thing under fair control by inhalations & normally when otherwise well was not much trouble. Since returning home a year ago, altho not as severe as many years ago, the headaches (& other signs) have been more frequent & depressing on my general health, In view of inevitable loss of resistance due to my prolonged bowel trouble & the uncertain great future demands on my stamina in Formosa. I felt something had to be done. I have been convinced since my 3rd year (1922) in Medicine that the cause lay in the air spaces in the bones in the face which communicate with the nose. X-ray and exams never give ++ evidence. But I persuaded a nose specialist to investigate. He operated on Thursday night. Removed abnormal obstructive cartilage in the nose & found signs of disease in two sinuses – one the Anterior (better known to the lay public) & the other in near relations to the eyes, the sphenoidal.
Before the operation I anticipated his suggestion that the air passage at the root

等到我學會如何以深呼吸方式控制痛處時，我都已經結業了，其他時候就不會造成什麼麻煩。自從我去年回國後，雖然病情已經不如幾年前嚴重，但頭痛（以及其他症狀）已越來越頻繁，對身體的影響也持續擴大。基於我長期腸胃問題導致我抵抗力薄弱，以及未來在福爾摩沙所需要的龐大耐力，我總覺得我該做些什麼。我自在就讀醫學院第3年起（1922），我認為問題根源在連結鼻子與臉部的骨內空隙。X光與檢測都未能給予足夠證明，但我有說服一位鼻子專家去研究，他在週四晚上動刀，成功去除鼻子內一些造成阻塞的異常軟骨，在兩個鼻竇發現疾病症狀－一個在前部（這樣比較好淺顯易懂），另一個則在眼睛附近（蝶骨）。
　我在手術前已經預期他會建議我，盡可能擴大鼻子根部的空氣通道，