〃　　　27；　　　〃　　　May　　　3。　　　〃　　6；　　　〃　　　　　　　　　〃　　　28；　had　some　symptoms；（recovered。）　　　〃　　7；　　　〃　　　　　　　　May　　　8；　had　some　symptoms；（also　recovered。）
  These　were　the　only　cases　attended　by　this　physician　during　the　period　referred　to。　　〃They　were　all　attended　by　him　until　their　termination；　with　the　exception　of　the　patient　No。　　6；　who　fell　into　the　hands　of　another　physician　on　the　2d　of　May。　　（Dr。　C。　left　town　for　a　few　days　at　this　time。）　Dr。　C。　　attended　cases　immediately　before　and　after　the　above…named　periods；　none　of　which；　however；　presented　any　peculiar　symptoms　of　the　disease。
  About　the　1st　of　July　he　attended　another　patient　in　a　neighboring　village；　who　died　two　or　three　days　after　delivery。
  The　first　patient；　it　is　stated；　was　delivered　on　the　20th　of　March。　〃On　the　19th；　Dr。　C。　made　the　autopsy　of　a　man　who　died　suddenly；　sick　only　forty…eight　hours；　had　oedema　of　the　thigh；　and　gangrene　extending　from　a　little　above　the　ankle　into　the　cavity　of　the　abdomen。〃　　Dr。　C。　wounded　himself；　very　slightly；　in　the　right　hand　during　the　autopsy。　　The　hand　was　quite　painful　the　night　following；　during　his　attendance　on　the　patient　No。　1。　　He　did　not　see　this　patient　after　the　20th；　being　confined　to　the　house；　and　very　sick　from　the　wound　just　mentioned；　from　this　time　until　the　3d　of　April。
  Several　cases　of　erysipelas　occurred　in　the　house　where　the　autopsy　mentioned　above　took　place；　soon　after　the　examination。　　There　were　also　many　cases　of　erysipelas　in　town　at　the　time　of　the　fatal　puerperal　cases　which　have　been　mentioned。
  The　nurse　who　laid　out　the　body　of　the　patient　No。　3　was　taken　on　the　evening　of　the　same　day　with　sore　throat　and　erysipelas；　and　died　in　ten　days　from　the　first　attack。
  The　nurse　who　laid　out　the　body　of　the　patient　No。　4　was　taken　on　the　day　following　with　symptoms　like　those　of　this　patient；　and　died　in　a　week；　without　any　external　marks　of　erysipelas。
  〃No　other　cases　of　similar　character　with　those　of　Dr。　C。　occurred　in　the　practice　of　any　of　the　physicians　in　the　town　or　vicinity　at　the　time。　　Deaths　following　confinement　have　occurred　in　the　practice　of　other　physicians　during　the　past　year；　but　they　were　not　cases　of　puerperal　fever。　　No　post…mortem　examinations　were　held　in　any　of　these　puerperal　cases。〃
  Some　additional　statements　in　this　letter　are　deserving　of　insertion。
  〃A　physician　attended　a　woman　in　the　immediate　neighborhood　of　the　cases　numbered　2；　3；　and　4。　　This　patient　was　confined　the　morning　of　March　1st；　and　died　on　the　night　of　March　7th。　　It　is　doubtful　whether　this　should　be　considered　a　case　of　puerperal　fever。　　She　had　suffered　from　canker；　indigestion；　and　diarrhoea　for　a　year　previous　to　her　delivery。　　Her　complaints　were　much　aggravated　for　two　or　three　months　previous　to　delivery；　she　had　become　greatly　emaciated；　and　weakened　to　such　an　extent　that　it　had　not　been　expected　that　she　would　long　survive　her　confinement；　if　indeed　she　reached　that　period。　　Her　labor　was　easy　enough；　she　flowed　a　good　deal；　seemed　exceedingly　prostrated；　had　ringing　in　the　ears；　and　other　symptoms　of　exhaustion；　the　pulse　was　quick　and　small。　　On　the　second　and　third　day　there　was　some　tenderness　and　tumefaction　of　the　abdomen；　which　increased　somewhat　on　the　fourth　and　fifth。　　He　had　cases　in　midwifery　before　and　after　this；　which　presented　nothing　peculiar。〃
