street, with a badly sprained ankle as a result. The joint was strapped and the patient rested for six weeks. A little later she complained of pain in heel on pressure. A diagnosis had been made of broken arch, and supports advised with no results. I examined the mouth and throat for an infection and found a pyorrhea. An autogenous vaccine was made and given at three-day intervals for nine doses, with complete recovery.

Three years ago I was called to see a child five and a half years old; diagnosis, whooping cough; orthodox treatment given with the usual results. Child coughed more or less from April until August. Two years ago I saw three children in consultation; diagnosis, whooping cough; advised pertussis vaccine (Parke, Davis & Co.). Paroxysms diminished after second injection and disappeared completely on the twelfth day.

In March, 1914, I was called to Nebraska to see a patient 62 years old, afflicted with pneumonia. Oxygen was being used; and the attending physicians had given a most adverse prognosis, in which, after seeing the patient, I agreed with them. We gave him pneumonia phylacogen intravenously. A chill occurred in forty minutes and in six hours the patient's temperature and pulse were lowered. Five days later the old gentleman was reported up in a chair. The ultimate recovery was complete.

In the use of bacterial by-products, I have never had an untoward result, simple slight rise in temperature and pulse-rate in some cases, a typical serum sickness, chill, nausea, and in one case a slight dysentery.

In pyelitis and cystitis, in my experience, the colon bacillus must always be considered when a vaccine is used. Otitis media is amenable, in my experience, to a vaccine. In acute arthritis I have always had consistent results. When seeming failure comes after using a product, stop, check up on your diagnosis, give the patient a rest, and then if sure of your diagnosis, commence the treatment again with varying dosage.

Also remember that an important factor is the supportive treatment, of which gastro-intestinal cleanliness is a part.

I do not want to leave the impression that miracles can be performed by the use of bacterial by-products, or that my results cannot be duplicated by yourselves. I have had cases sent to me of several years duration, with painful, swollen and fixed joints, expecting relief and free motion. Oftentimes the tenderness can be relieved, and under an anesthetic the adhesions broken up, then with passive motion, covering a long period of time, you may be surprised at the good results obtained.

I always explain to the patient the reaction, all of the unpleasant side of the treatment, also that the length of time necessary depends entirely on the results.

In conclusion:

1. A case not cured is not as good an advertisement as a case not treated.

2. That a small dose as a beginning is better than a larger dose with a severe reaction, which oftentimes makes the patient refuse further treatment.

3. That a by-product given when a mistaken diagnosis has been made may make an "anti" of that patient.

4. That we increase the defensive powers of our friend, the leucocyte, when, by giving the vaccine, we prepare the bacteria for phagocytosis.

5. That a decrease in the defensive forces of the host is, in a measure, equivalent to the increased aggressiveness of the infecting bacteria.

And, gentlemen, most important of all, and the one thing to remember is this: A vaccine, serum, or filtrate gives us aid in overcoming the infection of the involved area, but we ask too much when we expect that support to continue to combat the fresh daily onslaught of millions of bacteria poured in from a focus that has not been thoroughly eradicated.-Medical Herald.

Obituary.

PAUL FITZSIMMONS EVE, M.D., the second of his name to add credit and renown to the capital city of Tennessee, died at his residence, 1529 Broadway, at 6 P.M., Saturday, Dec. 26th, 1914, in his 58th year. His mortal remains were interred at Mt. Olivet, after funeral services at the First Presbyterian Church at 2:30 P.M., Monday, Dec. 28th, conducted by Rev. J. I. Vance, and largely attended by his many friends and admirers; the honorary pall-bearers being his brother elders of the church, the deacons serving as active pall-bearers.

