THE NORFOLK WEEKLY N13WS-JOURNAL : FKTDAY , MARGE 15 1907 , FAMOUS MAYO BROTHERS OF ROCHESTER , MINNESOTA. ft fj SO REGARDED BY OTHER DOCTORS FROM TEN TO TWENTY SKILLFUL OPERATIONS EVERY DAY. FROM STANPOINT OF PATIENT Wonderful Success of These Two Young Surgeons Which Has Given Them a Place at the Very Head of Their Profession. \t Last April the writer left St. Mary's hospital at Hochcstcr , Minn. , thirteen days after he had been successfully operated on for gall stones by one of the two greatest surgeons In the world , Dr. Charles Mayo , who , to gcther with his brother William , now rightfully hear that reputation. That the Mayos today stand at the very front of their profession Is conceded by medical men all over the civilized world , and It Is said that there Is never an operation performed by one of the Mayos that Is not witnessed by from ten to fifty brother surgeons from as many states and countries to study the methods employed by the Mayos In their wonderfully successful work. The morning that the writer was operated upon there were thirty surgeons to see how It was done , one of them a studious looking old sur geon from Germany , two from the state of Washington , one from Baltl more , another from New York , and others from states all over the na tion. More than that , If a doctor or any of his family must submit to an operation he Immediately takes the train for Rochester and becomes the patient of one of the Mayos. During the time we were In Rochester last spring there were doctors there for operations from Tacoma , Mississippi Texas , Iowa , California and two brothers from Arkansas. These two brothers are practicing physicians and surgeons of Little Rock , and one accompanied the other to Rochester to be operated on for gall stones. The day after the patient was considered out of danger , the brother was stricken with an acute attack of ap pendlcltls and It was necessary to operate Immediately to save his life The operating surgeon at the head of a hospital at WInona , Minn. , only forty or fifty miles distant and a strong competitor of the Mayos , was here for the removal of gall stone trouble , the physician recognizing , even In the face of the jealousy which naturally exists on the part of the rival Institution , that the Mayos are the most skillful men In their line In the world , and came to Rochester for treatment. Stand High With Surgeons. As Illustrating the place these sur geons hold In the minds of brother surgeons , there Is a current story In Rochester ofa southern practitioner of considerable note who , finding him self compelled to undergo a serious abdominal operation , went to New Orleans to put himself In the handa of a celebrated specialist. He found the specialist's office closed on account of Illness. There was a fine operator at Memphis. Thither the patient went only to be confronted with the an nouncement : "Away for a month. " Cincinnati was his next stop. The man ho wanted to see there was in Europe. He telegraphed to the Mayos and took a train for Rochester. "You've come quite a distance , doc tor , " said the superlnontdent , who greeted him. "Yes , but not direct , " replied the Southerner. "Frankly , I Intended to go to Dr. M , of New Orleans , but - failed to find him. " -s. "Yes , " said the superintendent , "he's been hero for ten days , and Is conva lescent now. " "Then , " pursued the patient , "I tried Dr. S. of Memphis , but " "He'll be able to see you by the time you're able to see him , " said the smil ing superintendent. "He's In the second room down that hall. " "You haven't got Dr. L of Cin cinnati , here , have you ? " asked the other , looking at him suspiciously. "They told mo he was In Europe. " "He Is by this time. We shipped him off last week to recuperate after \ a gastrotomy operation. " The evening the writer entered the hospital the first person ho came In contact with other than the nurses was a doctor from Mississippi. The doctor had been operated on a few days before for ulcer of the stomach. For six years ho had been unable to cat anything but liquid foods and ho had fallen In weight from over 200 pounds to less than 100. Ho loft the hospital within two weeks from the time ho was operated on and went tea a boarding house near by , where ho ate ham and cabbage for dinner. The Mayos are thus shown to have the fullest confidence of their coworkers - workers In the mission of saving lives. Fellowship In Hospital. There is a certain fellowship among people who find themselves In a hos pital , and In a very short time every patient becomes Interested In the wel fare of other patients around him and H much pleased when ono of his newly nado frlendH IH able to leave Home- llmoH there Is a death , but this fact s Htudlouply