Things going on from bad to worse, Dr.Julius sent her to London for treatment in the early part of December.

I now determined to try the effect of the method I am discussing, of which I knew nothing when I first saw her.

It was commenced on December 11, and everything went on most favorably.

A week after it was begun, when her attention was fully occupied with the diet, massage, etc., I introduced a stem pessary, being tempted to try this instrument, which I rarely use, by the knowledge that she was at perfect rest, and that no form of Hodge had previously been retained.

I do not think she ever knew she had it, and it remained _in situ_ for a month, when I removed it and inserted a Hodge, which was thenceforth kept in without any trouble.