Dr. Eve was born in Nashville in 1857 at the old Eve residence, now occupied by the Eve Building on Church Street, the son of Dr. Paul F. and Sarah Ann (Duncan) Eve. He attended the public and private schools in this city and was two years in the literary department of Vanderbilt University. He graduated in medicine in the University of Tennessee in 1879 and after a post-graduate course, at the medical department of Columbia University, (the College of Physicians and Surgeons), of New York City, in 1880; immediately after, becoming associated with his brother, Dr. Duncan Eve, in the practice of his profession, the partnership continuing until Oct. 1st, ult., when it was dissolved my mutual consent, and he removed his office to the Hitchcock building, corner Church St. and Sixth Ave. He was an ex-President of the Nashville Academy of Medicine and the Davidson County Medical Society; an ex-President of the Tennessee State Medical Association; a member of the American Medical Association, and other local and special organizations. He was made demonstrator of anatomy in the Medical Department of the University of Tennessee, in 1880, and after a few years of efficient work was made Professor of Anatomy, succeeding his brother until his resignation eight years ago, in the Chair of Surg

ery and Dean of the same institution, on the organization of the present Vanderbilt University, Medical Department, with which his brother affiliated.

He and his brother were also associated as surgeons of the L. & N. and G. S. R. R., the N. C. & St. L. R. R., and the Nashville Railway & Light Co., from early in the '80's until October last.

Dr. Eve in his early manhood became a member of the First Presbyterian Church of Nashville and took a deep interest in religious matters. He has been a deacon and then an elder in that church for near three decades, serving his Master faithfully and well. It has been his custom for many years, to read a chapter or more in the Bible every day, and for a number of years past he has read it through annually from Genesis to the end of Revelations. He was married about thirty years ago to Miss Jennie Brown, one of the daughters of the late Wm. Brown, Esq., of Nashville, who together with two children, Mrs. Joe Fall and Paul F. Eve, Jr., survive him. He is also survived by his brother, Dr. Duncan Eve, and his sister, Mrs. S. E. Drane.

As a surgeon and a teacher of surgery his reputation for efficiency and success extended far beyond the confines of his native State. As an operator, being well versed in anatomy, he was bold beyond most if not all of his colleagues and contemporaries; yet his boldness was ever tempered Iwith a strict and thorough conservatism, enabling him to attain a high degree of efficiency; in two notable instances, the one a laminectomy for fracture of the lower cervical vertebrae, the other a hip-joint amputation, both charity cases that had been declined by older and more experienced surgeons, was he successful.

Of grand proportions physically, of erect and manly stature, he was commanding in presence; courtly, kindly but unostentatious in his bearing, he loved the peace and quietude of his home circle, a fond and affectionate husband, a

kind and loving father, earnest and sincere in his devotion to his family and relatives, his many friends, his religious faith and his profession, he was a noble son of a most noble sire, whose loss will be greatly felt and mourned in the community in which he lived.

Although slightly indisposed for two or more weeks, he was up and about in his daily round of duties until the Sunday preceding his death, the immediate cause of which was a septic infection, gas bacillus in type, of obscure origin, he becoming unconscious thirty hours preceding the end. While conscious, recognizing the extreme gravity of his illness, he evinced no doubts or fears, but with a firm and abiding faith manifested a willingness and a readiness to answer adsum, to the call of his Master, summoning him "to the promised land, beyond Jordan." His work on earth having been completed, he has gone to receive his reward.

ELIAS J. BEALL, M.D., Tulane University, New Orleans, 1857; ad eundem, Missouri Medical College, St. Louis, 1876; Honorary, Missouri Medical College, 1880; a Confederate veteran with service as surgeon of the Fifteenth Texas Infantry and later as chief surgeon of General Walker's division; one of the organizers of the Fort Worth Medical College and for four years professor of principles of surgery and president of the faculty; one of the founders of the Protestant Sanitarium, Fort Worth; died at his home in Fort Worth, October 20, 1914, aged 80. As a tribute to the memory of Dr. Beall, his portrait and a chair in the faculty room of the Fort Worth School of Medicine was draped in mourning for thirty days. At a special meeting of the Tarrant County Medical Society, October 21, addresses eulogistic of Dr. Beall were made by several of the members and it was decided that the society as a body attended the funeral.