How this is done?  Pass a soft rubber catheter, along the floor (bottom) of the nose until its end is seen passing down behind the soft palate into the throat.  Grasp this with a pair of forceps and pull it forward into the mouth.  Tie a stout string to the end of the catheter (about 1-1/2 feet long) and tie the other end of the string around the centre of a plug of lint or gauze, 1-1/2 inches long and three-quarters of an inch wide.  Then pull the catheter back through the nostril, very gently.  This will pull the plug into the posterior opening of the nose, and plug it. .  Hold this same end firmly and with a pair of forceps fill the anterior nostril with strips (1/2 inch wide) of gauze, pushing them back to the posterior plug.  The end of the string in the mouth may be fastened to a tooth or to the side of the cheek (if long enough) with a piece of adhesive plaster.  The plug should not be left in position more than forty-eight hours, and it should be thoroughly softened with oil or vaselin before it is removed.  Remove the anterior part first, gently and carefully and then with cocaine (if necessary) and more oil, the posterior plug is softened and removed by pulling the end of the string which is in the mouth gently and slowly.

Sore throat (Acute Pharyngitis—­Acute Pharyngeal Catarrh—–­ Inflammation of the Pharynx—­Simple Angina).—­This is a common complaint especially among some adults.  A predisposition to it is often due to chronic pharyngitis, chronic enlargement of the tonsils and adenoids of the wall of the pharynx as well as chronic nasal obstruction.  Rheumatic persons are especially subject to it and acute articular rheumatism is often observed to be preceded by an attack of pharyngitis.  Tonsilitis is said to have the same influence also.

Symptoms.—­The throat is dry and feels stiff.  There may be tenderness at the angle of the jaw and outside of the neck.  Pains some to swallow.  In a day or two there is a mucous secretion, making the patient inclined to clear the throat by hawking or coughing.  The throat looks red and in the early stage this is more noticeable on the anterior pillars of the fauces, the soft palate and uvula.  On the back wall you see bright red spots, the inflamed lymph follicles.  It usually gets well in two to seven days.  It may become chronic after repeated acute attacks.

Chronic.—­This is very common in persons who smoke or drink to excess, also people who use their voice in public speaking as preachers do, or in calling loudly as hucksters, railroad brakemen, stationmen, etc.

Prevention of chronic kind.—­Ascertain the cause and remove it.  Too hot food or too much spiced food cause the chronic kind.  Rest the voice.  Remove any existing catarrh.

Prevention of acute kind.—­Avoid undue exposure to cold and wet, wear warm comfortable flannel underwear.  Bath the neck and chest daily with cold water.  This is good cold preventive.  The wearing of handkerchiefs, mufflers, around the neck is injurious unless you are driving.  Accustom your neck to the cold from the beginning in the fall and winter months.  Wearing a full beard is said to be a good preventive.