There is a Persian saying that there is no greater anguish known among mankind than to have many thoughts at heart and no power of deed. This particular form of anguish must be well known to most medical superintendents of mental hospitals, for how many of them long to be able to raise the standard of work at the hospital whose welfare they have at heart but, for some reason or another, the power of deed is denied them? Nevertheless, in spite of many a heart made sick by deferred hope, every medical superintendent is probably in a position to raise the efficiency of the hospital in his charge provided he can get plenty of good ideas to work with.