To the Editor:
—Noticing the article in the last Journal, by Sara A. Kime, M.D., "The Migration of a Needle," calls to my mind a case that came under my own observation about twenty-eight years ago, in the village of Warsaw, Western New York, where I was then practicing.I was called to attend Mr. T., æt, 20 years, who for many weeks had been suffering severe pain in the region of the heart, attended with violent palpitation upon making any considerable exertion. Not a moment passed, unless he was asleep, that he was not tormented with an indescribably oppressed feeling about the chest. The pulse was somewhat accelerated and irregular. I had the clothing removed from the chest, so that I could make a thorough examination by inspection, as well as by auscultation and percussion, and while passing my hand over the heart to ascertain the force of its