The image contains the following text:
three months, and, on these occasions, the appliance was
removed and cleansed. Then she went abroad, came for a
few consultations at irregular intervals, and then ceased to
visit me.
After a couple of years she again appeared in my consulting
room : not—as she made clear at once—as a patient, but
in order to show me what Christian Science had done for
her ; and she was now, in every sense of the word, devoted
to that way of thought and practice. She had brought her
ring in a box, and reported that she had removed it some
two years before, having come to the conclusion that all
illness was merely imaginary and could be cured by faith.
Her distressing symptoms had vanished, and she wished me
to satisfy myself of this by gynaecological inspection. This
inspection took place and the results were as follow :—
The vulva was close and the introitus almost circular and
about 2 cm. in diameter; a corresponding portion of the
smooth anterior vaginal wall was visible from the outside.
Digital palpation showed a perceptible ring of tighter tissue
which was doubtless due to muscular action. The patient
voluntarily and of her own accord relaxed this narrow band
of tissue in order to permit full examination. The anterior
vaginal wall was still relaxed as before, and there was still a
marked tendency to prolapse with cystocele. I received the
definite impression that there would shortly be a recurrence
of the former displacement as soon as the posterior vaginal
wall proved inadequate to support the anterior surface and
the muscular constrictor cunni gave way under the strain.
It was, however, interesting to note that the portio vaginalis
uteri was between 7 cm. and 8 cm. from the introitus, i.e., it
was much higher than before.
I saw the patient again, after a year had elapsed; the
conditions locally were unchanged since her return. She
felt no distressing symptoms and was glad to need neither
appliance nor medical inspection. Her later letters confirmed
her improvement in health. Then I received the news of
her sudden death.
There is only one explanation of this remarkable improve-
ment—almost recovery : it must have been due to the extreme