CASE V.—Lady, æt. about twenty-eight, married, had consulted all the physicians in her home town, except the one she should have at first consulted. Finally, in desperation she went to a young up-to-date homeopathic physician, who looked into her nose and assured her he knew what caused her trouble. He made an application of a solution of cocaine, and in a few minutes her respiration became nasal and normal. “Oh, what a relief! That is the first good breath I have had for weeks,” was her exclamation. Both lower turbinated bodies were immensely hypertrophied, and the doctor wisely advised their removal and referred her to me to do the work. When I first saw the patient she was a frail, pale, wan little woman, thoroughly exhausted. I saw her about six weeks subsequently, in a remarkably improved condition. Had gained about twenty pounds in weight and was plump, rosy-cheeked, and had entirely lost her distressed appearance. The last two cases both occurred in the practice of my good friend, Dr. C. M. Harrington of Knoxville, Ia., and are all the more valuable because he is here to corroborate the fair statement of the cases I have made, and emphasize the beneficial results in a discussion of my paper. CASE VI.—An old-school physician, æt. about thirty-five, had for a number of years been troubled during the late summer months and early fall with hay fever. Had sought relief from a number of specialists in his own school of medicine as well as prominent general practitioners. By chance he was directed to me, not knowing my school of practice, in the midst of attack in 1899. No satisfactory examination could be made until a 4 per cent. solution of cocaine had been applied and caused a lessening of the engorgement. There was plainly visible a large well-organized simple polypus hanging by a distinct pedicle from the right middle turbinated body. Its removal with the cold wire snare gave prompt and permanent relief and made a lasting and loyal friend of my old-school confrère. In none of these cases do I mention any medication. None was used except to cleanse the mucous membrane of the viscid secretion always present in such conditions, and following such operations. All of the cases reported were mechanical obstructions, and demanded mechanical treatment, and no line of medicinal treatment would have done more than temporary good. DETACHMENT OF THE RETINA—A CASE. BY JAS. A. CAMPBELL, M. D., ST. LOUIS.