I. Explosio, or Loss of Buttons, is the commonest malady demanding surgical treatment. It consists of a succession of minor fractures, possibly internal, which at first excite no alarm. A vague sense of uneasiness is presently felt, which often leads the patient to seek relief in the string habit—a habit which, if unduly indulged in, may assume the proportions of a ruling passion. The use of sealing-wax, while admirable as a temporary remedy for Explosio, should never be allowed to gain a permanent hold upon the system. There is no doubt that a persistent indulgence in the string habit, or the constant use of sealing-wax, will result in—

II. Fractura Suspendorum, or Snapping of the Braces, which amounts to a general collapse of the system. The patient is usually seized with a severe attack of explosio, followed by a sudden sinking feeling and sense of loss. A sound constitution may rally from the shock, but a system undermined by the string habit invariably succumbs.

III. Sectura Pantalunae, or Ripping of the Trousers, is generally caused by sitting upon warm beeswax or leaning against a hook. In the case of the very young it is not unfrequently accompanied by a distressing suppuration of the shirt. This, however, is not remarked in adults. The malady is rather mental than bodily, the mind of the patient being racked by a keen sense of indignity and a feeling of unworthiness. The only treatment is immediate isolation, with a careful stitching of the affected part.

In conclusion, it may be stated that at the first symptom of disease the patient should not hesitate to put himself in the hands of a professional tailor. In so brief a compass as the present article the discussion has of necessity been rather suggestive than exhaustive. Much yet remains to be done, and the subject opens wide to the inquiring eye. The writer will, however, feel amply satisfied if this brief outline may help to direct the attention of medical men to what is yet an unexplored field.



The Poet Answered


Dear sir: