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 Photographic 
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 d'imagea nAce^saira. Les diagrammes suivants 
 illuatrant la m6thode. 
 
 1 
 
 2 
 
 3 
 
 4 
 
 5 
 
 6 
 

 I 
 
 Til" t«,> I' 
 " |iro8MUri' I'll if- 
 tliri'o wri'i' Hoiit 
 
 (III tile H(<ll<M> ill 
 
 till" priifi'HHioii tl 
 li('(iliiiii. tlicy iir 
 will oil. -rvi-, tu 
 milvi'M itit'i ]>nlil 
 
 CANADA K 
 
 HiK. Yniir ixi 
 "Anniml AiMrr 
 Mrilii-iil At-'iorinl 
 ruliiuiJi* iii't'iijiii 
 l>lu'' ^"1< »n<i 
 otlifrw 1 roll ni«>'i 
 the I'r "iil.ntH 
 Rtiil K»|i' rt T" xt 
 111- rcliitis ii i-.iMt 
 rn>i(^lil><ir!ioiMl, 
 •virK<'"n in iitt 
 fipHiiiccil iiiitn, 
 
 HIUI > .M»ts !•> »tc 
 bllttllHC "111 J'Hl 
 
 I lint a I'sxi' "f «< 
 » thvroi.l ilinU 
 the ■'•old j.rn.'ti 
 KWi'itr" tluit mil 
 li>cnli<>n,"iinil V 
 
 ilj.tit of till' I'll 
 
 tlu' j'lrHoii " w 
 
 *il» '■ (\ Kriilll'l 
 
 ( Imrni" tin- ^iiu! 
 lmvi»K iiiii'ii.li 
 wliiil hi- Uni-w ( 
 rhitrj?'". «ir. 1 "1 
 
 Mir'i'Tt J.im'-.* 
 
 iif llir |in\-.t'- !■ 
 lllili. r■lll^l^ t' I 
 nifiui'i nil'! I^'ii 
 ,i,|i!ii', iiii'li r o 
 TliouirtH llonn 
 the <tinn>« I ' \ 
 Ik- anil V)i"i 
 \s'i of I*p h.i 
 rii'xiil (Ml! iria 
 linn. I mil ' 
 iiicixt iiii|"!r»nn 
 • unforiiiiiiiti ■ 
 on Willi, nn Ml 
 iiior« tU«u fw>i 
 »»•.! anl 111 t ri 
 clutli' <«. i> ''fip 
 i-riil'b, Willi tl 
 
 lUNflltlllllllUI, It 
 
 tb" right li'i; " 
 HmvIdk I "i 
 v;niuii!n iiiu) ! 
 l<i«<-)iitiK "I"" 
 * « iUi (ioo iHir II 
 my IrKwoiii. Ill 
 |{i.*j-l liiiilin 
 t^MUKli' An.itot 
 ».r»itv .1 qii 
 tiuii' It liuil 
 |)r,ii-tiiti-il Hur 
 ml.ly li'« iTii* 
 AxuiH'inlioii, tl 
 aiiil III' n Imt 
 cruni^i I ' U'li-ii 
 
 KlintolllliMlHlK 
 Hlilrrcil ll (If 
 
 tore btiu^ 1 ll' 
 ftfllow front 11 r 
 
 Kitl|!'l'II. t 
 
 • ll h.ay 1 ■■ . I| 
 
 O M.lll\*l. »<1 
 
 Mm 111 »«ii'l 'i'" 
 >l II III .!> ii.» 
 writleii 1 Hulln 
 
 hi-»eTwt, Ittn "* 
 
 till nuna. In tiU 
 
To the Medical Public. 
 
