"Harvey Lillard, a janitor, in the Ryan Block, where I had my office, had been so deaf for 17 years that he could not hear the racket of a wagon on the street or the ticking of a watch. I made inquiry as to the cause of his deafness and was informed that when he was exerting himself in a cramped stooping position, he felt something give way in his back and immediately became deaf. An examination showed a vertebrae racked from its normal position. I reasoned that if that vertebra was replaced, the man's hearing should be restored….I racked it into position by using the spinous process as a lever and soon the man could hear as before….There was nothing "crude" about this adjustment; it was specific…"