Abstract
A Jewish spinster, aged 54, consulted me, Dec. 30, 1915, regarding her hearing, which had begun to fail two years before and which was now much deteriorated. This loss of hearing was accompanied by an annoying ringing in both ears, the right ear being worse than the left. There was no record of any impairment of hearing in any member of her family, and no history of any undue predisposition to colds. She had never had an earache, and gave no evidence of syphilis, tuberculosis or focal infection. Hearing in the right ear was reduced to hearing a watch at 3 inches, which normally can be heard at 20 feet. A C fork, whose air conduction is to bone conduction as 65 to 25 seconds, was heard in her case at thirty seconds air and thirty seconds bone. The C-4 fork, whose air conduction is to bone conduction as 40

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