 Til- tvv.) .•(mmimiii-alioiiH to tlic Moiitrrnl '.••/:■•«.■ now i.;ilili»li<>.l w.-ri' sent to tlmt iiiipor ftiid rctnniod on Mi.- Kroun.l of 
 ' proMHuri' nil its .•olnnins." Tlio otii> to tlic .V. "•■< \uih rcfimcil iiini'rtion Ikm-ihim.- " it I'ouM do no koo<1." Hul>s»>i)nt'ntl.v tlio wliolo 
 tl.r.".' w.T.' m>nt to tlio T.-ronti. hi,>.n. mid n'turn.'.l i.y tli.' K.litor. \> itii Mir- m'fonipnnyin.r note: -" I ri'^rut to Hav tlmt the prosHurc 
 on th.- nfiic.. in tin- Lutcl i« *> xr.^l lli;»t I niiaiot find mom for your l.-tt-rs." As tliosc letters nre more cdlenliited to do (?ood t.. 
 tlio pn.fi'HHion tlmn anv imUter l.v wlii.-li Hi-v Imve l...en " pre-.sed" from the .•olniunn .,f the paii.-rs to which thoy were sent f(,r piih 
 licftfion. thoy nr.> nowxiven pnhiieiiy, for tie- 1. ii-llt of the profession Tliev ure iiiten.led, tho intelliirent portion of th^ profession 
 will olv.erve', to cheek the illcKit im:ite ;»nd .pmeMsl, menus, NO eoiiiiie.ti iiownduys. I.y wliich pnvetifiotuTH iittempt to l.rint; them- 
 MtilveM into pnldic noticiv 
 
 9 
 
 ttc 
 
 S 
 
 >oc 
 
 ■ u 
 ml 
 
 CANADA MEDICAL ASSOCIATION. 
 
 I I Hi- hl.t'f ■>/ Ihf 1/. .•(,,..„' ii„ ,llr I 
 Hill, Your isxne of the ac.tli rontiiins the 
 "Anniml .^dilreBs" of the l'r.^«i hut e| tli.' 
 Mp<lical Ah'<.iiifition The lltlh "I ttie seven 
 rolnnins "iTiipiiMl hy «iiid winiiy iMitui.onn'l of 
 Uw" ifc'k imd Hteftlin^JH tr .m lellr. ss.s nt 
 other* I '■"'""*'''* '" l''^' hcf"'''' til" Asso.'i iticfi 
 thp Fr-swlenfi- noti.>ns en Me.lnil I.itrritnre 
 Rnd Exp'Tl Ti stiiiieiiy In'!, r thche liiiilinxs, 
 he rehiti-s 11 i-.My wliir'h lie says iiccnrr<'.l iii his 
 n«<i(^ld>orho.Ml. in winch "the nnlertmmte 
 
 • UrKcon in ;it!enihinre, n well olneiitel !■» 
 
 ppri.no<Ml miin, piod thri'e hnmlrd dell irn 
 
 mid < -wts to stop n proH.Tiitii.n mjninst hiin. 
 
 he.ttnHc "Id priM'titioti.ri «er.. willing losw-iir 
 
 Hint tt cHse of ptd-ond stm;e .if Inp diseiise wns 
 
 !i thyroi.l ilislemtion " As, hir, I mu one nt 
 
 the ■'•old pra.tilioners" who was "willing' to 
 
 Kweiir" thil >'ii.i I iHi wiu< cue of ■• thvioi.l .lis- 
 
 l.n-nllon, iin.l Mii;h:i.l < •Sullu.m.' M l> . IVes. 
 
 i.Wntofthe I'liniKh* Nfi.iticul A-s... i iti.'n, wns 
 
 lh<. person " wdUn^- to HW.'ur' iliiit the cmh.' 
 
