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of the joint. Such cases are not infrequent both among adults and children in all grades of society, due to this method of treatment. One day I was called to see a lady who was in immediate need of surgical treatment. She had three sons who were in high official positions in the palace, and if their mother died they would have to withdraw from official life and go into mourning for three years. When men are thus compelled to resign the new incumbent is not inclined to restore the office when the period of mourning is over. They were therefore doubly anxious to have their mother recover. They had tried all kinds of Chinese physicians and finally sent for me. I explained the nature of the operation necessary, and gave them every reason to hope for a speedy recovery, while without surgical treatment she must surely die. They consented and the operation was successful. She recovered rapidly for a few days until I regarded her as practically out of danger. But one day when I called I found her bathed in perspiration, shaking with fear, weeping and depressed. Her wound was in an excellent condition and I could find no reason for her despondency. I cheered her up, laughed and talked with her, gave her such articles of diet as she craved, and left her happy. The next day I again found her in the same nervous condition. "Something is wrong with your mother of which you have not told me," I said to her son. "Before we sent for you," he said, "we had called a spirit doctor, who went into a sort of trance, claimed to have descended into the spirit world where he saw them making a coffin which he said my mother would occupy before the fifteenth of the month. It is because that time is approaching that she is filled with fear." I talked with the lady, showed her how her wound was healing, encouraged her to rest easy until the fifteenth, when I would spend the day with her, after which she immediately began gaining strength and soon recovered. At another time I was called to see the wife of the president of the Board of Punishments. I found an operation necessary. The next day I found the patient delirious with a fever, and asked the husband if my directions had been followed. "I assure you they have," he answered. "But the cause of the fever is this: Last evening while the servants were taking their meal she was left alone for a short time. While they were absent, her sister who lived on this street, a short distance
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