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dence, it is a comfort to women patients to have the doctor's wife, herself a competent surgeon if necessary, at hand during the actual operation. Mrs. Brinkley administers the local anesthetic, or the general anesthetic, if that is called for, as it sometimes is. While the bulk of the operations performed on both men and women are gland-transplantations, a diseased condition of tubes and ovaries has sometimes made a laporotomy necessary, and many major operations have been successfully performed in the white-enameled operating room. At such times a woman clings to the presence of a woman, and Mrs. Brinkley's kind and pleasant manner is usually sufficient to banish all nervousness from the woman patient. In ordinary cases of gland-transplantation into women, where the patient is in good physical condition, with no disease of the organs, the operation is as simple as in the case of the man. The speculum discloses the condition of the vagina, and the insertion of the new ovary is into the mucous membrane of the vagina, leaving the goat-ovary about four inches distant from the woman's. The only incision made is a small one, about one inch long, painless under local anesthetic, the purpose of the incision being to get a blood supply for the goat-ovary. Sometimes one ovary is implanted, sometimes two; invariably the new ovary is trimmed to a reduction in size. Invariably it is implanted within twenty minutes of its removal from the nanny-goat. Unfortunately for the goat, the removal of her ovaries usually costs her her life. She mopes for a few days, refuses to eat, and dies. She is always given a general anesthetic, and the removal is painless at least, if fatal. Pursuing the conclusions drawn from his long experience, Dr. Brinkley has found that women derive more instant benefit from the glands than men with respect to their awakened enthusiasm, improved appearance, and recovery of the feeling of poise and well-being. Very noticeable is the change of figure which follows the implanting of the new ovaries in the case of a fat woman. The change is equally marked in the case of a fat man. A man of abnormal weight, 250 lbs., lost fifty pounds in two weeks following the operation, during which time he remained at the hospital, feeling well and strong, but shrinking in girth amazingly. When he left the hospital his clothes hung about him in bags and folds. The fat woman's spirits seem to rise as her weight decreases, and she fe
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