 Wiis "nKrciiel Htin-.. ..f hip j.'int .lise,.i.se." I 
 
 .Imrne theHiil.i Mi.h.ieK ISnlliv m. M l» , willi 
 
 hnvinK impn.l.nily slal.'l t.. He Asso.i.ili.m 
 
 whut h" knew to he untrue. In iiiiikins4 this 
 
 rli»ru<". Hir, I nm stipp..rte,l hy the iinf.rtii- 
 
 ni\l< »uri;'>.n nn 1 e\peri."ce,l nun' himself, 
 
 Herl.ert .l,on. s Siiin.hrs. n '■ i;rH.liiate' .>f '.HC'.I 
 
 of the pm-.t.. S.le.ol of .M.'.lirine ill Kilik'stoii, 
 
 lii.li. roll^lv leriii.'.l ii ■• UoMil r.ille,/.- of I'liy- 
 
 HiiMUs ftii.'l SurKi"ns." wli" w,is <'<>iiiiiille.l to 
 
 iiilmit, nn.ler .'.th "i the K.dl Ahsi/.ett of IKK:), 
 
 Tliouirti* Iloniee M.tinire, Ksij . y 1' . luinK 
 
 tiiertinnsil exniiiinmrf tor plmntiff. t!i;it l.nth 
 
 he anil l)oet..i K N Kenwieli a ),'iielM lie of 
 
 IN71 of th. 1..111I. •Uoynl f.>lleKi\" hiel .lij;« 
 
 ncned Ml.) ♦rtale.l Uie ciiKP IIS "no "< 'Iisl'H-n 
 
 tion. I »m further »upporle.l U\ thi- f ut 
 
 numl inipon-inl It will le ii.luill!. I that l!n> 
 
 • nnfortuiiat. • pnlieiK, Uium M.llr. livinij 
 on Willi.on »tie I. Kin-'-ton. may "••«■ ho wen. 
 niorf tUnn Tw.. van* ..!ter her fullniK "Ut of 
 t,,..I and her rigLl h « 1- in« ■uiij.hl hy the he,|. 
 chilh.8, a cripple f..r Im. w;akini;. hy u ! of a 
 erut. h, wilh th. hcH.I ..t the femur n.-t in the 
 >u*!.|rt»iMliini. lul in tic thyr.iid ('..ramen, all. I 
 tie nwht I'l; an tocli longer than the Uft 
 
 llavint; 1 ■'Ii tauuht An.il.m) hy Kie'« l- r 
 ..;nftMen aiel M.l'arlane. his |i.-m..iisirntors, 
 tVwhinK Opeiatn. Hiir^iery an. I hy Munr >. 
 
 • ■»M. (ioelHiri.?. his IVinoiist.i-ilor. hni. tlij; h^l 
 my le(«i.,ii.. Ill ,•s■,lr^. ry impressf.l u|..>n lue I.y 
 lti.i-1. Ilailinvialt. I.l"ton, ai„l .Sym. , lmvin;< 
 tNUKhl Anatoiiiv an. I rhysn.h.Ky in the 1 ni- 
 ternitv of yti.Vnn Colh'Ke , luring tlie whole 
 lime U htt.l II Mcli.'al Fa. iilty; an. I hrt»in« 
 pr„cli»e.t HUfKerv for lifly years; it may IH.S. 
 mldv he pre»ume<l. hv to- lilia.la Me.li.al 
 AMtM'lnli.'Ii, that I kuo'v a lillh more ,.| j.unts 
 and th. II liseas.-» than th.-xe into whin** .hn^e 
 rrnl»i.» I 'lel.avori.l I" luniliiir tie aliemnt .1 
 »n«l<'niie.iland ph>'....lp ;!■ 'I kn.wl.-.ke I .-..ii 
 
 Midere.l it (.e..i|mity ih'^ slioul 1 1 ««ss 1 • 
 
 l..rel.. in,,' . ntrunt. I with thr l.ves ol their 
 Irllow I riiitiritt. 
 
 Your* tr'ilv, 
 
 .I(»1IS .■sIl.WAU! 
 Kin^-t 'II, •,ihlh A'.t;u^l 
 
 ABDOMINAL KURGERY. 
 