kept from the patient , because of the Inllnence the know- edge might have on him. The evenIng - Ing of the day the writer was operated' > n , the patient In the next room who hud been operated on for tlio same trouble died from hemorrhage , hut the writer was not Informed of this until after he had left the hospital. Second Operation. The writer went to Rochester a year and a half after he had submitted to an operation for gall stones by an other surgeon in another hospital. After the first operation ho had re mained In the hospital for more than live long weeks , the first three of which he was so weak that ho was unable to turn over In bed , and finally when he did come home he was far from cured and remained a semi-In valid for the next year and a half. When he made up his mind that another operation was necessary to save his Jlfo , ho started for Rochester , accompanied by Dr. Sailer , to try It again , leaving hero at ( ! : ; tO and arriv ing about 8 o'clock that evening. The following morning. Dr. Suiter accompanied tlio patient to the general oral offices of the Mayo Urolliei-H In the business portion of Rochester , a town of probably 7,000 or 8,000 pee ple. This office Is a building as large as the Mnrqunrdt block , the ground Hour of which , with the exception of a small drug store In one corner , Is oc cupied entirely by the consulting spec ialists of the Mayo Brothers. Entering the front door a person sees a long row of chairs down the whole length of the building on ono side and for a considerable portion of the other side. All these chairs are frequently filled with people with all the ailments that flesh Is heir to , each waiting his turn for examination. Ono side of the long room has frequent doors to small officers occupied by the examining force of the famous surgeons , each an export In his especial line of work. The two front rooms are occupied , first by the library of the Mayos and next by the business office , whore the financial portion of the business is taken care of. Back of these Is the registering desk and then the offices of the specialists. All Are Alike. The patient is directed to the regis tering desk , where he is given a card _ DR WILLIAM MAYO. directing him to the examiner In whose department his trouble Is suposed to come by the person at the office. Then without going near the financial office the patient takes his seat In line as near the door of the doctor as ho can get and waits his turn. After getting the preliminaries out of the way , the patient begins to look around am : finds himself one of a motely crowi of sick people with a number of well ones who are there to look after their friends unable to care for themselves There are the lame , the halt and the blind , the rich and the poor , those who have como to the door In card ages , In ambulances and on foot. No matter what their position outside , no matter whether their station bo higher or low In life , just so soon as they cross the portal of the Mayo Broth era office they are all on a level , am each In turn Is given the very besi attention that Is possible by the Mayo specialists , and that is the best In the world. Each sufferer Is taken In his turn to ono of the small offices , where the examiner starts In to find out what the trouble is. If It Is a com plicated case , then the patient Is sen to another examiner and another , eacl making a record of what he finds , am the whole are submitted to the grea surgeons when they appear at the of flees In the afternoon. If the patlen has succeeded In being examined dur ing the morning hour he is In lucl for then ho will bo directed to como again for final examination by the Mayos at 2 or 3 o'clock. By this tlmo all the records of the case have been brought together from the various speo lallsts who have made examinations and are submitted to one of the Mayos who makes a final examination. By the time the patient has run the gaunt let of the various examiners and has been passed upon by ono of the Mayos , there Is no doubt In the mint of the man who Is to perform the operation as to Just where to cut wltl the least loss of blood and the smalles per cent of danger. If the hosptal | has a vacant room the patient Is directed to go there a once , or a tlmo Is fixed when ho may enter the hospital. Many times It 1 necessary to wait a few days bofor room can bo made for a new patient , unions his Is an emergency case , then ho 1 always taken oaro of according to the necessities of the case. Entering a carriage at the door the 'patient ' Is driven to St Mury'M IIOH- pltal , about a mlln distant , which is a magnificent structure of Us kind land Is a Catholic Institution , conduct- 'ed ' by the Sisters of St. Francis. A paclous building , HciupuloiiHly