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 (through school work and life), and to safeguard the sick and also the healthy. They are, I admit, restricted. They are other than those of the home doctor who treats "a case" in the home or hospital. But the examination is thorough so far as it goes, and can be undertaken only by an expert. This is proved merely by the fact that a large number of children who appear quite well, and awaken no anxiety at all, even in the breasts of the most careful parents, betray to the eye of the doctor the signs of coming illness, the unsuspected symptoms of future trouble.

The school examination is carried out rapidly—though, of course, cases vary much as to the time required. The healthy children pass merrily through it in a very few minutes. Dr. Speiss, of Frankfurt, writes: "The examination of a child entering school takes from 7 to 9 minutes. In many cases, however, it takes less time. (Dr. Arkell, of Liverpool, finds that three minutes will do, which seems a very short time.) However, it appears certain that even the examination of a diseased child does not take long. It is the examination that follows on treatment, not the first general examination, that requires time and patience.

After the first examination each child gets a health