In the second group, in which there is a subdiaphragmatic abscess, cut off by adhesions between the stomach, liver, and anterior abdominal wall from the general peritoneal cavity, the history is far less definite than in the former class. There are generally, however, certain more or less definite physical signs, the most prominent of which is an abnormal area of dullness or of hyper-resonance in the left hypochondriac or epigastric region-if hyperresonance a bell note can usually be elicited over the area. In addition there are usually evidences of consolidation of the lower lobe of the left lung, with possibly fluid in the left pleura. The heart's apex may be slightly displaced upwards, and there have been in most cases the usual signs of fever, with pain in the upper part of the abdomen. The above signs appear to be sufficiently definite to warrant surgical interference, in which case an incision above the umbilicus in the middle line appears to be the most satisfactory. The subsequent drainage of the abscess cavity is evidently a source of great difficulty on account of the frequent presence of a deep pocket in the neighborhood of the spleen.

In the third class of cases, in which there are undoubted signs of general peritonitis, the recognized surgical treatment of that condition should be pursued.

WONDERS NEVER CEASE.

Under fair criticism William A. Hammond whines and winces like a youthful canine undergoing punishment. He wishes the discussion of his Organic Extracts "conducted in a decorous manner." "Sincerity of statement should not be impugned" since his contributions to this subject "have been written with moderation and frankness."

Sincerity and frankness have ever been the especial forte of Hammond. In the same line he sincerely trademarks his organic fluids, and frankly endeavors to conceal this fact and also the fact that he is President of, and a stock-holder in, the Columbia Chemical Co., of which his son-in-law also is Secretary and Treasurer; and which Company "alone are authorized by me to handle the animal extracts made by my processes, and that all

are made in my own laboratory, under m own supervision."

He "deprecates extravagance" and ha "held nothing back;" yet he hangs to hi trademark like grim death to a defund African. Modesty from such a source is to utterly overpowering. Query: Did he hol anything back when he purchased such sup plies for the sick and wounded of the Arm in the late civil war, that he was justly an disgracefully dismissed the service?

Moreover, Hammond is going to "leave to the experience of the profession to dete: mine the true value" of "Animal Extracts; nevertheless, he expects the profession t contribute to his income in no small degre by forcing them to purchase his trademarke fluids from the Columbia Chemical Co.modest (?) prices.

PROF. VON PETTENKOFER'S JUBILEE. On July 1st Prof, Max von Pettenkofe celebrated the fiftieth anniversary of h graduation as Doctor of Medicine, amid salvoes of congratulation from his innume able friends and admirers. One of thes who modestly disguises his identity unde the initials " A. W.,” has been moved to ly ical expression of his enthusiasm in rhyme Latin verses to the following effect:

Macte nobilis scrutator,
Audax experimentator
Qui edisti "commata."

Omnia quæ tetigisti
Omnia illustravisti
Ardua problemata.
Mentis acie perspexisti
Humum atque reclusisti
Pestilentiæ latebras.

Studio tuo reparata Urbis fama maculata:Te salutat civitas!

The city in question is, of course, Munic whose hygienic fair fame certainly stoc much in need of restoration. Although d clined into the vale of years, the venerab hygienist is still, we are pleased to note, spite of natural infirmities and dangero flirtations with the cholera vibrio, able to e

joy life in the way most congenial to him, that is to say, in unceasing intellectual work. Dr. von Pettenkofer, who is now 75 years of age, was, it appears, originally intended for the pharmaceutical profession, and a considerable part of his earlier scientific work lay in the province of medical chemistry. In 1853 he was named Extraordinary Professor at Munich, where his whole career has been spent. Turning his attention to hygiene, he gradually became absorbed in it, and in 1865 he was appointed to the chair of that subject in his Alma Mater. There he has remained ever since, iu spite of repeated tempting invitations from the University of Vienna. In acknowledgment of his patriotic determination to stay at Munich, the Hygienic Institute of that city, the first of the kind established in Germany, was erected for him. Of his services to the cause of sanitary progress we need say nothing; his praise is in the mouths of all who are competent to judge his work.

OFFICIAL DELEGATES TO, AND GUESTS OF, THE PAN-AMERICAN MEDICAL CONGRESS.

