The Recent Epidemic of Grip

nation.Thus, we have an explanation for the rise in tem¬ perature due to nervous states.Dr. Abraham Jacobi, New.York : I have thought a good deal about what has been written on the subject of tonsils and I wish to say that in few cases is the tonsil at fault.Even large tonsils in a small child are not so dangerous as we are liable to be told.It is not the tonsil that is at fault, but the rest of the pharynx.All those small lymphoid bodies, so-called Waldeyer's nodes, and certain of the small bodies that surround the entrance between the nares and the throat are, as a rule, more frequently the cause of toxic symptoms and fever generally than the tonsils themselves.Meanwhile I have been teaching and practicing for fifty years and more that the nose must be kept clean.The common atomizer will not do it.You cannot clean the nose with an atomizer ; you must irrigate the nose.It may be done by pouring in some warm water and salt; only caution against snuffing; that is dangerous.Bad results from nasal irrigation are the result, not of the irrigation but of snuffing, forcing the liquid into the ears.Patients should be warned about this.I have seen considerable ear disease from this cause.Dr. St. George T. Grinnan, Richmond, Va.: I want to ask Dr. Copeland if he has had any cases due to overexercise.I have seen cases, where we could find no otitis, no tonsillitis, but the child had a temperature elevation for several months.It had gone through several hands, and very good hands, too.The only thing I could assign this to was overexercise.The child was extremely active.With instruction as to rest the child was entirely well in two weeks.In cases of what we call "obscure" rise of temperature, I really do not assume that either pyelitis or the ear can be called obscure any longer.Dr. J. L. Morse, Boston : I want first to call attention to what seems a lack in our knowledge-that is as to the normal variation of temperature in the child.So far as I know, we have no series of experiments to show us how far the normal temperature may go in the child.Another thing in connec¬ tion with obscure fever, we want to be sure the teeth are all right.Unfortunately, we have in the United States a large number of dentists who are one or two generations behind the times, who say that the first teeth should be left to take care of themselves.I feel it is the duty of this society to show these men up and, if it is possible, drive them out of