 ( In lliv Klit.n- ./ ('..■ .)f..i./lT.(/ Irui-tlf. ) 
 Su:. Tin' 'e'-"'' of th.' Viilh ha« an A'l Ir.'ns 
 ..n Al'.loniiiial .Siiri'i ry, .leliv. r.' I h. for.? the 
 Ciiaihi .M. heal A--..''iati..n I.y Mr Kiwson 
 lait In that a.l.ln -s Mr I.vit -.ays: •■ In IHiiri 
 I t,."iril my m.isler, lie. I'r..fes».)r of Hun;, ly 
 in th»- I'n'ivi r-ity nl K linl.iUK'h, s'lth this 
 Mi«t th hi of liumali proijr.ss in th'- f«>w wer Is 
 Al.'lominal Surij'ry is ahominahln sutucry ' 
 l.yiin, til., ypatef.! •iino-.in hv far with whim 
 1 liavi' evr come in I'ontact, »har«'d his col- 
 I'.aiJ'ie's flews, an. I, m lolli, these views oriyi 
 nat'.l far less in the m.'rits of ahhuiiinal 
 surgery than in tt.i'ir miitual .lislike lalmo^t 
 the .itiiv si'tilino'iits lli.y ha.l in eoiiimon' "f 
 .loliii I i/..ir ■ 1 take It, sir. that l.ynn is 
 pnnl.'.l lor Syui.', .iinl that X.u.at is prit.tel 
 lor l.i/.ars INrmit mi- thi.n to -ly that .Mr 
 'I ol has .aiise.l to I... puhlisli'.l an ui'f.i.in.h'.l 
 
 •It ii^aj 1.-. lel.lM-.i ti,»i M1.I...-1- ' -r, l'4hir 
 
 ..■.•..inv»ii «.iLi *i m> i.ni.-. lu'i tJi.i O.I. . ..i«.-.i 
 
 Mm lo •eat til« .<.n 1" ni«. I" !•• ".tn»n«.l lulo .n 
 \t II li, „) iu.lrl.ul»lK.u lss.li .'/ ISM hl« ii»ia« l« 
 wrtttaii iHullwW! In nul'«<t<i'i"al lanlri. «Uli..ii« 
 
 h,.«MB,,tii''-"i>. 'trew^t T>"- 1""' ■"" V, T.'*: 
 
 til> nuiie, la ti!« Hour'-.., •♦Illi.'UI x\w i.»lriu...ni.l o 
 
 I ol has .aiise.l to I... puhlisli'.l an iii'f.i.in.l''.l 
 ^t.t'ie.iit a.'ainst '■ the ;;reat<'si surk;"on liv 
 far with whom he him ever ennie ip con; act." 
 
 In lHi;:l, when Mr niii inf .rms iih he was 
 slii.lvinnat I', linl.iir.'h. I visile. 1 Kiir.ip. , (ilel 
 was II. Klinl.iir.,'h a i;r.at part of the winter, 
 meeting ah'iost il.oly my oM tea.'lier Syui.\ 
 aii'l conversi!i|.; with hini on sr.rKical suhj-.-ls 
 .\m.int.;st th''!M was (Ivnri'ifi.inv to th'' lit-r.i- 
 lure ol which I lm<l i-" . " con i I, rahle all n- 
 tion I WIS invite. I l.v .Syme t.> lue.-t at din- 
 II. r another of his puoiU, his llous" Suri;. .m, 
 Thomas K'ith. who whs then .lisfnuuisMm^ 
 hiiiis.'lf l.v hit siiicisM III Ovarioe my; aiiil 
 was -iiii'seipicntly .iriven ar.'.in.l K linl'iir>,'!i 
 I.y K'ith, to ex'iliiine piti.Iits ih.t if h el 
 ,i.. rati.'l .'11. pali.'iiii .m wh..|n le- inl-n.h- 1 to 
 ..perite, an I to I'c jir.'s, nt 'it his open. lions 
 .pinii ; uiy stay m K.linl.iir«h. I'o say then 
 th.it Syme ilenoiiii.-. I \l h'tiiiii'il Siir^.ry, h"- 
 cause he h I'l a pen.oiial .lidiU" to l.izars, is to 
 eii-st iiniiuntel oliiim mi the m.-mory of • the 
 (fr.-nt'-l surt(eon l>y far wilh whom Mr I'lil 
 l,a» ev. r come in c.mtiict " When and wh< r ■, 
 Kir. <li'l Mr Till ••ever come in coiitii't" with 
 Sviui. to 'piality him t'l he a ju.ltfe eiHo-r of 
 S'vmB s ahdity lis a surt-isin, 'ir ..f his person. il 
 iri-lik. of I.izurs ? 
 
 An.i'her of mv sur«iCHl t' ichi'rs, sir. tlio 
 worhl r.n.'wne.I Listen, wh.>s.. I.rillnnl op.r- 
 , III. .11-. 1 witle'sse.l .luriiit; the y.-ars lM-.".> .111, 
 :il. :ili, :i,i. at K linhi'.rj.'h. ii....! toileiioun'''' till' 
 aLloii'iiniil «ur>;.ons of his .l.iy as '•hlo...ly 
 I" Uv ri)jpei»:" the unsui'cc«sfiil hiHy ripping 
 of the lolh'wers of thit •■ iierou- K'-nluckiaii" 
 jiistifyin.: Listen in loin..; s'l .\n.!, w.r.' tint 
 
 ^;frtt surt^'oH inS'alll.hl Ll'laV. h'' w.ill'.l tinl 
 
 ample ^r'un.l forth.' ninie .|enni.cia:i"U- h-r 
 he woull hav,' to v!" R'* lurtlier West thin 
 KiiiKHi,.!! to see '■ hcr.)ic' C.niiliins ciittinii 
 forovirim tumors wh-'U rio tuui.ir etinted. 
 an.l 'iiusinK' .hath hy ruptiitim; the uninry 
 Id I'l ler or, wh. n a tumor ilil enist, ciitiinu 
 into iis'pvst, sn.l fumhiiui; for its pc.hch. un- 
 til 1. ilh'tinisli. 1 ihe "p.'ratii'n 
 
 .Mr Tail atlnlmtes tlie sm illn. -s ol th.- 
 ileilh. rale of which ho I o.l^t», lo the .■iiipl"y_ 
 iiiK ol K<«'d niuh's, ami th.- .il»»u.l"inn^ "f 
 Listers d. tails. What n ".1 f 'r nurses, sir 
 r »lw.l su'iufv .ht.ols. If i-ali'Mts .ire carri.'l 
 lr,.|., the operatili'^ tahh lilVh-s,' < )r if the 
 ,.|.' r Iter mihtrtk.s the urinary l.hi.hlcr lor th.- 
 ..variiiiu? Or cuts into th.' "v»rian cyst ant 
 f,iml.h-s for its pe'llcl" titi th. pali.'nt is .lea I . 
 
 Sn in |sm, .'II Mil r.'turii Irom Lur p.'. .iiM 
 when Mr. Tall was a stmh lit at K.linhurc.h, 1 
 in the performanre of my .lutv as a ('..i-on'T ol 
 Ih. I'oiiutv of froni-na.' n-l a (.ov.-rn..rol 
 tl.- KmKst.'ii Hospital, ahu.sne.l a htler to 
 
 Ih.- r,ov<rn..rs. whe'li was puhlisheil at Hi.' 
 lime, in rel.ition to a cas.. of " .\hoiiiiniih|.- 
 oiiru'-ry," in which I wiis chIIcI upon to hol.l 
 an impicMt. That letter I'onclu.leii a'l follows: 
 •- I have hcen I'l'l hy .lohn Hliiir, tlie hrotlii"- 
 of the woman, tiiat his sist'-r was in.liice.l t.i 
 un.h f«o the opi ration, hy Ur Yat.-s tellini^ 
 her that four ot every t'lv.' patients opurato.l 
 m, for her .iiiriise, "recovered. With ».)iue 
 knowleilneof Diarioloiny, ami a full apprecia- 
 tion of iho «iiri.'i.'al ipi ilili'-ations ol I)r Yates, 
 it i-. iiiv hiun-len iliity to inform y.'U, that, in 
 mv op'iiion, the proportion of ih'aths, in his 
 ha'n Is, is almost sure to he Urflir "Ut '>f I'v, ry 
 ,/.. .,1 op..riit".| ..n. In coni'hision. theu, h-t 
 'i:.- velllU!'' to h.ipe th.lt, ^'llhleil hy Kn .n- 
 lurhteliel phihinthr.ipv, you, as (Uivriiors, 
 will en l.-avu' to have tlni fads .if this h-lt.-r 
 in ..1" piil'lii-; '*" that, hohlinx Ih.-iii up as 
 liidit'.. in the path ..t humanity, thiy may so 
 -hine, that th" innoranc.' ami recklessness 
 C'l.'y expose shall ho neither ropentod nor imi- 
 tnle.h" 
 
 Sui'h. Kir, w.iiihl in my opinion ho the hest 
 wny of .lecre.isino the mortality fr.iin '■ M'oiiii- 
 mihle .Surc'ry:" eiposinji the failures auJ 
 tln»ir caus.'s, " insleii.l of v»inly hoiistint; of 
 su.'cess. 
 
