Fractures of the Scaphoid Bone

criticisms offered respecting the diagnosis of the cases shown, he hoped that it would be understood that he was not wholly responsible, for in each case the disease was recognised by independent and competent observers. He adhered to his statement regarding the nature of the disease in case 5, and he knew that other methods of treatment, such as potassium iodide, had been given a fair trial without success before the diagnosis of epithelioma was made. The girl (case 3) was certainly a great deal stouter than when treatment commenced. He was not surprised at the suggestion that she was suffering from myxoedema, and surely if, as a result of the X-ray exposure, she had developed this disease, it was easier to treat than exophthalmic goitre ? For instance, the second case of exophthalmic goitre attended as an out-patient for a very long period, and never really derived any benefit from customary methods of treatment. Myxcedema, on the other hand, could readily be got under control. In reply to Dr. Donald Baynes, who said that he had hoped something would have been said about the effect of prolonged administration of X-rays on the kidneys, Dr. Bruce said that he could not think at the moment of having had a case brought to his notice with any bad effects following X-ray exposure.