Sunday, January 18 {diarist used extra-large letters} 18 DAYS PAST 347 TO COME Maxillary Sinus Suppuration. When pus is found in the antrum it can be accounted for in one of four ways: 1. It may be due to an extension of infectious material through the ostium from the middle meatus. 2. It may be due to ifection reaching the cavity from the root of a diseased tooth. 3. It may be a secondary infection of a non-perulent accumulation of fluid. 4. The antrum may be acting as a drip cup for the discharge from the diseased areas high up in the nose.—A. H. Andrews; Detroit Med. Journ. Weather Fair Temp. Cold Eugene {illegible} to Aylmer with the colt. Stoped to Mrs Thompsons on his way back & had dinner. Boyde went with him. This afternoon Eugene went over and got Alice. They stayed for supper, then went to the Baptis Church, in the evening. {Nydia?} went 5 6 miles.