clean , erfcct In Its appointments , with largo veil ventilated rooms , IH entered and 10 IH greeted by a mild-mannered sis- or who takes bin name and other lomoramU and directs him to hln oom. The Difference. Hero hcgliiH to appear the differ- renco between the treatment of the layo HrotherH and that of oilier In- millions. When ono enters HOIIIO lospltaln , he has hud the llfo practIc ily drenched out of him before be ar- Ivos anil then ho IH given another Ire- londoiiH dose of salts and put to bed vltliout Hiipper. At St. Mary's when he patient for operation enters , the Inter hands him two small wine ghiHH- H both filled with liquid , which ho is llrected to drink. After downing DR. W. W. MAYO , Father of the Famous Suregons. hem , and by the way they arc not mpleasant , because the first tastes a good deal like beer and tlio other ho mows is beer , If he has been through ho performance before , he asks when 10 Is to take the salts. The gentle nirse assures him there are no salts , lothlng more to take. This pleases ilm very much , as ho dreads the re duction of his strength that he knows will follow a dose of salts. The first ; lass contained what Is known In the lospltal as "Mayo cocktail , " being a mixture of castor oil and beer , not at all unpleasant to the taste. lie enters the hospital at about o'clock in the hftornoon without hnv- ng paid his hotel bill down town , and all the preliminaries having been ar ranged at the hospital ho re-enters the mck , which has been waiting at the door , and goes back to town until G o'clock. From past experience ho be lieves ho will go to bed hungry that light , but to his astonishment a nurse lirings in a nice supper , without meat , and ho Is directed to eat. Again he feels his spirits revive , because he realizes that again his strength Is be ing conserved against the morrow Then , as an experiment , ho asks If he may have a glass of water. The reply comes In the form of a large pltchei of the precious fluid and ho Is told he may drink all he wants before mid night. Sleeps Like a Boy. Thus encouraged by the mild treat ment he has received and fortified by the strength that had been retained through this treatment , the patient goes to sleep at a reasonable hour and sleeps like a boy going out on a picnic the next morning. When he awakens , lie Is of course not allowed to eat or drink , but he takes a bath which re freshes him , and he gets along pretty well until 11 o'clock , when his opera tlon Is scheduled , which Is tenth on the program of fourteen for that morn Ing. Ho walks calmly over to the electric elevator which lifts him to the top floor of the building , where the operating rooms arc located. There are two of these , In one of which Dr W. H. Mayo works and the other for Dr. Charles Mayo. And to correct any misunderstanding about the work at this hospital , It Is asserted that except for a few minor operations which are performed by Dr. Judd , Dr. Charles Mayo's assistant , no operation has ever been performed In St. Mary's hos pltal except by a Mayo. The Operating Rooms. There are two large operating rooms , with marble floors and marble walls , big windows giving a nortl light as well as large sky lights whlcl give a light from directly overhead The two rooms are only separated ) > } a small storage room where assistants arc constantly at work sterilizing In struments during the hours of opera tlon. When both the surgeons are at home each works In his own room , hu when either is away , as was the case when this writer was on the table , the : the other Mayo alternates his tlmo be tween the two rooms , the anaesthetic being given to the next patient In one room while the surgeon Is taking care of the last one , In the other. Dr Charles Mayo performed fourteen op erations the morning spoken of , com menclng at 8 In the morning and working until 1 In the afternoon From ten to twenty-one operations are performed every day In the year except cept Sundays by these two wondorfu surgeons , more than In any other hos pltal In the United States , not except ing the great Johns Hopkins hospital and the percentage of loss Is the low est of any In the world. A Luxurious Jag. Having been agreeably surprised a the ease of the treatment ho had re ceived thus far , the patient mountec the operating table In good strongtl ' 'and with every confidence that ho would at leiiHl wake up aguln to the bcatitlcH of ( bo world | Wht'ti hovan In position , ho WIH U'aln imrcealil.v mirprlHod ( but lie WIIH not Hli-anglcd with el her funtoH , an hint been bin experience before The an aesthetic was administered HO Hlmvl ) 'and ' easily , a Hulllclcnl quantity of Ir being allowed to proven ! muoth- ring , that It was a real pleasure to alie