ierce's
Pleasant Purgative Pellets. In advanced cases after the structures are
so diseased and thickened that it renders local treatment hopeless, only
surgical interference can prove curative.

OUR PAINLESS OPERATION.

By the application of a few drops of a solution of cocaine in the
nostril, at the point to be treated, we are now able to produce such
local anaesthesia as to render the operation entirely painless without
the administration of either chloroform or ether. This is an important
consideration as many are adverse to taking chloroform or ether, and now
that we possess an agent that produces, locally, complete insensibility
to pain, we are very glad to dispense with their use in all such minor
operations. There is no pain caused even by the application of the
cocaine to deaden the sensibility of the part. Many examinations of the
upper air-passages heretofore very annoying and even painful to the
patient and sometimes unsatisfactory, are rendered entirely painless,
and carried out with a thoroughness that would be impossible without the
use of this wonderful agent. Not only in surgery of the nose and throat,
but alike in other departments, our surgeon-specialists employ the same
local anaesthetic in all minor operations, none of which are attended
with the least pain.

Our specialists were among the first surgeons in this country to employ
this newly-discovered anaesthetic. We regard it as a great boon to our
patients, and never withhold it in any case where it can be employed to
prevent suffering. Its use is attended with no danger, nor is it
followed by bad or disagreeable results.

OUR OPERATION.

[Illustration: Fig. 15.
Anterior view of deformed nasal passages as
seem with the projecting portion of the nose removed.
_A._ Deformed and thickened septum or bony
plate separating nostrils. _B,B._ Irregular and
obstructed nasal passages. _C._ Diseased and swollen
turbinated body. _D,D._ Turbinated bodies
crowded back by septum.]

The nostrils being the entrance to and the beginning of the air passages
no dexterity and skill can be spared in treating and properly correcting
any deformity that may exist. Mutilation of these sensitive structures
is sure to be followed by serious reflex symptoms in adjacent parts.

Consequently cases of this nature should only be entrusted to the care
of a competent and experienced specialist. Our resources and appliances
are unlimited and seldom do we use the sur