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a pamphlet on the history of ovariotomy, by Mr. George Jesse, which showed me the necessity for a full intpiiry. I made a careful research, and unearthed much additional evidence, which completely shows («) that ovariotomy had never died since 1 809, and, therefore, was not re- vived by Mr. Wells in 1857 ; ('') that the first operator in England, Dr. Charles Clay, had, over the whole of his series, almost exactly the mor- tality obtained by Mr. Spencer Wells over what was, at that time, the whole of his work, 25 per cent. ; (c) that Mr. Baker Brown had reduced the mortality on the right lines to 10 per cent. ; (d) that Mr. Wells sent it up again to 29 per cent. ; (e) and, finally, that it would have been better for humanity if Sir Spencer Wells had continued his services in Her Majesty's navy, and had never touched abdominal surgery. All the evidence in favor of these conclusions is given in my edition of 1883, which is not dedicated to Sir Spencer Wells. "The Do I Need A Prescription For Levitra last paragraph of the letter of ' Historieus' is incomprehensi- ble. He says I suppress ' the fact that, in successive periods of five years, the mortality in his (Sir Spencer Wells's) practice had been re- duced from thirty- four in the first hundred to eleven in the tenth hun- dred.' I had no object in suppressing such a fact, for, when it is dis- played, it proves ray point exactly. Here are the figures, and let any one try to prove anything else out of them. " Sir Spencer Wells's Thousand Ca-sc-^ in Hundred-'i. Do I Need A Prescription For Levitra Mortality per cent. " p'irst hundred . . 35 " Second " 29 " Third " Fourth " Fifth "Sixth " Seventh " Eighth " Ninth " Tenth ' 1,000 23 22 20 29 24 24 17 12 23-5 " No remarkable diminution of the mortality is visible until the ninth hundred, during the current of which he gave up the clamp, prac- tically in December, 1877, actually in August, 1878. In fact, ' Histori- eus ' is taking some wild statement without investigation, for even when the figures are twisted into five-year periods, here is what results : " Five- Year Periods. Cases. Deaths. Mortality per cent. "1858-1862 53 17 32 "1863-1867 192 53 27-4 "1868-1872 281 67 23-8 "1873-1877 362 85 23-8 "1878-1880 112 13 11-6 1,000 !35 " This proves conclusively the view which I have taken all through this coutroversy, that the clamp was at the bottom of all the trouble ; and that the departure from the lines laid down by Nathan Smith and Baker Brown — the adoption of the clamp by Sir Spencer Wells — was a retrograde step. It has actually stopped the development of abdomi- nal surgery for a quarter of a century, besides costing numerous lives which might have been saved had the departure never Do I Need A Prescription For Levitra been made. " A reference to the dates now explains the difference between the views I expressed in 1877 and those of 1886, as placed in parallel col- umns by ' Historieus.' No diminution of any importance occurred in the mortality of Sir Spencer Wells's practice until after I had written what I did in 1877; but the moment I recognized the fact that tlie in- tra-peritoneal method Do I Need A Prescription For Levitra was the one which ought never to have been given up, a recognition which I owe entirely to Keith, the moment I discov- ered what eminent service Do I Need A Prescription For Levitra Baker Bro»vn had done to abdominal sur- gery, then my views about Sir Spencer Wells necessarily changed. As I have said, I do not regret the change. What 1 regret is, that I ever entertained the views that Do I Need A Prescription For Levitra I published in 1877, for, if I had not been led astray by Sir Spencer Wells's practice, in my own experience, I should have been able to save a large number of lives which otherwise were sacrificed. This change of opinion was forced upon me by the facts of the case, and the only ill result is that Sir Spencer Wells has taken the alteration as a personal matter, has deprived me of his per- sonal acquaintance, declines to meet me in consultation, and ignores my letters and telegrams when I communicate with him about patients. " This may be a method of controversy gratifying to him, but it constitutes no effectual argument. " 1 am, etc., Lawson Tait." THE ^EW YORK MEDICAL JOURNAL, July 10, 1886 Original Communtcattoits. THE PATHOLOGY AND TREATMENT OF ENLAKGED PEOSTATE* By FRANK 'W. ROCKWELL, M. D., Brooklyn, CHIEF OF THB DEPARTMENT OF GENITO -rBINART SURGERY AT ST. MART'S HOSPITAL ; VISITING SURGEON TO ST. JOHN'S HOSPITAL ; AND CONSULTING SURGEON TO THE HOSPITAL FOB NERVOUS AND MENTAL DISEASE AND TO