Paradoxical as it may appear, cold abscess and sinuses with all kinds of mixed infection furnish a fascination for me that years of experience in their treatment can not satisfy. Year after year, as requests from chairmen and secretaries come to present a paper for discussion, the topic chosen to-day comes first into mind, and because of its inexhaustibility it pleads for further discussion. To the practitioner remote from large cities, abscesses and sinuses appear insignificant, perhaps, because out-of-door life and good hygiene contribute so much to the storing up of vital resistance, and almost any surgical measure leads to satisfying results. In largely populated centers, however, where the tenement house plays so important a part, vital resistance is lowered and results are far from satisfactory.
My connection for nearly a third of a century with a hospital whose in- and out-patient service is second to none prompts me to