CASE III.—Wm. S., æt. four years, a great sufferer from asthma, at times when having a slight cold, to which he was very prone, to such an extent that he could not lie down for several days and nights. Relief had been sought in the higher altitudes of the Rockies and a residence of one year at Denver, but none came. I was consulted on November 25, 1899. An examination showed the post-nasal space almost occluded with adenoid vegetations. Of course I advised their removal, which advice was accepted, and their thorough removal, under the local application of cocaine, accomplished the purpose. This was the child of a brother practitioner, and in April this year I had a letter from the doctor, in which was the very gratifying sentence, “William has not had the asthma since you removed his adenoids, and is much better in every way.” This was especially pleasing since his suffering had always been more severe and constant during his previous winters. CASE IV.—Male, æt. forty-five, Swede; occupation, bridge-builder. Had suffered annually for fifteen years with, first, hay fever, and, later in the season, asthma. In the summer of 1899 he anticipated his attack by a trip to the mountains of Colorado, where he found exemption and remained until the first frosts had appeared here, and then ventured to return. Immediately on arriving at Omaha on his return, his old antagonist met him and the battle again raged with even renewed vigor. He consulted me a few days after his arrival home, in a frame of mind ready to accept any suggestion which promised him relief. I examined the nasal passages. The right lower turbinated was greatly hypertrophied, and on the application of cocaine, 3 per cent. solution, the tumefaction largely disappeared and great immediate, but of course, temporary, relief was experienced. On the left side an immense septal spur on the osseous portion was found and removed. After the temporary swelling incident to the operation had subsided, his relief was, and remains, complete. I subsequently cauterized the enlarged right turbinated, since which time, he informs me, he has breathed more freely than he has done for fifteen years.