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The obstinacy with which chronic otitis media resists treatments is discouraging to the general practitioner, as well as to the specialist. Many therapeutic measures have been suggested for this disease, but the large number of them is proof enough of their inadequacy. On the other hand, the patient, not realizing the obdurate chronicity of the condition, usually blames the physician for incompetency to cure his ear, and starts to make a round of various specialists, without giving any of them time to study the case thoroughly. This difficulty in systematically following up cases of chronic otitis media over a long period must be taken into consideration before one passes judgment as to which of the therapeutic applications is more efficacious. In tuberculosis institutions, cases of chronic otitis media can be followed more or less systematically, as the patients remain for a long period, because of the pulmonary condition. In

My experiences in treating a large number of cases of psoriasis locally with the mercury quartz lamp during the last few years have convinced me that this therapy constitutes a relatively satisfactory and cleanly method. While it is not invariably successful, I have often observed that psoriasis lesions clear up more effectively than under any other form of treatment except roentgenotherapy. For various reasons, I prefer the former; I believe that recurrences are delayed longer after successful ultraviolet light treatment. It seems to me to be safer and more desirable when the scalp is involved, although I realize that it is stated on very good authority that roentgenotherapy is safe and effective. I now have a patient with psoriasis in my care suffering from alopecia due to roentgen-ray treatments administered by a local expert for the eradication of psoriasis lesions of the scalp. The lesions have been eradicated, and so