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No apology need be made, then, for this bit of personal history, nor will you question my sincerity when I say that it gives me real happiness to be with you today. After uniting the walls with thin iodoform-silk sutures the reflected muscular flaps are united above them, thus producing a small but virtually normal bladder, protected by a firm muscular layer, which is likely to distend later on. They must be helped to stand on their own feet as soon as possible. Jlichigan and Iowa will doubtless resent this attack and defend themselves. Were the truth otherwise, it would strike at the root of medical experience.

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A Ccnru of Lidwres ddixered im the College of Physicians and Surgeons, New York, in the Fall Term I have already spoken, gentlemen, in a prenons lectore, of some of the variations in constitution which the blood undergoes in different parts of the circulation:

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