  It　is　also　mentioned　in　the　same　letter；　that　another　physician　had　a　case　during　the　last　summer　and　another　last　fall；　both　of　which　recovered。
  Another　gentleman　reports　a　case　last　December；　a　second　case　five　weeks；　and　another　three　weeks　since。　　All　these　recovered。　　A　case　also　occurred　very　recently　in　the　practice　of　a　physician　in　the　village　where　the　eighth　patient　of　Dr。　C。　resides；　which　proved　fatal。　　〃This　patient　had　some　patches　of　erysipelas　on　the　legs　and　arms。　　The　same　physician　has　delivered　three　cases　since；　which　have　all　done　well。　　There　have　been　no　other　cases　in　this　town　or　its　vicinity　recently。　　There　have　been　some　few　cases　of　erysipelas。〃　It　deserves　notice　that　the　partner　of　Dr。　C。；　who　attended　the　autopsy　of　the　man　above　mentioned　and　took　an　active　part　in　it；　who　also　suffered　very　slightly　from　a　prick　under　the　thumb…nail　received　during　the　examination；　had　twelve　cases　of　midwifery　between　March　26th　and　April　12th；　all　of　which　did　well；　and　presented　no　peculiar　symptoms。　　It　should　also　be　stated；　that　during　these　seventeen　days　he　was　in　attendance　on　all　the　cases　of　erysipelas　in　the　house　where　the　autopsy　had　been　performed。
  I　owe　these　facts　to　the　prompt　kindness　of　a　gentleman　whose　intelligence　and　character　are　sufficient　guaranty　for　their　accuracy。
  The　two　following　letters　were　addressed　to　my　friend　Dr。　Scorer；　by　the　gentleman　in　whose　practice　the　cases　of　puerperal　fever　occurred。　　His　name　renders　it　unnecessary　to　refer　more　particularly　to　these　gentlemen；　who　on　their　part　have　manifested　the　most　perfect　freedom　and　courtesy　in　affording　these　accounts　of　their　painful　experience。
  〃January　28；　1843。
  II。　　。　　。　　。　　〃The　time　to　which　you　allude　was　in　1830。　　The　first　case　was　in　February；　during　a　very　cold　time。　　She　was　confined　the　4th；　and　died　the　12th。　　Between　the　10th　and　28th　of　this　month；　I　attended　six　women　in　labor；　all　of　whom　did　well　except　the　last；　as　also　two　who　were　confined　March　1st　and　5th。　　Mrs。　E。；　confined　February　28th；　sickened；　and　died　March　8th。　　The　next　day；　9th；　I　inspected　the　body；　and　the　night　after　attended　a　lady；　Mrs。　B。；　who　sickened；　and　died　16th。　　The　10th；　I　attended　another；　Mrs。　G。；　who　sickened；　but　recovered。　　March　16th；　I　went　from　Mrs。　G。's　room　to　attend　a　Mrs。　H。；　who　sickened；　and　died　21st。　　The　17th；　I　inspected　Mrs。　B。　　On　the　19th；　I　went　directly　from　Mrs。　H。's　room　to　attend　another　lady；　Mrs。　G。；　who　also　sickened；　and　died　22d。　　While　Mrs。　B。　was　sick；　on　15th；　I　went　directly　from　her　room　a　few　rods；　and　attended　another　woman；　who　was　not　sick。　　Up　to　20th　of　this　month　I　wore　the　same　clothes。　　I　now　refused　to　attend　any　labor；　and　did　not　till　April　21st；　when；　having　thoroughly　cleansed　myself；　I　resumed　my　practice；　and　had　no　more　puerperal　fever。
