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goat-glands. Another very important thing which his experiments have
taught Dr. Brinkley is this: the glands on being removed from the goat
must immediately be placed in a salt solution warmed to blood-heat, and
they must be used on the human being WITHIN TWENTY MINUTES from the time
they are taken from the goat. No such thing is possible as keeping these
glands in the refrigerator for twenty-four hours, or anything of that
kind, before using. The more quickly after removal from the animal they
are used the more likely they are to take hold and grow. In his men
cases he uses sometimes one gland, sometimes two; sometimes the whole
gland, just as it came from the young goat, sometimes a part of the
gland only, but he leans to the opinion that the gland of the
three-weeks-old goat gives best results if used entire, without
trimming. Sometimes he lays the gland +upon+ the outside of the human
testis, connecting part with part; sometimes he opens the testis by
incision and lays the goat-gland within the cleft. Very often there are
adhesions which must be broken down before the goat-gland can function
rightly. Very often there are unsuspected hydroceles, forming cysts in
the testicular mass, which must be cut out, or there may be varicocele
requiring attention. The patient suffers very slight inconvenience; the
local anesthetic is enough to dull the pain even of the breaking down of
the adhesions, so that it is at its worst no more than the pain of a
toothache, and lasts a very brief while. Many of the patients converse
with the doctor while the operation is proceeding. The pain is
negligible. The doctor proceeds according to the condition, age, etc.,
of his patient. He may ligate, that is to say, tie off, the tubes that
connect with one testis, or the other, or both; he may not ligate at
all. It will depend upon the result sought, the condition present, and
the age of the patient. Suppose the patient is an old man in whom it is
desired to produce rejuvenation; the doctor then will ligate both sides,
in order that the new glands when they take hold, and begin to feed the
testes of the man, stimulating these to a new activity, may not be
overtaxed to the point of excess usage by the patient when he returns
home and finds himself in possession of a sexual vigor that has been
unknown to him for many years. This increase in sexual vigor
+invariably+ follows, regardless of the age of the patient. The glowing
letters on file in