 Y.'urs triilv. 
 
 " .lOIIN SIT.WAUT. 
 Kiutiston, :i"th Au^!Ulit, 1HS4. 
 
 EXPERTS, 
 
 ( ■/'" .'A*- KUt''<- ■■!' !h> l<f.„isl.,: .W.rv, ; 
 Sill, In the .V'i'-N' of the .Mh we reml : " Dr. 
 Sullivan will '•save in ii few .lays lor Wool- 
 hri'h'-' to wive expert evihnc.' m a c.ise of 
 all -ii'"! malpmctice.'" rermil lae. then, to in- 
 forui you' reft'lers who nre iutereste.l in the 
 .hon'/s .if the •• Kxp.-rts" of Kingston, that, 
 fi..i,r inforniition stippli'-d hy Dr Sn'.livan. 
 I'r. rhi.m.ifc H Oupuis 'will h'av^- in a t.'W 
 .lavs' fortmnanoiue ■• lo tjivo cxp.-rt evi.h nee 
 in' a case "f nlh'itel malpra.-tic. .' that Dr. 
 Siiliiv.in Mill he ■• employ. d" hy the ilet'eml- 
 iint. an.l Iir Dupuis hy the iilaintltV. and that, 
 tlius Pr I'lipuis' ■■eVndite," -'Witty, ' "an 1 
 humorous' l-r.'si l.-nt .>f th'- Mcli.al Associa- 
 tion, will he -• tt lllin« t.> swear " "He thilif,' an.l 
 I)r iiupiiis an.'tli.'r thini; So th.' I'r.-si lent 
 hims.-ir states in his - A hir. .ss " Curi'iisly 
 en.iuc.h. sir. h..th " Kxperts" ar.' Ml), s mad.- 
 hv !ir St'W-irt, when t^ic-n's Collen" ha.l a 
 iSe-li.'al l-'.icultv. |ir Sullivan having h.en 
 l.-eiim.le an .Ml> in IN-'.s, thus ohtiinini; 
 hi-, li-ence to pr-ictis.. I'livsi,-. Surocry. and 
 Mi.lwit'iv; 'in. I Dr. Dupuh^ in lH6ii 
 
 l! Mil I"- iiit.r'-stiiiii. sir, ti. watch tw.i ot 
 |)r St.wan s M n s ^ iviii-.; evi.hnce .-n.' for 
 rdaint'tr, tie- oth.-r for .h fen. hint anl L;ri'at 
 euri. uv will m. 'h'uht he felt as to th.ir re- 
 „,,e.nv': .-horns t.. I"' consi.h-r.-.l exp.-rls. Dr 
 Sullivan is Dr. Dipuis' s.-r.i.'r hy two years. 
 It mav I"- Stat.- 1 howev.'r. to hahmcc this. 
 Hiat Dr Dupuis altin.h. I the Military Hospital 
 ut Wasliiii-.;!"n'lnnii^ tlic sumui.-r .'I ls''l. »'- 
 well as a summer course at the .Me.lical .Sch.iol 
 ..f Ilanar.l riiivcrsily in IS70. and that he 
 suhse.pi.-utlv pas-'-.l an .'\amiiiatlon l»'lorc 
 thel'olleo,. 'of Sui-.4""li'-. Kn-laii.l. to revive 
 the Diploma of thai iVlh-e.-, whilst Dr S.illi- 
 V.ll h.'M never veiitur'.l ocl ot this .JMiall 
 Lim''st.ui.- t'itv t.i supph-nient th.' knowle.li^-' 
 ..flh.- S.'i.-m-i''au.l Art .'f Sui-L;.'ry h.- acpuicl 
 
 in It 
 
 V.oirs irulv. 
 
 SAW|!()M-;S 
 
 Kiiiijston, M\ Scpti'iuher