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A Lame Law.
cent until proved guilty, this law was evi
dently intended to deceive. While it would THE JOURNAL is in receipt of the following seem to prevent ignorant pretenders from questions:
tampering with the lives of the people by pro“Has Kansas any medical practice act, or viding for graduation, after two full courses, law regulating qualification ?"
at some respectable medical college, it also “Is there any law regulating physician's provides that a certificate from a medical sofees?"
ciety is equally good evidence of qualification, The legislature of 1879 enacted the follow- though the medical society might have been ing law:
composed of men without qualification or “It shall be unlawful for any person within character, and organized for the express purthe limit of the state of Kansas, who has not pose of issuing certificates. attended two full courses of instruction, and
There are no legal regulations governing graduated at some respectable school of med- fees. Medical services usually bring what icine, either of the United States or some for- they are worth in the market, or what the eign country, or who cannot produce a certifi- party rendering them believes them worth. cate of qualification from some state or county
Regular medical associations usually commedical society, and is not a person of good ply with Article VII. of the Code of Ethics: moral character, to practice medicine in any
"Some general rules should be adopted by of its departments, for reward or compensa- the faculty in every town or district, relative tion, for any sick person in the state of Kan- to pecuniary acknowledgments from their pasas; Provided, that in all cases when any per
tients; and it should be deemed a point of son has been continuously engaged in the honor to adhere to these rules with as much practice of medicine for a period of ten years uniformity as varying circumstances will or more, he shall be considered to have com
admit.” plied with the provisions of this act; and that
It is presumed that the members of these when persons have been in the continuous societies appreciate "a point of honor.” practice of medicine for five years or more,
Having answered our correspondent's querthey shall be allowed two years to comply ies, we add a few suggestions. While every with its provisions."
one may appreciate the fact that a knowledge Of this law the late Attorney General Brad- of the art and science of medicine is a necesford gave the following opinion:
sary pre-requisite to successful practice; that "In prosecution under chapter 68, laws of
"A wise physician, skilled our wounds to heal,
Is more than armies to the public weal,” 1870, it will not be necessary for the state to prove, and that the people, ignorant of the qualificain the first instance, that the person charged tions of physicians, should be protected against has not attended the full course of instruction
incompetent pretenders, as the intelligent and graduated in some school of medicine.
physician most fully recognizes the importIt is a rule covering the admission of evidence
ance of such protection, though his motives where the special matter of a negative aver. may be misjudged he should persevere in his ment lies peculiarly within the knowledge of efforts to secure such legislation as will prothe other party, the averment is taken as true tect the people against disease and quackery. unless disproved by that party."
Kansas has never had a law looking to the While this opinion will hold in civil cases, health of the people that did not bear upon its in criminal the courts of Kansas hold other face evidence of inefficiency or fraud. wise, and it would be practically impossible
The law we have quoted was not intended to prove that a practitioner has not graduated to protect. The law of 1879, making three somewhere, or that he has not a certificate of boards' of examiners, with concurrent jurisqualification from some medical society, or diction, was pronounced unconstitutional, and that he has not been in continuous practice the act creating a state board of health gives for five or ten years.
it only advisory authority. But if the accused was not considered inno- There is in every representative and senatorial district enough intelligent physicians, to enable final judgment intelligently to be with an influence among the people that, passed upon it. No one, however, need be at properly exercised, would secure legislators a loss to explain why a bill repealing it has who would listen to those whose education passed the senate. The law interferes with makes them competent advisors.
the revenues of fee schools, ambitiously known Let every county and district society discuss as medical colleges. It tends to check the this matter, and every physician use the influ- number of ignorant and incompetent persons ence he possesses, and Kansas will cease to be who desire to become, or to be called doctors. the haven of incompetents. As Virginia, It correspondingly threatens the loss of tuition Minnesota and other states have abundantly and graduation fees to such fee schools. It demonstrated, every state should pass upon creates in them an interest for the repeal of the qualifications of those who assume the the laws, irrespective of the benefit an imcare of her sick.
proved standard of knowledge and culture Every physician should demand of his rep-among students for medical degrees would resentative legislation in the matter of fees. confer upon the community. A bonded peYou may ride day and night, and tax both cuniary interest, directly contrary to the safety body and mind to their full power of endur- and welfare of society and moved in the name ance, but the law decides it is not labor; and of the schools of a profession which insists on from half the people you attend you cannot being called a profession, has thus been able collect a bill by legal process; but if you put to carry a repeal of this measure through the a bill into the hands of an attorney for collec- senate." tion, his work is labor, for if he chooses he The New York schools who have thus decan file a lean upon your judgment for his meaned themselves, may well tune their services, and he will consider collecting more harps to valuable labor than curing at best. Every “Had some pow'r the giftie gie us physician must render a large amount of To see oursels as ithers see us." gratuitous, charitable service. The law should provide for the collection of bills from those
Rumigate Tuberculous Houses. who are able to work and pay.
We would suggest that a slight change, which the legislature could easily be induced have been tuberculous diseases should not be
Fumigation of houses where there are or to make, would make the law of 1869 practi
neglected. cal, and secure fair protection to the people
During the past month, Dr. S. G. Stewart against ignorance and quackery. Strike out the clause providing for certificates from med reported to Topeka board of health a death
from tuberculosis, and asking that the house ical societies, and require those possessing a be fumigated. The board of health had the diploma, or having had ten years of consecutive practice to produce the proof.
house fumigated in their usual thorough man
ner, and have set an example to the health “A BILL TO ALLY ILLITERACY AND MED-boards of other cities that we hope will be ICINE.- A bill has lately passed the senate to followed. Physicians should make it a rule repeal the act of July 13, 1889, requiring in- to observe all necessary precautions to pretending medical students, in advance of their vent their cases becoming a source of infecentrance on their medical studies, to undergo tion. If every physician would simply do an examination in academic studies.
The his duty in instructing the people in the prelaw is a partial protection of the public from cautions necessary for the prevention of inmedical ignorance, graduated incompetency, fection from this scourge, it would be only a and licensed quackery. The motive of the few years until the mortality from tuberculosis act was undoubtedly excellent. In actual would be greatly lessened. operation for less than a year, the law has certainly produced no results to bring it into DR. LYMAN of Manhattan was a welcome condemnation. It should have a longer life, caller at the JOURNAL Office last month.
The American Medical Association.
"A bill to repeal the statute requiring che prelimina- The forty-first annual meeting of the A. M. ry education of medical students has already passed to its third reading in the New York legislature. This A., held at Nashville, May 20 to 24 inclusive, repeal is called for by Dr. Austin Flint and others in was one of the most successful in the history the interests of certain colleges on the ground that a large portion of the medical students graduated in the of the association. About one thousand phymedical colleges of this country are from New York sicians registered, and thirty-eight States and colleges; that the students spend here over a million Territories were represented. dollars every winter, and that the act requiring a preliminary examination drives students to colleges out of The next meeting will be held in Washingthe State and should therefore be abolished.”
ton, D. C., in 1891, the first Tuesday in May. We bow our heads in shame when we read the above,
The following officers were elected for the to think that our great Empire State should be the first to lead off in this direction-a State to which we have ensuing year, viz.: President, Dr. Briggs of been taught to look as our peer in educational matters. Nashville ; ist vice-president, Dr. Lindley of We are opposed to any move which in any way has Yale; 2d vice-president, Dr. Moore of Omaha; a tendency to lower the standard of education, medical, 3d vice-president, Dr. Wyman of Detroit ; 4th literary or otherwise. The above law already had vice president, Dr. Gibson of Little Rock. given promise of excellent results, and now to ask its
Trustees of the American Medical Journal : repeal simply because there is a possibility of diminishing the funds in college treasuries, is mercenary in the Dr. J. B. Hamilton of the marine service, Dr. extreme.-- Kansas Med. Jaurnal.
John V. Shoemaker of Philadelphia, and Dr. Well and bravely said by our Kansas con- Nelson of Chattanooga. Members of the Jufrere. The remedy for such indications of lo- dicial Council : Drs. Scott of Ohio, Peck of comotor ataxia as are noted above in the case Iowa, Murphey of Minnesota, Lane of Kanof Dr. Flint, can be relieved, if not perma
sas, Roberts of Tennnessee, Garcelon of nently cured, by active antiphlogistic treatmeni-a withholding of supplies (Western, Maine, and Happell of Tennessee. students) counter-irritants in the way of spiced
The delegates in attendance in the associaprotests, and the dissemination of evidence tion from Kansas were Drs. W. L. Schenck, that the medical schools and colleges located F. F. Dickman, R. Aikman, J. A. Lane, L. in the large cities of the Central and Western
Horner, States offer just as good advantages to the
Dailey, A. H. Cordier, W. E. Mcstudent as may be found in the Atlantic Me-Vey, -- McNary and J. E. Minney, . tropolis, where so many of the leading lights Dr. Schenck was placed on the committee in our profession have their eyes congenitally for State Medicine for Kansas, and Dr. Horner set bias, and unfortunately suffer from a pe-on necrology: culiar form of myopia. We are not without hope that a judicious
The citizens of Nashville and the physicourse of treatment, as above outlined, will cians were eminently successful in entertainaffect a permanent cure. The medicine will ing the association. be hard to take, and is described as bitter, The meeting of American Medical Editors nauseating and weakening; but that is the on Monday evening, the 19th, was well atonly way to get down to a bed-rock foundation on which to build up a new constitution with tended and the KANSAS MEDICAL JOURNAL the old imperfections eliminated. All pap not was for the first time represented and initiated native should be withheld.-Lancet and Clinic. into the fold.
We hope to see the medical profession of The meeting of the Medical College reprethe United States rise in their majesty, and in sentatives, in response to the circular of the language that will not be misunderstood, con- Baltimore physicians, issued in March 1890, demn such efforts as the above, to lower the convened in the senate chamber of the capitol standard of medical education whether made in the afternoon and evening of the 21st. by men in high or low position. Such actions Fifty-five colleges were represented. An assoindicate that "the scepter is departing from ciation was organized to be known as The Judah."
National Association of Medical Colleges,
with Dr. N. S. Davis as president. Letters THE KANSAS MEDICAL JOURNAL receives soliciting membership will be sent to all the two credits on the roster of the Times and medical colleges of the United States. Register for April.
The object of the association is to raise the
standard of education, literary and medical,
A Case and to have a uniform requirement for matriculates and graduates. These subjects will be OF INTRA-OCCULAR SARCOMA FOLLOWING more fully discussed in the JOURNAL.
TRAUMATISM IN ELEVEN WEEKS.
J.L. -, aged 37, white, German, laborer, lina May 13 and 14, 1890, was a success in every particular. Our brightest expectations gaged in quarrying rock near Lawrence, Kas., were realized. The attendance was far above producing slight pain and considerable dis
was struck by a flying spall in the right eye, the average, and the character of the papers comfort, but he continued work until evening, has never been excelled. The address of the
at which time the pain became intensely sepresident, Dr. C. C. Green, Dr. Foote's and
vere. The much used and vaunted “home Dr. McVey's articles are all in this number of
remedies," hot teas and baths were applied, the Journal, and each one has to be studied but of no avail. Flax-seed poultices were alto be appreciated.
so used. Dividing the society into sections as sug
The appendages became much swollen; gested by the president and patterning after
the globe reddened and as he said became the American Medical Association is an innovation, but a good one.
very large and swollen. The pain continued The Salina physicians and their assistants
for several days. After a lapse of two weeks deserve great credit for perfecting arrange
he said something like a chunk of matter ments, which was a material factor in the suc
came out, and with this, vision failed. The cess of the meeting. In fact, the only criti- pain in a great measure ceased, although the cism we have to offer is, they put themselves eye was always afterwards tender to the touch.
Examination showed the lids to be swollen. to too much trouble, although the society ap
Phthisis bulbi. There was also marked tenpreciated their work. Sometimes we have
derness in the ciliary region and slight presfelt that our enthusiasm for the Kansas physician had led us to make exaggerated state- sure gave pain. The pericorneal vessels were ments respecting the advance made by him; more or less injected all the time and a blur
would come over the vision of the good eye but our fears have all been dispelled and our conscience set at rest. During the past year
at frequent intervals. there is evidence of greater progress having
The trouble in the good eye was evidently been made as demonstrated at this meeting, in sympathetic
, and an enucleation was advised, medicine in Kansas, than for the same period
to which consent was given. in her history before. Our assertions have
I removed the phthisical globe March 28, been demonstrated beyond a peradventure.
which was about the size of a large hazel nut
and as firm to the touch as solid fesh. The next meeting will be held in Wichita,
On section the vitreous chamber was found and since the Wichita and south Kansas physicians aided so materially in the success of
to contain a grayish mass, fibrous in structure, the Salina meeting, we will all join hands and cutting like elastic tissue. The denser porcomplete the circuit, and so light up the med
tion of the mass being in the center, extendical heavens another year, that Kansas will ing from the posterior surface of the capsule
of the lens, to the fundus in the direction of attract the attention of the whole medical
the hyaloid (Stilling's) canal. There was enworld.
tire absence of the normal vitreous. ALCOHOLIC insanity in Paris has increased
Being somewhat suspicious of a malignant judging by the number of insane admitted to growth, a microscopical examination was made the special infirmary for such purpose from places the inner layers of this tunic were ap
which showed the choroid to be involved; in 3,084 in 1872 to 4,419 in 1888. It is said to be parently absent, the remaining layers were twice as frequent as it was fifteen years ago. pressed together and the lumina of its ves
sels closed. The retina in these places was
Notes on Infant's Rood. not discernible, being degenerated and in an atrophic condition to that extent that its Contrary to the popular opinion, few foods identity was poorly defined.
affect seriously the milk, while the nervous inGrouped together between the connective tis- Auences or the mental disturbances of the sue trabeculæ, there was a limited number of mother, do affect the quality of the milk. oval and spherical, pigmented cells and coarse Pregnancy, menstruation, and all things pigment granules. The stroma varied consider tending to impair the mother's health, have a ably throughout, in places separated and the deleterious influence on the milk. interspaces thickly filled with cells, while in The following drugs affect the milk: bellaothers it appeared as thin hair-like bands, close donna, opium and iodide of potassium. together with but few cells lying between them. In feeding children cow's milk, one of the
Two stains were used, first, picrolithio-car- most serious objections has been, the coagulamine. Second, hæmatoxylum. The cell con- tion of the albumen. While the curds of the tour with its nucleus and nucleolus were mother's milk are fine and flaky and easily brought out much more distinctly with the digested, those of cow's milk are apt to be latter staining. An objective of % power large and firm, and digested with great diffiwas used.
culty. We have often tried preventing this ANATOMICAL DIAGNOSIS.
by the addition of lime-water. In reality, it is Melano-sarcoma of the choroid, with degen- the water and not the alkali which has preeration of the retina. The lids, principally vented the coagulation. Dilution of one part the upper one somewhat swollen, conjunctiva of cow's milk with tour parts of water, will considerably injected, slight tenderness on give a curd very similar to that of mother's pressure, were manifiest symptoms at time of milk. A better infant's food than any ready enucleation.
prepared, is the formula originated by Dr. No history of cancer in the family. Parents Meigs of New York, made of milk and cream living. Patient has always enjoyed good three parts, sugar-water three parts, lime-water health. No apparent ill effects followed the eight parts, and this gives on chemical analyoperation. A slight discharge of pus escaped sis, the same result as mother's milk. It is from the palpebral fissure for a few days. prepared by taking a quart of milk, allowing
At the close of the second week, fitted him it to stand three hours in a tall vessel, and with an artificial eye, with the permission to using the upper half, which contains the richwear it only occasionally until six or eight est part of the milk; the lower pint in the vesweeks would elapse, before wearing perma- sel being discarded. The sugar-water is made nently.
of sixteen heaping teaspoonfulls of sugar of The remaining eye is losing its sensibility milk, dissolved in a quart of hot water, and to light and apparently gaining strength.
allowed to cool. Has enjoyed the best health since, showing Children should be fed with regularity, and no signs of sarcoma of the orbit or any other the amount given and frequency of feeding, part of the system.
should of course vary with the age of each R. S. MAGEE, M. D. child. A graduate should be used for exact TOPEKA, KAS.
measurement, and a child of one week old
should have ten meals a day, not exceeding Dr. F. M. ZANE who purchased the prac- one ounce each in quantity. A child from tice of T. B. Shaw, of Osage City, was a caller two to six weeks of age, should have eight at the JOURNAL, office recently.
meals per day, of one and a half to two ounces
each meal. At four months, six meals, of four THERE were 40,32 1 physicians in the Japa- ounces each, At six months, six meals, of nese empire at the beginning of the year. five ounces each. A child of one year of age
will need five meals of eight ounces each. You are doing good work on your JOURNAL.
Sincerely, J. W. SHUMAKER KEOKUK has another medical college.