It. After ho had begun to Inhale ho aniioHtliotle a beautiful bright light THt appeared before his eyes , a feei ng of comfort and satlHfacllon suf- imod his body and he voted that anther thor drunk was tlio most glorious In- oxlcatlon over Invented , llo became ndlfferont to everything , lost Intel eat n the toIlM and iilrlfes of his little ! i li. Ill' , and didn't can * a " ' onnviTMiill'in that wan I iir , iii'i 'I on In ! ov > ( OUCH iiro > iud ' m. le heard Dr. Salmi1 say. "Ho i < cor- alnly taking It well , " but ho really did lot think It necessary for the doctor 0 make any comment upon the ac tons of a person who WIIH having mich 1 good lime , and then-- . "Mr. lliiHo , " called HOIIIO one In a tningc voice , "It's all over now. ) on'l jott want lo wake up ? " This VIIH the nurse. Then the presence of ho wife and Dr. suitor beciune known or a few moments , Again the scene hlfted and I \vn trying to do some lltllcnlt work In my "Hire and was bo ng pniNiicd by unwelcome vlnltorH. Didn t l tell you this was my busy la > . I demanded , "anil didn't I leave \ord i bat I wasn't to be bothered ? " Tin ii thin dream drifted away UH I ( egan to remember , and I wanted tones no\s whether I wan dead or alive \fter being told that only an hour and i half had elapsed since I went up to ho opt rating room , I fell Into a mi- .nral sleep. 1 learned afterwardH that ho operation was considered a difficult me and that a considerable section of ny Internal arrangements had been removed , Including my gall bladder. The Disagreeable Feature. When I awakened again I was tor tured with thirst , such as no ono UIOWH who has not taken an anaes thetlc. Thirst Is the only real miff or ng a person has from an operation , ind while ono dreams of western cas cades of beautiful water Just beyond ils reach , It Is a suffering that only asts , \ short tlmo until It Is safe to Irlnk. Here again tlio Mayo system comes to the relief of the patient , for while In other hospitals the patient Is .ortured with thirst for two or three DR. CHARLES MAYO. days , at St. Mary's they commence ad ministering a little moisture within twelve hours and at frequent Intervals after that , so that by the third morn ing ho Is allowed to drink rather free ly and eat a little. And every other drink Is a sip of beer ! It will be remembered that follow ing the first operation , the patient was In a hospital five weeks. At St Mary's , after an operation that was much more severe and dangerous , the patient was able to sit up on the tenth day , to ride about the hospital In a wheeled chair on the eleventh , to walk on the twelfth and to leave the hos pltal for a down town hotel on the thirteenth. A Model Institution. St. Mary's hospital Is a model In every way. At the head of the Instltu tion is Sister Joseph , Mother Superior a most competent and worthy woman who Is also assistant to Dr. Will Mayo which position she lias held for elgh teen years , and Is thoroughly Insplroi with the work she Is doing for human Ity. Dr. Judd , Dr. Charles'Mayo's as slstant , is yet a young man , and lie Is in training to supplement the work o the Mayos , as they will soon be obllgc < to have assistance or turn away man ; sufferers who como to them for relief The most careful treatment Is glvei every patient of the hospital. Two or three times a day there IH a proces nlon of the two house physicians , Dr Judd , Slater Joseph and the two Mayos to the room of the patient and eacl one satisfies himself as to his condl tlon. Besides , the faithful Sisters are always within call and they are eve willing to render him every assistance that will contribute to his comfort These Sisters are a bravo band of self sacrificing women who have dedicatee their lives to the work , and their un selfishness Is an Inspiration. Fre quently the friends of a patient wll send flowers or fruit to a Sister , bu Instead of using It herself the nrtlcl Is usually found a few moments late at the sick bed of a patient who I there without money or friends. After a convalescent has been dls charged from the hospital ho usually I obliged to report at the down towi office each day to have his woum dressed. This Is done by competen and at the end of three ho IH ready to lake tin * train tor homo Charges Are Ponnonnble. in the meantime he linn \Mlod Hie Iliiiinclal olllco of Ibe Mayim lo iiHcer lain bow much ho IIWCH Ummllj the bill IH ready for him but If he comes lee Hoon he IH linked lo wall a few diiyn MccaiiMo the financial office ban been looking up one's Hlandlng at homo while ho IIIIH boon In the Imsplt'il and the elm rue agaliiHl him hi ianjed ; ; by I'N ' ahllll ) to | wy While i > ne IIIIIII'H bill for u certain operation might tie $ l0 ! ( ) , hlH next door neighbor In l ho hospital