Practically all of the Governments have appointed official delegates to the Congress in response to the invitation by the President of the United States. The United States Gov

ernment will be represented by six delegates. The larger cities of all the Latin-American countries have appointed delegates to participate in the proceeding of the Sections on Hygiene, Climatology, and Demography, and on Marine Hygiene and Quarantine, and similar appointments will be made by the cities of the United States. Seventy-six similar delegates have so far been appointed by the Governors of States in the United States. A large number of delegates have been chosen by the medical colleges of the United States and other American countries to attend the Section on Medical Pedagogics, ander the presidency of Professor J. Collins Warren, of Boston.

Dr. Ernest Hart, editor of the British Medical Journal, and Prof. Dr. Czerny, of Heidelberg, will be among the distinguished guests of the Pan-American Medical Congress. The latter is booked for the PanAmerican excursion to Rome by the "Werra."

THE "SOLECISM" OF "CARDINE." Dr. Leonhardt, of Lincoln, Neb., questions the genuineness of Dr. Hammond's sphygmograms illustrating an article by the latter on so-called "Cardine," and remarks he can find "nothing like them among several thousand sphygmograms both clinical and experimental," collected during five years; neither has he "seen anything like them in sphygmograms illustrated by writers on cardiac diseases, or the graphic methods of physiological or clinical research."

Hammond thereupon declares Dr. Leonhardt commits a "solecism against good manners for which it would be difficult to find an excuse."

After the scurrilous circular disseminated broadcast throughout the country attacking Parke, Davis & Co. for believing that he (Hammond) might once have told the truth, the "Surgeon-General (retired list)" and hero of an army scandal that brought with it swift retribution and condemnation, is certainly in good position to judge of a "solecism against good manners."

Verily, "consistency, thou art a jewel?"

THE TREATMENT OF CHLOROSIS. There are few things more satisfactory in therapeutics than the treatment of a properly managed case of chlorosis. Time, however, is required, and too rapid a cure must not be promised. The remedy par excellence is iron, and it does not matter what preparation of iron is used. At the present day Blaud's pill of carbonate of iron, made by double decomposition between carbonate of potassium and sulphate of iron, is very popular. Equal parts (1⁄2 oz.) of each are combined and made into ninety-six pills, so that each pill contains five grains. Of these from one to two are given at a dose. Reduced iron is also a valuable preparation in doses of one to three grains. Arsenic is a valuable adjunct. It should be given in ascending doses. Fowler's solution is the most convenient preparation, but arsenious acid is also a good form. The latter is now made up in combination with Blaud's pill, one-fortieth of a grain in each pill. This is a small dose. If Fowler's solution is used, the dose may be commenced at a single minim and gradually increased until the physiological effect results, when the dose is again reduced.

Book Notices.

CONTENTS OF SCRIBNER'S MAGAZINE FOR JULY, 1893.

At the Wheel. Frontispiece. The Life of the Merchant Sailor. By W. Clark Russell. [The third article in the series on "Men's Occupations."]

Personal Recollectious of Two Visits to Gettysburg. By A. H. Nickerson.

Fulfilled. By Anna C. Brackett.

Foreground and Vista at the Fair. By W. Hamilton Gibson. [The first of a group of "Artists' Impressions of the World's Fair."] Illustrations by the author.

Loneliness. By John Kendrick Bangs. The Opinions of a Philosopher-Chapters III-V. By Robert Grant.

Arabian Nights Entertainments. By W. E. Henley.

Leisure. By Agnes Repplier.

Musical Societies of the United States and their Representation at the World's Fair. By George P. Upton. With portrait illustrations.

An Amateur Gamble. By Anna Fuller.
A Night. By M. L. van Vorst.
Trout-fishing in the Traun.

van Dyke.

By Henry

Governor Morton and the Sons of Libert By William Dudley Foulke.

Petrarch. By Gamaliel Bradford, Jr. Studies in the Correspondence of Petrarc By Harriet Waters Preston and Louise Dodg Problems of Presumptive Proof. By Jam W. Clarke.

If Public Libraries, why not Public M seums? By Edward S. Morse. De Tocqueville's Memoirs. Comment on New Books. The Contributors' Club.

A MANUAL OF DISEASES of the EAR. By George Field, M. R. C. S,, Aural Surgeon and Lectur on Aural Surgery, St. Mary's Hospital Medic School, London. In one octavo volume of 30 pages, with seventy-three engravings an twenty-one colored plates. Philadelphia: Le Brothers & Co. 1893. Cloth, $3.75,

There can be no question of the need more perfect knowledge of the pathology the ear, on the part of general practitioner of medicine, if only to remind them of th necessity of the specialist's services in man cases which otherwise would go on to seriou or incurable stages. Professor Field ha given us a work which makes clear the intr cacies of aural anatomy and pathology by th exactness and multiplicity of its illustration no less than by the explanations of the tex Its popularity is evidenced by the fact tha three editions have already been disposed o the last numbering 3,000 copies. The wor has, of course, been revised to keep pac with the times.

NEW ENGLAND MAGAZINE FOR JULY.

Walter Besant, Camille Flammarion, an Edward Bellamy having each in his ow way endeavored to throw upon the canvas futurity a picture of his own ideas taken fo granted, the style threatens to become s popular as to perplex the archæologists the thirtieth century. Now M. G. L. U derwood writes a next-century love story i the New England Magazine, and names "A Triumph of Mind." In the same numbe Walter Blackburn Harte has a notable articl on "The Common and Human in Litera ture," in which he deals unsparingly, and a it seems to us unjustly, with Sir Walter Sco as a novelist; the article, however, has a ger eral ring of soundness in its purpose, wha ever may be its flaws of historical criticism Another view of the genesis of literar invention is given in an illustrated sketch the life of Jane Austen by Oscar Fay Adam Among other articles are: "Mount Washing ton;""John Ballantyne, American;" "Fo ests in Europe and America;" and "Diet, which we shall reproduce in the AGE.

Notes and News.

Frank Lydston as a Prophet.

As for, William A. Hammond-well, we did have an idea there might possibly be something in the Elixir until he endorsed it. If anybody thinks that the new sanitarium in Washington will not go, he knoweth little of Hammond's commercial talent. We are in a qui vive of expectation of the new novel; surely so fertile a brain can find material in the 'necessary parts of the lamb.'

If there is a man in the profession who is any wilier or less to be depended upon than William A. Hammond, we have never heard of him. His insincerity is as proounced as the brilliancy of his imagination-an imagination that enables him to invent new diseases and write trashy novels with equal facility. No one understands psycho-therapy better than he; indeed, his practice is a combination of metaphysics and the optical delusions indicental to confrontation with a glittering armamentarium which would put the Patent Office to the blush. O quackery, where is thy sting? O science, where is thy victory?"— Western Medical and Surgical Reporter, September, 1889.

The Report on the Revision of the Code.— The Committee on the Code of Ethics of the American Medical Association presented a majority and minority report, on neither of which was action taken. The majority report advised leaving out from the code that part which deals with the obligations of the public to physicians; it recommends that physicians be permitted to patent mechanical devices and to consult with all legalized practitioners. It expresses its belief in the need of a code, and it defines very casuistically the nature of a consultation.

The minority report takes more conservative ground and recommends that the code stand, practically, as it is.

We doubt if any good will come from continuing to discuss these questions. We prefer to teach the gospel of righteousness and let the details be determined by the individual Conscience. The individual conscience, we may add, is setting strongly toward consult

ing with all qualified practitioners who enjoy a reputation for honesty among their fellowmen. Medical Record.

Chlorobrom in Sea-Sickness.

A. Napier Ledingham, M. B., C. M., F. F. P. Glas., D. P. H. Eng., writes: After an extended trial of chlorobrom in marine practice, where the patients were under observation for some months, I have no hesitation in pronouncing it the most satisfactory remedy yet produced for the treatment of sea-sickness. In those cases particularly where the patients, though not suddenly and violently sick, were in a state of chronic misery with headache, nausea, great depression, sleeplessness, and no appetite (a condition frequently dangerous in delicate people undergoing a long voyage) I have found chlorobrom properly administered most valuable; as a rule, the nervous symptoms disappear and the patients never fail to gain refreshing sleep and generally make a rapid recovery. Its ease of administration, safety, and complete absence of objectionable aftersymptoms, are points of great importance. I have also found the solution exceedingly useful in many cases of insomnia and nervous derangements.-London Lancet.

