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Reid, msisting on the suspension of the heart's action at the commencement of "cream" the fit, and on the tetanic rigidity of the muscles in the first stage of it, has referred these changes to" irritation or accumulation of blood in the spinal nervous mass," particularly the cervical portion. Other questions of importance apply to persons in all positions in life; the mortality of the operation; the immediate and permanent local result as regards healing; and the function of the limb; the influence of the operation on the general condition of the patient; whether the general health is benefited or whether operation, as some have suggested, increases the danger of pulmonary tuberculosis, tuberculous meningitis, general miliary tuberculosis or other grave tuberculous lesions: cost.