Pittsburg, Pa., April 27, 1901.
To the Editor:
—In Dr. Spivak's paper on "Lavage of the Stomach as a Therapeutic Agent in the Treatment of Habitual Constipation" (The Journal, April 13.), among other things he says: "The fifth indication, habitual constipation, of which I claim to be the originator until some one claims priority," etc. I desire to state that I have been treating chronic constipation by lavage of the stomach for the past two years, and, I might add, with good results. On May 8, 1900, I read a paper before the Washington County Medical Society of this state, and in it I placed particular stress on the good results obtained by lavage of the stomach in chronic constipation. The following are a few extracts from my paper: "You will note that some of the medicated water which must escape through the pyloric orifice, has a twofold action on