  〃The　cases　were　not　confined　to　a　narrow　space。　　The　two　nearest　were　half　a　mile　from　each　other；　and　half　that　distance　from　my　residence。　　The　others　were　from　two　to　three　miles　apart；　and　nearly　that　distance　from　my　residence。　　There　were　no　other　cases　in　their　immediate　vicinity　which　came　to　my　knowledge。　　The　general　health　of　all　the　women　was　pretty　good；　and　all　the　labors　as　good　as　common；　except　the　first。　　This　woman；　in　consequence　of　my　not　arriving　in　season；　and　the　child　being　half…born　at　some　time　before　I　arrived；　was　very　much　exposed　to　the　cold　at　the　time　of　confinement；　and　afterwards；　being　confined　in　a　very　open；　cold　room。　　Of　the　six　cases　you　perceive　only　one　recovered。
  〃In　the　winter　of　1817　two　of　my　patients　had　puerperal　fever；　one　very　badly；　the　other　not　so　badly。　　Both　recovered。　　One　other　had　swelled　leg；　or　phlegmasia　dolens；　and　one　or　two　others　did　not　recover　as　well　as　usual。
  〃In　the　summer　of　1835　another　disastrous　period　occurred　in　my　practice。　　July　1st；　I　attended　a　lady　in　labor；　who　was　afterwards　quite　ill　and　feverish；　but　at　the　time　I　did　not　consider　her　case　a　decided　puerperal　fever。　　On　the　8th；　I　attended　one　who　did　well。　On　the　12th；　one　who　was　seriously　sick。　　This　was　also　an　equivocal　case；　apparently　arising　from　constipation　and　irritation　of　the　rectum。　　These　women　were　ten　miles　apart　and　five　from　my　residence。　On　15th　and　20th；　two　who　did　well。　　On　25th；　I　attended　another。　This　was　a　severe　labor；　and　followed　by　unequivocal　puerperal　fever；　or　peritonitis。　　She　recovered。　　August　2d　and　3d；　in　about　twenty…　four　hours　I　attended　four　persons。　　Two　of　them　did　very　well；　one　was　attacked　with　some　of　the　common　symptoms；　which　however　subsided　in　a　day　or　two；　and　the　other　had　decided　puerperal　fever；　but　recovered。　　This　woman　resided　five　miles　from　me。　　Up　to　this　time　I　wore　the　same　coat。　　All　my　other　clothes　had　frequently　been　changed。　　On　6th；　I　attended　two　women；　one　of　whom　was　not　sick　at　all；　but　the　other；　Mrs。　L。；　was　afterwards　taken　ill。　　On　10th；　I　attended　a　lady；　who　did　very　well。　　I　had　previously　changed　all　my　clothes；　and　had　no　garment　on　which　had　been　in　a　puerperal　room。　On　12th；　I　was　called　to　Mrs。　S。；　in　labor。　　While　she　was　ill；　I　left　her　to　visit　Mrs。　L。；　one　of　the　ladies　who　was　confined　on　6th。　Mrs。　L。　　had　been　more　unwell　than　usual；　but　I　had　not　considered　her　case　anything　more　than　common　till　this　visit。　　I　had　on　a　surtout　at　this　visit；　which；　on　my　return　to　Mrs。　　S。；　I　left　in　another　room。　　Mrs。　S。　　was　delivered　on　13th　with　forceps。　　These　women　both　died　of　decided　puerperal　fever。
  〃While　I　attended　these　women　in　their　fevers；　I　changed　my　clothes；　and　washed　my　hands　in　a　solution　of　chloride　of　lime　after　each　visit。　　I　attended　seven　women　in　labor　during　this　period；　all　of　whom　recovered　without　sickness。
  〃In　my　practice　I　have　had　several　single　cases　of　puerperal　fever；　some　of　whom　have　died　and　some　have　recovered。　　Until　the　year　1830　I　had