might bo asked lo pay $500 , and both have had Identically the name "M'vlce. In ihlH IH In ( vervthlng eli - "in M-iyou nre ciimltn < > ni fh > M < 'pie ' 'if belllU fair lo evi ryoili " < ofdlng to their meaiiH. The clmrcen t the hospital are very reasonable , beaper than at most hospitals Ten to Twenty Operations n Day. The MayoH perform from ten lo wenty operations every inoriilnt ; . and Is snld that their net Income In more ban $1.000 a day , after paying the ex onsen of expert HpoelallHln , maintain ng down-town offices , and the HUP HOH ( hey une. which are I he very hen ! nd niOHl expeiiHlvo. And ye ! they are Illllo for the money and are very einocrallc In Iholr ( unto * and are cor- lal and genlnl with every one wllli vlioni they como In contact , lint the own of Rochester reall/on the benelll hey are lo the community In the free ubllc parks and many oilier public enelllH Iliat the city has received at heir hands. The Mayos are the himloHl men we uivo ever known. At the hospital it 7 o'clock in the morning , after a hort round of VHH ! | | lo their patients , boy go to work In the operating rooms ml usually remain until 1 o'clock. I'hon they take an hour for lunch and it 2 o'clock are at tlio olllco ready lo > ass upon the roporlH of tholr special- sis and make final examinations of hose who are ( o be operated upon the lext day. After this has been done a tonographor Is called and a typo-writ- on Hchodulo in prepared for the work , Htlnmtlng bow many operations can io performed by the length of time 'ach ' will probably take , giving prof- Tonco to those who are In greatest iced of attention. One day when wo were on the convalescent list , tlio schedule was being made up and not liilte enough cases had been prepared 0 occupy all the time wanted. An as sistant came forward and said "Let's get some of these appendicitis cases nit of the way. " Appendicitis opera- Ions only require about seven minutes at the hands of the Mayos , HO 1 few of them wore thrown In to make ip the full time , Hut those few re- elvod Just as careful attention as ( lie nest difficult case on the program. The Mayos prldo themselves on the ow percentage of losses and tlio ml iiitest detail might mean the llfo or loath of a patient , so that nothing Is uglected. Reference was made to the fact ( hat > no or tlio other of them Is away a good deal. They are Indefatigable ravolers , always searching after some thing now In their science. They visit lie operating rooms of other surgeons ind when they see the execution of an ( lea that Is new to them they very promptly adopt its good points. So : hey have developed at Rochester tlio very best that Is to bo found In the vorld's hospitals and are acknowledged as the foremost In their line of work : oday. Born In Minnesota. William J. Mayo was born In Lo Sure. Minn. , and his brother Charles was born In Rochester. The former Is now about forty-five years of age and the latter two years his Junior , The father , W. W. Mayo , also a doctor , Is now over eighty years old , and he makes regular visits to the hospital every day. He Is a strong admirer of W. J. Bryan. Dr. Mayo , sr. , is an Englishman , who came to this country as a young man nearly sixty years ago , and became an army surgeon. Ho was stationed at various posts In the west , was engaged In garrison duty and In Indian fight ing , and later took an Important part In the settlement of Minnesota. Thus long ago he established a reputation of strong local Importance as an ac compllshed physician and a w.lse man of affairs. Ho married and settle ( first at LcSueur , Minn. , and later In Rochester , where he has resided for about forty-four years. Dr. William J. Mayo , the eldest son , was horn at Lo Siiour in 1801 and now Is In his forty-fifth year. Dr. Charles H. Mayc was born in Rochester two years later than his brother. A Calamity's Aftermath. In 188P. a tornado swept the valle > In which Rochester lies and killed or Injured some eighty people. Tliei It was that the Mayos came before the public In the light of heroes. At tha time the Sisters of St. Francis bad a convent school at Rochester , am under the direction of Mayo , the father thor , they nursed the wounded. Tills experience , together with recommen datlons of the father , resulted In the building of St. Mary's hospital , which though started in a small way , wltl Dr. W. W. Mayo as physician li charge , has grown Into the famous hos pltal which Is widely known In the profession today. Dr. William J. Mayo , the cldes son , was educated In the public school of Rochester. Later ho worked as a drug clerk In the town for three years after which ho entered the unlvorsltj of Michigan , from which he graduated as M. D. In 1883. receiving an honor ary