. Having, as previously stated, applied tourniquets to the central portion of the lower limbs, the ether cap was placed over the mouth and nose of the patient, and in an incredibly short time he was unconscious, and the surgeons were able to go on with the operation. The late Dr. Cornelius R. Agnew and many other members of the staff of the hospital were present, and gave emphatic expressions of approval. Dr. F.W. Ring, assistant surgeon to the Manhattan Eye and Ear Hospital, declared that both the amount of ether and the time consumed in its administration were infinitesimal when compared with what had been expended in previous efforts at inducing anaesthesia in the usual way. The facts brought out on this occasion with regard to the administration of ether have since been repeatedly verified by different observers; so that at the present day their validity cannot be questioned. I will merely add, however, that I have long known that the dosage of phenacetin, antipyrine, morphine, chloralamid, chloral, the bromides, and many other remedies might be reduced by resort to the same procedure; all of which is merely equivalent to stating that their pharmaco-dynamic energy may be increased in this way. And this brings us to the second fact, which requires no special elaboration, and may be stated thus: