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know of only one more captivating custom
Is This True in Topeka ? "a quid" in the mouth, with a saddle-colored rivulet issuing from its angles. But the gum The report of the New York analyst of business is not all fascination. The courtesies drugs shows that the chances for getting drugs of the fashion often pass the morsel from of good quality on prescription is 43.8 per mouth to mouth, making it an efficient me-cent.; fair, 17.4; inferior, 2.6; not as called dium for the transmission of diphtheria, syph- for, 11.6; excessive strength, 1.2.- Times and ilis, and other contagious diseases.
Register. BARTLETTS' "Physicians' Pocket Synopsis,"
The importance of germicides in operative a bulky pocket companion of over 800 pages,
procedure is being called into question, and published in Boston in 1822, speaks of the in- denounced as harmful rather than beneficial. fluenza, or catarrhus contagiosus, as a second
Dr. Bantock and Mr. Lawson Tait, the two species of catarrh, catarrhus à frigore, or com- most successful ovariotomists in the world, mon cold being the first; and after the classical
Dr. Bantock at first
use only pure water. description of the first says: “In the second adopted the Listerian method. He now respecies, or influenza, the same remarks equally ports that while in his first hundred ovariotoapply. Sometimes, however, symptoms of mies, the majority having been done under debility are present, indicating the use of ton- the Listerian method, or a modification of it. ics and cordials. It is also much more severe
he lost nineteen cases; in his second hundred, than common cold, sometimes fatal, and is
while gradually abandoning this method, the said to be contagious, though probably only mortality fell to fourteen; in the third hundepidemic. It terminates about the fifth or red, all performed with clear water, the morsixth day. It is probably engendered by a
tality was eight, and in the fourth hundred it peculiar state of the atmosphere, brought
was only four. about by a succession of damp, hot and close
He flushes the peritoneum with pure water,
and avoids opiates after operation. Since weather. It appeared in the years 1732-33 all over Europe and part of America: and pursuing this course he says his patients have again in Great Britain in 1785, and also in not only recovered in larger numbers, but 1803.” It is also stated in the marginal refer- they have recovered more promptly and per
fectly. ences, “Nothing so good for the influenza
He thinks the best way to avoid vomiting when the acute stage is over as emetics."
after operations, is to keep the stomach empty.
He allows no food for many hours after the School of Dissection.
operation, and allays thirst by permitting the
mouth to be frequently rinsed with warm The school for dissection has demonstrated water. He avoids purgation, and keeps the that material can be obtained in abundance bowels open by injections. for such purposes in Topeka when an effort is made. Credit is due Drs. Williamson and “Why do Chicago men assume such promiRodgers for their successful effort. We can nence in the medical and surgical world, while notice a decided improvement in anatomical those of St. Louis have only a local repu
tation?"-kansas City Medical Index. knowledge in the physicians taking part in the work. How essential to every physician
We had supposed the names of such men
as McDowel, the father of ovariotomy; Hodand surgeon a thorough knowledge of anatomy is, and how easily forgotten. What a stim gen, Gregory and other St. Louis physicians, ulus for study when a number of physicians
had been awarded a prontinence that neither who have been wearing the title of M. D., for envy nor jealousy could change. ten to fifteen years engaged in active practice BELGIUM, where alcoholics have nearly of medicine, without seeing the inside of a everywhere formed a part of the daily dietary dissecting room, to gather around the cadaver has decided to make a crusade against alcoonce more and renew youth and memory. holism.
