The Practitioner . nal wall bymeans of two springs. The pressure concerns the lower and inner margins of theplate, so that the kidney is forced upwards and outwards. Itmust of necessity be applied when the patient is lying requires very careful fitting and adjustment, and it is uselessto recommend the appliance to any patient who is not preparedto devote at least three or four sittings to the precise adjust-ment of the support. The instrument is light—weighing aboutsix ounces—and is perfectly comfortable after it has been wornfor a few days. Of its efficiency I can speak very definitel
The Practitioner . nal wall bymeans of two springs. The pressure concerns the lower and inner margins of theplate, so that the kidney is forced upwards and outwards. Itmust of necessity be applied when the patient is lying requires very careful fitting and adjustment, and it is uselessto recommend the appliance to any patient who is not preparedto devote at least three or four sittings to the precise adjust-ment of the support. The instrument is light—weighing aboutsix ounces—and is perfectly comfortable after it has been wornfor a few days. Of its efficiency I can speak very definitely. MOVABLE KIDNEY. 13 for since 1895 I have abandoned the operation of nephroraphyexcept in the following examples—cases in which there weretorsion symptoms ; some cases in which the patient would beresiding in the tropics, many hospital cases in which the patienthad to work for her li\-ing and could neither indulge in a long-sustained rest nor properly manage a truss requiring somedelicacy in its Since 1895 Mr. Ernst informs me that he has made morethan 300 of these trusses for me for patients in private 95 per cent, of the cases the truss has proved absolutelyefficient ; the kidney has been kept in place and the distressthat had existed has entirely vanished. With the truss on the patient has been able to take activeexercise, to ride and, in an occasional instance, to hunt. It is needless to say that a truss will not cure condition must be dealt with by other measures. Allthat the truss claims to do is to keep a movable kidney frommoving, and that—it may be pointed out—is all that theoperation claims to do. In a large proportion of cases thetruss can be given up at the end of 18 months or two years. 14 THE PRACTITIONER. ON ZOMOTHERAPY IX PULMONARYTUBERCULOSIS. Bv R. W. PHILIP, M A., , ,Senior PhysiciaK to the Victoria Hosfital for Consumption, Edinburgh. The selection of a suitable dietar)- for the patient suf
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