The term "care of disease" is a very pleasing one as representing one of the most honorable offices of the physician. The old Homeric definition of the physician as the one who cured internal diseases and took care of that which he could not cure, always seemed very happy especially when coupled with the definition of the surgeon as the one who cured external diseases. It is a very practical question, indeed, how we shall manage cases of organic cardiac disease so that the patient may enjoy a prolonged and comfortable existence.
A great change of public and professional opinion as to the grave prognosis, which was formerly given in valvular disease, has occurred during the present century. The old feeling was that a person with chronic heart disease was certain to die in a moderate length of time and was in constant danger of sudden death. The more careful