W. D. B.
MEDICAL MISCELLANY. per cent. of his cases of hysterectomy the
operation was followed by insanity. On this Lawson Tait on Ribroids of the Uterus. point he says: In not one of my hysterec
tomies has insanity followed the operation. I A few weeks ago we called attention to the
insanity follow removal of the views of Thomas Keith on Apostoli's treat- appendages for myoma in two cases, but in ment of uterine fibroids by electricity. It is, one the patient was insane from the moment perhaps, no more than fair to give place to the she came out of the chloroformn, and she was rejoinder of the most prominent advocate of queer' before she went under it.” the purely surgical method of dealing with
In view of such results as Tait has achieved this condition. In a lecture, published in the it is not surprising that he should have little British Medical Journal of August 10, 1889: inclination to change the methods which have Mr. Tait calls attention to the fact that proved so successful in his hands. If any hysterectomy, which Mr. Keith seems to con- value is to be allowed to evidence, however, it sider the only alternative treatment, is only re
can hardly be doubted that very satisfactory quired in a small proportion of cases, and that results have been attained by the electrical the great majority can be satisfactorily treated treatment. Martin, of this city, at the meeting by the comparatively safe and simple operation of the Illinois State Medical Society, May 22, of bringing about the menopause by extirpa- 1889, reported one hundred consecutive cases, tion of the uterine appendages. He claims treated by Apostoli's method, without a death, that “the complete and permanent efficacy of with complete cure in eight cases, symptomthis method of treatment has been established atic cure in sixty-eight others, and decided by evidence beyond all cavil; in fact it stands improvement in the symptoms of most of the unrivalled in the history of modern surgery,
remainder. If such results can be secured by and states that his mortality in 262 consecutive this method and should prove permanent, it cases has been only 1.23 per cent. To the is likely that many women will prefer, even operation of hysterectomy he expresses as at the cost of some pain and inconvenience, strong a repugnance as Keith; but, although to avoid a mutilation which is repugnant to he does not expressly discuss this point, he their feelings and, besides the inevitable reevidently has little faith in the efficacy of elec- sult of sterility, is not always exempt from tricity in cases which call for the severer meas
other unpleasant consequences.
of Kiel, found that a depressed, low-spirited To electricity he objects that it is tedious,
condition was generally observed after removal and, notwithstanding Keith's statements to the
of the ovaries. In three cases out of fortycontrary, may be very painful, citing a case, three insanity followed the operation, proving treated in Paris, in which electricity was used thirty-three times during a period of three permanent in one. Sexual desire and pleas
ure were diminished in nearly all the patients, months, and thirty-one times the patient was
and the disturbances usual at the menopause under anæsthesia. That it sometimes fails when administered by thoroughly competent
were prolonged in a number of cases, for four
or five years. persons, he has had evidence in cases which
Brilliant as have been the results of surgery have come into his own hands, and there is
in the relief of this affection, it can hardly be danger of losing precious time in unsuccessful
said that they leave nothing to be desired, and treatment.
anything that promises the benefits without He complains that Keith furnishes many the drawbacks of the operation with which statements, but few facts, and wishes for pre. Mr. Tạit's name is specially associated, is cise information in regard to the mortality of the electrical treatment, the permanency of the worthy of careful trial. It is hardly probable
that electricity will wholly supplant operative results secured, and the comparative conveni
tieatment, but it may well be that when both ence and expense of the two methods.
have been thoroughly tested it will appear He concludes by quoting what he calls the that each has its appropriate field of useful"prodigious statement" of Keith, that in ten ness.—Chicago Medical Journal.
What Shall My Subject Be ?
IN A RECENT case of chronic malarial infec
BY MONT. LINVILLE, M. D. tion coming under my observation, in which the patient had had an enlarged spleen, of Read at the Meeting of Pennsylvania Company's varying size, for six or seven years, death oc
Surgeons at Pittsburgh, October 13, 1880. curred on the fourth day after an attack of abdominal pain unattended by fever. It had
What shall my subject be? What shall we been known for some time that the spleen was work for? In olden times, many supposed dislocated. It occupied the right inguinal that doctors should work for the glory of God region, extending into the right lumbar and and suffering humanity, and in this great cenumbilical regions. The symptoms preceding tury which boasts that intelligence has driven death were pain throughout the abdomen and out the ignorance and superstition of those feeling of prostration. During the last twenty- days we still find people who cling to the idea four hours there was troublesome thirst and that we should live without fees. Even some vomiting. A post mortem revealed the fact of our great corporations, the Pennsylvania that the diagnosis of dislocated spleen was cor- Railroad Company for example, seem to think rect, and that death was due to rupture on its that a surgeon can live on a small piece of rounded surface, the abdominal cavity receiv- paste board in the shape of a pass, or at best a ing the blood. The cause of the rupture was salary that is so small that it might well be strangulation, by accidental twisting of the called the “Widow's Mite.” I cannot speak pedicle, or elongated ligaments of the organ. advisedly on this matter, but think I can venThe rent consisted of one tear about five inches ture to state that three-fourths of the surgeons long and a quarter of an inch deep, and an of the Pennsylvania Railroad receive no salainch to one side a smaller one an inch in
ry, and those who do, will not average more length. The pedicle over-lapped the splenic than two to five hundred dollars. Why, gen. flexure of the colon, but did not obstruct it. tlemen, if I was so fortunate as to belong to There were no indications of inflammatory ac- the army of Benedict, and so poor that I tion except in the omentum, and they were would be forced to draw on my railroad salary slight. There were no adhesions. The pa as railroad surgeon to supply my wife with pin tient was a spare built lady, twenty-eight money, my head would be very bald before years of age, the mother of five healthy child- the honeymoon was ended. ren, the youngest seven weeks' old. During
Then what are we working for? Is it for gestation the tumor disappeared upwards usually. The spleen weighed, when removed. glory, or because our hearts are overflowing
with sympathy for the thousands of poor felseven pounds, and the liver five and one-half
lows who are injured every year in the railroad pounds.
service? . These things are all right in their Birmingham, Mo.
place, but like all other professions and classes INCOMPATIBILITY OF ANTIPYRIN AND of men, we are running through the march of CHLORAL.--Mr. Blainville, a pharmacist of life with one supreme object in view, that is to Paris, was called upon to put up a prescrip- gain wealth. We belong to the grandest protion containing sixty grains of antipyrin and fession in the world, and do more good to our seventy-five grains of chloral in half an ounce fellows than any other class of men and of water. An oily precipitate was immediate should be better paid for our services. It rely thrown down which resembled neither quires a better physique and more brains to chloral nor antipyrin in taste, but recalled make a skillful doctor than for any other prosomewhat that of coriander-seed. A mixture fession. We work longer hours and have but of antipyrin and quinine is also incompatible, little time for study, unless we burn the midboth substances being at once precipitated night oil. The lawyer works a few regular from the solution.-Medical Record, Novem- hours each day, has plenty of time to keep ber 23, 1889.
cool and to dust the cobwebs from his brain
H. 0. B.,
by consulting his books before giving a client whole business, because they do not apprehis opinion. How many lawyers work for ciate the doctor. If this be true we alone are glory alone, or for a railroad company for a to blame, and can easily command proper apyearly pass?
preciation if we adopt proper methods. The minister sits in his easy chair in his
If the Pennsylvania Railroad Company study, and if he has a moderate amount of thoroughly understands this matter I am sure brains, he can prepare his weekly sermons in they will generously remunerate their sura few hours, and the balance of the time he geons.
Are we not their most faithful sercan employ himself, eating good dinners and vants, ever ready to answer calls in case of acmaking himself agreeable. The time cident or to stand as faithful guards against when ministers worked for little or nothing, unjust prosecution for damages ? United we but they have stepped into the front rank of gain much, but single handed we can accomprogress. They will accept any good thing. plish nothing, but may continue to bend our even to a physician's bill, and at the same time necks to the yoke and work for vain glory. receive a salary that enables them to show a
Methinks I hear some one say, what is the more respectable bank account at the end of use of complaining, for there are hundreds the year than the average physician. I com- ready to step into our places and work for the mend the ministers for their genius as finan- name of being railroad surgeons. This may ciers. They ought to be well paid, for they be true, but if we are united, and will gradustand at the head of an institution which has ally build up a proper sentiment on this quesbeen a great factor in making this and every tion and thus present it in a proper manner to other country where civilization exists, what the Pennsylvania Company, I am sure there it is.