A. M. from the university In 1900 When 22 years old , and without further thor collegiate experience or the ad vantages of foreign travel , ho bcgai the practice of medicine In nssoclatlo ( Jnn bo cured only by J n rnmcdy thai , will rmaovi ) tin ) cumin. Tlio nflmmr you iitup It with licndiinbo | iowdimi or pills Ihn ijuloluirwlll it return. ( liiiKirnllyJiondiirlin unmiui from u dlii * turlx'd iitoiiiiic.h or irrciil/ir | ; / howolii , mid rthmml iiivariiihly Lane's Family j Medicine ( u tonlo liixntiviO will oiiro bend- Helm Iti nhort order by r < ' | > iilitthi | ; ' Ihn txiwiilii niul roiiiviorulhi | ; | ; tlio | titonmrh. | , ' It IA n great lilood medicine ] , ' | niul ( ho favorite Inxatlvu of old | J i > niul young. At dntuMn' | ; , Ufic. and fillc. > * Illl bin lalher. 'I Ills WIIH In IH8II. Ive jearH laler his brolher followed Hoinewhal Hlmllar course and began lie practice of medicine also. At that anio lime (1NSS ( ) St. Mary's hospital , 'IIH opened wllli ( he father us mir- eon-ln-chlef , and the two HOIIH , nmdHU nt HiirgeoiiH : and down lo ( lie present ay none oilier than the Mayos or liolr Immediate iiHHoclatoH have ever erformed a mirglcul operation In that mlllutjon. For Hovoral yearn they all followed n oxteiiHlve general practice , travel- ng over the Rochester district many tally mid going through the nine arduous routine that marks the ally life of a country doctor. With he lapse of time and Increasing yearn ho father gradually retired from prac- Ice , and now , a vigorous old man of Iglity-Hoven , boldn the honorary posl- Ion of consult Ing surgeon to the lion- dial. Gradually , too , tlio two brothers ellrod from general practice and for iovorul yearH have devoted I lionise ! vcn o Hiirgory exclusively. Their wide reputation as accomplished surgeons estn upon unusual abilities , a do- otion to the welfare- their patients , narveloiis capacity for hard work , and keen appreciation of the Importance > f perfection , toward which every do- all of their dally life IH aimed , An lielr ambitions have broadened with ncreaslng opportunities they have come lo gniHp ( lie possibility and to oall/.o the fact Unit the highest pro- 'oHHlonnl ' achievements may be attain- > d In the wilderness , as well an In ho great city. Apologies to Drs , Mnyo. This article should have been written nontlis ago , but when the writer left .he Rochester hospital lie wan given o understand that It was against the WHI ! of the , two surgeons that any lewspajior publicity bo given to their work. Much against the writer's In clination ho has respected this ro- liiost and would yet were It not for .he fact that other writers have seen It to give long descriptions of the Alayos and what they are doing. But so long as ( ho Ice has been broken , the writer feels that ho would not lie lolng his duty by others who find It necessary to secure surgical assistance If ho did not recall some of the meth ods of treating the sick by the Mayos 'rom the standpoint of ono who has been a patient. Hence this Is offered with apologies to the Drs. Mayo , whoso modesty Induces them to shun news paper notoriety. SULLIVAN SPANKS BOYS. Ex-Champion of the Prize Ring Puts an End to Newsboys' Fight. Watcrhury. Conn. , March 12. John L , Sullivan stopped In Main street yes terday to watch two newsboys , "Pick les" and "Patsy" Sweeney , pummel each other. Pickles had just landed a hot one on Sweeney's nose when Sweeny landed a swift kick on Pickles' stomach that doubled him up. "Here , here , " cried John L. , seizing the combatants by the collars , "what are you kids lighting about ? " They poured out tearful explana tions. "Both lying. " said Sullivan. 'Tight- Ing ain't good for you. I'm going to spank you. " The crowd cheered. The ex-cham pion of the i > rlzo ring knelt In the street and laid the yelling Patsy across his knee. "I'll begin on yon because you didn't light fair , " ho said , admin istering several resounding whacks. The crowd meanwhile was holding on to the terrified Pickles. "Please don't , " he pleaded. "I al ways bet on you. " "Another He. " roared Sullivan. "You weren't on earth when I was cham pion. Lying's worse than fighting. I'll give you an extra one for that , " and he did. ATCHISON GLOBE SIGHTS. It Is easier to tell the truth than to tell a He ; particularly a plasnlble He , A "streak of yellow" Is not so bad If It happens to be a mining prospect or who discovers It. There Is one breach of etiquette no woman ever commits : Failure to express - press admiration for the baby. The man who returns home empty- handed , frequently carries a larger load than his more provident neigh bor. Some people Imagine they are he- Ing complimentary when they say : "Well , you look so nice I did not know you. "