Hardbound. Large book with an estimated 300 pages, illustrated with original medical photos taken from actual patients treated by Dr. Irwin in Baton Rouge at Our Lady of the Lake Sanitarium between 1935 and 1937. The reports involve cases such as amputation of a leg, amputation of a breast, cesarean sections, appendectomy, hysterectomy, and many more.The complete medical report of each patient is included. The fore edges are stained and there is foxing of the end papers otherwise the book is in Good condition. An excellent review of surgical treatment and medical diagnosis and treatment over 80 years ago.