. Dr. Evans' How to keep well; . called the tonsils,has been thrown up. Unfortunately, the tonsils contain one structure in addition to the lymphnodes. On the surface are ten to twelve deep pockets, called crypts. Thecrypts are about one-third to two-thirds of an inch deep. There are many theories as to these crypts. Some think that bacteriagrow in them; that they act as test tubes and that the toxins being absorbedconstantly in time make one immune; in other words, that they do good. Being deep, narrow, blind pouches, they do not easily clean fact, they are extremely apt to fill
. Dr. Evans' How to keep well; . called the tonsils,has been thrown up. Unfortunately, the tonsils contain one structure in addition to the lymphnodes. On the surface are ten to twelve deep pockets, called crypts. Thecrypts are about one-third to two-thirds of an inch deep. There are many theories as to these crypts. Some think that bacteriagrow in them; that they act as test tubes and that the toxins being absorbedconstantly in time make one immune; in other words, that they do good. Being deep, narrow, blind pouches, they do not easily clean fact, they are extremely apt to fill up with decomposing epithelium bacteriaand remnants. Such are the little, round, offensive balls which some peoplefind at times in their mouths. In recent years physicians have found pneumococci, or one of the puscocci, in these crypts in many cases of rheumatism and rheumatic arthritis. There are those who think the tonsillar crypts serve as a purpose andothers who think they do harm. I think the best arguments are with the 15. Fig. 8.—Throat Inspection. 16 THE TONSILS latter group. In filing specifications to a bill of complaint, I think we shouldinclude the tonsillar crypts. There is much controversy over the lymph gland portion of the think it helps to make blood; others that it protects the body againstdisease; others that it helps in other ways. On the other hand there is a large group which thinks the tonsil serves nogood purpose at all, whether well or sick. In a discussion before the staff of Mount Sinai Hospital, Dr. Freedmansummarized his views with this sentence: Removal of the tonsil does not remove body any organ or tissueabsolutely necessary to the system, but, if not diseased, Us removal has left theindividual with one defense less/ If a foreign body gets by the lymph tissues in the tonsil, it still has topass through some glands in the upper part of the neck below the angle of thejaw. If it gets by these it has to run by a third barrier,
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