ire his gravest consideration.

Take the important question of bleeding. Is venesection done with
forever? Six years ago it was said here in an introductory Lecture that
it would doubtless come back again sooner or later. A fortnight ago
I found myself in the cars with one of the most sensible and esteemed
practitioners in New England. He took out his wallet and showed me two
lancets, which he carried with him; he had never given up their use.
This is a point you will have to consider.

Or, to mention one out of many questionable remedies, shall you give
Veratrum Viride in fevers and inflammations? It makes the pulse slower
in these affections. Then the presumption would naturally be that it
does harm. The caution with reference to it on this ground was long
ago recorded in the Lecture above referred to. See what Dr. John Hughes
Bennett says of it in the recent edition of his work on Medicine.
Nothing but the most careful clinical experience can settle this and
such points of treatment.

These are all practical questions--questions of life and death, and
every day will be full of just such questions. Take the problem of
climate. A patient comes to you with asthma and wants to know where he
can breathe; another comes to you with phthisis and wants to know where
he can live. What boy's play is nine tenths of all that is taught in
many a pretentious course of lectures, compared with what an accurate
and extensive knowledge of the advantages and disadvantages of different
residences in these and other complaints would be to a practising
physician.

I saw the other day a gentleman living in Canada, who had spent seven
successive winters in Egypt, with the entire relief of certain obscure
thoracic symptoms which troubled him while at home. I saw, two months
ago, another gentleman from Minnesota, an observer and a man of sense,
who considered that State as the great sanatorium for all pulmonary
complaints. If half our grown population are or will be more or less
tuberculous, the question of colonizing Florida assumes a new aspect.
Even within the borders of our own State, the very interesting
researches of Dr. Bowditch show that there is a great variation in the
amount of tuberculous disease in different towns, apparently connected
with local conditions. The hygienic map of a State is quite as valuable
as its geological map, and it is the business of every practising
physician to know it thoroughly. They understand this in