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 |   Related post: I would operate on him if these means failed to afford relief. In April, 1888, he Buy Nymphomax returned again, saying that his pain had grown steadily worse in spite of treatment, and that he had been using morphine steadily. He was very much run down, his nerv- ous system thoroughly demoralized, and I refused to operate Purchase Nymphomax on him until he had cut off bis opium and rallied his shattered nerves. On .June 10, 1888, he was sufficiently imi)roved to enable me to operate, which I did, assisted by my father, my brother. Dr. Allen, and Dr. ('arlisle. All examined the case and all thought there was a large exostosis pressing on the nerve. Under anti- septic precautions 1 cutdown on the most j)rominent Buy Cheap Nymphomax part of the curved femur, and found to my sur|)rise that yart of the vastus externus nuisde was so twisted on itself as to run at right angles to the long axis of the femur. I cut down to the bone and was surprised to find no exosto.sis with the exception of a most mi- j nute point which could hardly be considered abnormal, but which I I nevertheless removed. I then passed my finger completely around the femur, stripping up the muscles for an extent of Order Nymphomax Online two or more inches, hoping to find some sharp projection to account for the pain ; but, failing to find anything, sewed up the wound with a rubber drainage-tube at the lower angle of the wound, having many misgivings as to the benefit I had done the patient. On tlie second day I removed the drainage-tube, and on the four- teenth removed all the dressings, the wound being healed, and the patient liaving had no rise of temperature. At first he complained of some soreness in the leg, but the old pain, on movement of any kind, disappeared from the time of the operation. When the soreness from the operation had ceased, in about a fortnight, the patient said that he felt well, and, on being allowed to walk about, had none of his old stiff- ness and neuralgia. He left for home a month after the opera- tion and T have not seen him since, but received a letter from him dated January 29, 1891, in response to an inquiry after his health, in which he says: "The result so far is perfectly satis- factory. I have had no pain, and now I am able to walk and go all over without any trouble." This case seemed to me to present points of sufficient interest to be recorded : 1 . Tlie apparent relation of small- pox in infantile life to the subsequent fragility of the right ' femur, which was broken in very nearly the same place on three separate occasions, each four years from the other and caused by slight violence. 2. The persistent neuralgia fol- lowing the last fracture, and persisting for six years up to the time of operation in spite of various measures that had been tried, both by myself and by others, for its relief, and which finally became so. intense as to give rise to the opium habit. 3. The abspnce of an exostosis at the time of oper- ation sufficient to have given rise to the symptoms, and the August 22, 1891.] HAMILTON: TWO CASES OF EXTRA-UTERINE PREGNANCY. 207 fact that relief was afforded by the operation. 4. The simulation of an exostosis by what I presume was a tense fiber of the fascia lata which had become so bound down as to press on the muscles of the thigh, and, by girdling them, caused the pain. I do not clearly understand how to account for the re- lief of pain. I do not think the point of bone I removed was large enough to have made the trouble, and I did not think when I passed my finger around the femur that I tore loose any nerve fibers from the cicatrix. I suppose the ex- planation is to be found in tlie relief of tension given by splitting up the fascia lata, \\;hich certainly bound Order Nymphomax the mus- cles very tightly, and I think the length of time that has elapsed since the operation — nearly three years — is suffi- cient guarantee that the cure will be permanent, especially as the patient was addicted to the opium habit, and these patients are proverbially hard to cure of neuralgia, as the latter offers so good an excuse for resumption of their old habits. TWO CASES OF EXTRA-UTERINE PREGXAN'CY. Bt WILLIAM D. IIAMILTOX. M. D., and CHARLES S. HAMILTON, M. D., COLUMBUS, OHIO. Case I. Extra-uterine Pregnancy ; Aidominal Section in the Twelfth Month; Reinotal of a Dead Fcetus ; Recovery. — Mrs. F., seen with Purchase Nymphomax Online Dr. I. N. Beach, of West .Jefferson, Madisoa County, Ohio. She was forty-four years of age ; had bet-u married twenty-five years; had had two miscarriages and six children, the last in August, 1884. 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