I have never come across anyone who has given the simpler foods a fair trial of several years, who found any permanent benefit in returning to a meat diet. Doctors, who judge by the immediate results, would not agree with this. Most doctors naturally take a pride and pleasure in seeing their patients return to them after a tentative course of the diet, and it is an equal humiliation when good health results and enables them to keep away. Perhaps the health of the community would be improved if we adopted the Chinese and pauper system of only paying the doctors during health and not illness. There is a considerable difficulty in the law of the land being entirely on the side of the doctors. The conversation at my breakfast table this morning would have made a more nervous woman's hair stand on end. Having an invalid patient of Dr. Haig's in the house under a strict diet of bread, almonds, and fruit, a member of the family said, ' It is quite clear we shall have an inquest very shortly in this house. I see the coroner saying with great emphasis, "Are you sure that Mrs. Earle is in her right mind ? " ' This arose from a discussion as to whether the patient was being starved to death, or poisoned by prussic acid, the real point in my mind being whether she was taking more proteid food than she was able to digest, although within her physiological allowance, or whether she was less well from being out too much in the damp. Damp certainly has a bad effect on a great many people's digestion. Driving and walking are to my mind much less harmful than the sitting about out of doors which is the invalid rule.

The following statement of his own case was written out for me by a man-patient of Dr. Haig's: 'Present age 42.Occupation sedentary.Lives in London for ten months of the year. Medical history bad, both on paternal and maternal side. Paternal: gout for generations. Father suffered from it on and off all his life, and acutely during ten years in the eyes, necessitating surgical treatment by operation. Maternal: chronic dyspepsia and liver complaint. Mother's father died of latter at 34. The man himself up to the age of 34 lived very well and thought much about eating and drinking, but did not indulge in either excessively. Was a heavy cigarette smoker. Suffered during every epidemic of influenza. In 1894 had an attack of influenza, followed by acute intercostal neuralgia, which continued for one month, and ended in an attack of phlebitis in the left leg, which lasted seven months (of which six were passed in a completely recumbent position, the patient being forbidden to move without professional assistance), involved the two soffena veins and the femoral vein, and culminated in thrombosis, which left the femoral vein blocked permanently for the length of five inches close to the groin. Attack very severe, the leg remaining considerably larger than normal size with much varicosity. This attack was followed at intervals during six years by four other attacks of intercostal neuralgia (so severe that the dread of recurrence completely shook naturally strong nerves), the treatment of which, by means of salicylate of soda (in 20 gr. powders often taken every hour for eight hours at a stretch), reduced the patient to a condition of abject weakness, requiring weeks of the strongest tonics before strength at all was recovered. Two of these four attacks were followed by phlebitis in the leg originally attacked, which, though less severe than on the first occasion, necessitated spells of months' duration in bed or on a sofa. In September 1899 the patient underwent treatment at Bag-noles de l'Orne, in France, for the after effects of phlebitis. In November 1899 occurred an unusually severe attack of shingles on the right jaw and side of the neck and upon the back of the head under the hair. In January 1900 phlebitis attacked the right leg, and the patient was warned by the leading French specialist on the subject, who is one of the doctors at Bagnoles, and came from Paris to see him, that he was in danger of constantly recurring attacks, which might well result in a chronic condition, and that elastic stockings must be worn on both legs from the toes to the knees, and never taken off except in bed. He pointed out that the treatment at Bagnoles was in many ways wonderfully efficacious in restoring elasticity to the tissue of veins, thickened and hardened through phlebitis, but procured no immunity from fresh attacks of that disease. Such immunity could only be obtained (if at all) by improving the condition of the blood, for which purpose he recommended a yearly visit to Carlsbad for the next twelve or fifteen years. The patient adopted Dr. Haig's system of diet on April 21, 1900, and has continued it ever since. He has never had another attack of phlebitis or intercostal neuralgia, and was, in August 1901, authorised by the specialist in question to discontinue the use of elastic stockings altogether, even when taking strong exercise, such as walking or bicycling for long distances.'

The following letter may appeal to those who have to practise the diet under the difficulties of travelling. I myself have not taken voyages in steamers of late years, but in travelling on the Continent I find that if you conciliate the hotel-keeper and make it clear to him that economy is not your object, by paying cheerfully for all you don't eat and nearly double for what you do, you will find him most accommodating. Italian food adapts itself much more easily to the taste of the vegetarian than the modern French, at any rate in the expensive Paris restaurants ; but there is no doubt that the long table-d'hotes where you don't eat are even more trying than the long tables-d'hote where you do eat, and this must be just accepted as a trial which can only be avoided by taking lodgings.

July 28, 1902.

As we have just come back from travelling, you may care to hear how we got on as to diet. We had foolishly taken only a small amount of concentrated food with us, and this very soon ran out. However, we were thus able to experiment on how far it is possible to live on the gleanings from 'board-ship table-d'hote. Practically everything is artificia- adulterated milk and butter, frozen meat, frozen vegetables, frozen fruit. Formerly a goat or a cow used to travel on the ship, and I believe that is still the case on some of the very small obscure Continental lines. The bread is extremely poor, little white rolls that taste very acid, and are probably made of gypsum, boron, soda, in fact anything except wheat. The artificial milk is exceedingly nasty and unwholesome and could only possibly be taken in very small quantities with tea or coffee. The only drink that commends itself is hot water. The unboiled water is never supposed to be safe in the Mediterranean and mineral waters certainly have a very bad effect on people unaccustomed to them. It seems to me, however, that those who have a peculiar diet ought to expect all these drawbacks, and starvation is not very terrible for a short space of time. The thoroughly objectionable thing is the immense length of the meals, they nearly always consist of nine or ten courses and take nearly two hours. Imagine munching dry bad bread for nearly two hours while carrying on a sort of pretence at eating some of the meat courses, all for the sake of a little fruit and cheese at the end, these last being the only courses that are hurried. The only time I got on well, as regards food, was when the weather was bad.