ly yours,
"WM. GOODELL."

* * * * *

Miss C., an interesting woman, aet. 26, at the age of 20 passed through a
grave trial in the shape of nursing her mother through a typhoid fever.
Soon after, a series of calamities deprived her of fortune, and she
became, for support, a clerk, and did for two years eight hours' work
daily. Under these successive strains her naturally sturdy health gave
way. First came pain in the back, then growing paleness, loss of flesh,
and unending sense of tire. Her work, which was a necessity, was of
course kept up, steadily at first, but was soon interfered with by
increase of the menstrual flow, with unusual pain and persistent
ovarian tenderness. Very soon she began to drop her work for a day at a
time. Then came an increasing asthenopia, with evening headaches, until
her temper changed and became capricious and irritable. When I saw her,
she had been forced to abandon all labor, and had been treated by an
accomplished gynaecologist, and was said to be cured of a prolapsus uteri
and of extensive ulceration, despite which relief she gained nothing in
vigor and endurance and got back neither color nor flesh.

She went to bed December 10, and rose for the first time February 4,
having gained twenty-nine pounds. She went to bed pale, and got up
actually ruddy. In a month she returned to her work again, and has
remained ever since in health which enables her, as she writes me, "to
enjoy work, and to do with myself what I like."

Miss L., aet. 26, came to me with the following history. At the age of 20
she had a fall, and began in a week or two to have an irritable spine.
Then, after a few months, a physician advised rest, to which she took
only too kindly, and in a year from the time of her accident she was
rarely out of bed. Surrounded by highly sympathetic relatives, to whom
chronic illness was somewhat novel, she speedily developed, with their
tender aid, hyperaesthetic states of the eye and ear, so that her nurses
crept about in a darkened room, the piano was silenced, and the children
kept quiet. By slow degrees a whole household passed under the selfish
despotism of an hysterical girl. Intense constipation, anorexia, and
alternate states of dysuria, anuria, and polyuria followed, and before
long her sister began to fail in health, owing to the incessant
exactions to which she too willingly yielded. This alarmed a brother,
who insisted upon a change of trea