e highest degree
unwise to go contrary to this rule. If the glands are transplanted
during very hot weather they will almost certainly slough, which means
re-operating later.

In many cases that are brought to me I do not operate or even advise
that the goat-glands be transplanted later. I cannot go into details of
such cases in these pages, but might cite the case of a man, syphilitic,
who was sent to me. Certainly I have never made the statement anywhere,
at any time, that this operation would cure syhpilis. The man is being
treated now for syphilis, and should not have been sent to me at all.

I quote the case of a woman of forty, who is normal in every way, and
the picture of health at the present time. Her desire is that she may
never grow to look any older than she does at this moment, and she asks
me if this gland-operation will hold her at the point she has now
reached. Frankly, this is pure experiment. I do not know. After another
ten years of work in this gland-surgery I might be able to give her a
definite opinion, but not at this stage, seeing that my oldest cases go
back only three years. On one point only I can speak with positiveness,
namely, if I cannot answer this question there is no man living who can
answer it, because I am the only man alive who can give an opinion on
this work that is founded on first-hand knowledge. We learn in this work
only by experience, and we draw just conclusions only from +quantity+ of
experience. No other man alive has had this experience in sufficient
quantity to justify him in forming a conclusion derived from his facts.
This is my answer not only to those who listen to encouraging advice
regarding the effects of this operation tendered by surgeons who are
embarking in this goat-gland operation, but also to those general
practitioners who inform patients asking their opinion in the matter
that the operation is useless because the glands are certain to slough,
I hold that they are not qualified to speak on the subject because they
have no knowledge. I have the most positive knowledge that when the
operation is rightly performed the glands do NOT slough, and my
knowledge is founded upon the hard facts of much experience. In another
ten years I shall know more than I know today because I shall have added
to my facts, and among those facts there may be some which confirm the
hope of the woman of forty alluded to above that this gland
transplantation may hold the condition o