will be no opportunity for the eager throng to If it is a fact that we work harder and re
crowd us out, but if they do, let them hug the ceive less pay than members of other profes
hollow name. We can calmly fold our tents sions, whose fault is it? Are the people to and depart from the field with the satisfaction blame? If there are any gentlemen present
that we are men alio believe that the faithful who are working as railroad surgeons for the servant is worthy of hire. "widow's mite," should we blame the compa
Gentlemen, there is nothing in a name un
We ny? Human nature is the same, no matter
less it has some foundation to rest on. where you find it, whether it be among rail- meet with doctors who are eager to have a road corporations or private individuals, large visiting list. They may be skillful and always willing to take a good thing for noth-ended, there is not sufficient balance to their
have a great name, but when their labor is ing if they can get it. On the other hand, the bank account to pay their funeral expenses. larger the fee the greater is their apprecia- Life has been a failure. tion. We frequently see this in private practice. Some noted specialist performs a capital How Much Should a City Pay its Health operation. It may be a lithotomy for which
Officers, he charges five hundred dollars. How gracefully the patient pays his big fee, and at the Dr. H. B. Baker, secretary of the Michigan same time loading the doctor with praise and State Board of Health thinks that in a village thanks. He is proud that he has been merely of fifteen hundred inhabitants a health officer a martyr to the great surgeon's knife and paid can easily save the lives of two children and a big fee for it. If you or I perform the same one grown person in each year, and he conoperation with equal skill and charge him one cludes that such a village can well afford to hundred dollars, we will be likely to hear a pay its health officer two thousand dollars for growl that will make us feel melancholy for the prevention and restriction of scarlet fever, days. Neither the patient nor his friends go diphtheria and typhoid fever and make money out on the street or among the neighbors to by the transaction. Valuing a person in the announce the wonderful operation and cure, prime of life as statisticians usually do at one and the truth is they are ashamed of the thousand dollars.-Therapeutic Gasette.
THE HONORS THAT AWAIT THE DIS. It was true the operation had most uniformly failed,
But then its vital principles no authority assailed.
And then they quoted Heurteloup and Joseph Emile.
And Civiale, and Jacobsen, Brodie, Leroy, Mercier ;
Proving thus that Blank's invention was invented long
ago, Of the doctors in convention, Surgeon Blank a moment And that certain small improvements were the most claimed,
that he could show; While he showed an apparatus and its various points And even in regard to these, each did contrive in terms explained,
To convey the intimation that Blank had from him the Which he said he had invented for the cure of a disease
germs. That all other forms of treatment but the knife had | Such is oft the meed of genius, but it's not the only one; failed to ease.
There's the inward satisfaction of a duty ably done; When be closed, some seven members in their wisdom And the fame that bides forever for such deeds is still
rose and said They were each of them delighted with the paper Blank When detraction's voice is silent, when this fleeting liie had read;
is o'er. While it showed the greatest merit, they were still com
-- Medical Rhymes pelled to say, That the inalady in question could not be relieved that way.
Our New York Letter. One averred, in his opinion, 'twould be trifling with a life
BY M. H. CAZIER, M. D. To attempt to treat such cases without recourse to the
knife, And one warned his fellow members that the p'an was
NEW YORK, JANUARY 20, 1890. yet untried,
The confidence of New York surgeons in And one prophesied a failure; others, novelties decried. the radical cure of hernia, by operation, is deSo, in short, each poured cold water in the biggest kind of streams
cidedly on the wane. A prominent operator On the head of the inventor and his too ambitious recently reported to the surgical section of the schemes;
Academy of Medicine nine cases of relapse, Winding up with the assertion, that, as now the matter which had previously constituted the substands,
stance of an enthusiastic report of cured cases. If successful with the author, it would fail in other This supplemental report was, therefore, ini hands.
effect, the taking of Hamlet out of the play. In a year or so thereafter the convention met once more, The treatment in the orthopædic departAnd again in proper season Surgeon Blank was on the ment of the Polyclinic, of abscess the result floor,
of bone disease, is “silent contempt;" in other This time with numerous patients of his own, and
words, puss burrowing beneath the fascia of others, too, Proving thus to a conviction every point he claimed lumbar or abdominal muscles. The result of was true.
Pott's disease is now regarded as a harmless Ard once more the seven members were on hand in wise coincidence, and is allowed to remain for' array,
months, to be finally absorbed or removed And in turn, in the proceedings, each arose and had his after the disease has been arrested. This is
the usual treatment. Special indications, All were proud of being fellows of a body Blank adorned, And they each one begged to mention, that, while other however, are met by operative measures if doctors scorned
they arise. The question is an open one, and At the time of the invention when the subject first was the profession here are divided, some holding broached
it to be a well established surgical procedure, They expressed themselves delighted and all doubters and justifiable to evacuate puss in any and all had reproached.
The conservatives holding that more It was a glorious triumph our esteemed colleague had
danger is to be feared from germs entering won, But it should not be forgotten that it had before been from without than from the puss within. done.
In diseases of children, Prof. Seibert re