A New Non-Poisonous Disinfectant, Izal.—

This substance is of English origin, and The Lancet for July 1st states that it has been approved by Dr. Klein, biologist to the Brown Institution. It is derived from an oil that appears as a residuum from coke-making at the collieries, especially at those situated at Thorncliffe, near Sheffield. As a destroyer of germs, izal takes a higher rank than carbolic acid, but is non-poisonous unless the quantity ingested is very large. Extensive experiments in Dr. Klein's laboratory tend to show that one part of izal in two hundred parts of water is capable of destroying the micro-organisms of diphtheria, scarlet fever, glanders, erysipelas, and cholera.-New York Medical Journal, July 22, 1893.

The A. M. A.'s Roster Diminishing.—

According to the former editor of The Journal of the American Medical Association, the total membership of the Association,

has steadily decreased for the last five years, until it is now 50 per cent. less than it was in 1888. This condition of things is serious, and shows that there is some inherent defect in the organization and conduct of the Association. Dr. Culbertson's remedy is to abolish the delegate system, and reorganize

applied. It is very simple, light and inex pensive, made in the form of a hook, bu tapering towards the end with an India-rub ber ring for attachment. It can be secure or released instantaneously. By simpl placing the tubing in the hook it is hel firmly and securely, and by a gentle outwar

Lancet.

Section on Materia Medica and Pharmacology, Pan-American Medical Congress.

A Section on Materia Medica and Pharmacology has been organized under the executive presidency of Professor Joseph P. Remington, of Longport, N. J., with Professor F. G. Ryan, 3739 Brown St., Philadelphia, as English-speaking secretary. This Section. promises to one of the most important of the entire Congress. Delegates have been invited from all the pharmaceutical societies and colleges in all the Americas. Those contemplating attendance are invited to prepare papers on pharmaceutical topics. Titles should be sent at once to Professor Ryan, Secretary.

Settled Out of Court.

The suit of Dr. Charles E. Simmons

against the executors of the estate of the late Samuel J. Tilden, of New York, for professional services for eight years, up to the death of Mr. Tilden, has been settled out of court, the defendants agreeing to pay Dr. Simmons at the rate of $5,000 a year for the eight years' service claimed by him, with interest up to the date of Mr. Tilden's death. The case has been pending five years. Dr. Simmons sued for $143,300, with interest. He claimed that he had a verbal agreement with Mr. Tilden whereby he was to be paid $50 a day for his services.

New Form of Tourniquet Fastening.

Messrs. Arnold & Sons have introduced a new form of grip or fastening for an elastic tourniquet, for which a patent has been

The Treatment of Diabetes Mellitus with Rav Pancreas.

Following the analogy of the treatment o myxedema by thyroid juice, experiment have been made in several English hospital of feeding raw pancreas to cases of diabetes White finds that most patients take the rav pancreas quite easily. The patients gaine in body weight and felt better; but in mos cases the amount of sugar and quantity o urine was not diminished, although in som it was.-Boston Medical and Surgical Journa

Officers of the Ohio Society.—

At the last meeting of the Ohio State Med ical Society the following officers were elected President, N. P. Dandridge, Cincinnati; Firs Vice-President, F. C. Larimore, Mt. Vernon Second Vice-President, Wm. Caldwell, Fre mont; Third Vice-President, W. T. Corlett Cleveland; Fourth Vice-President, L. S McCurdy, Dennison; Secretary, Thos. Hub bard, Toledo; Assistant Secretary, Charle Graefe, Sandusky; Treasurer, J. A. Duncan Toledo.

Change of Title.

Daniel's Texas Medical Journal has changed its name to the Texas Medical. A rose by any other name is just as red, and we under stand that the Texas Medical Journal wil continue to add to the joy of living, in the same vermilion tints.-Medical Record.

Death of Dr. Carson.—

Dr. Wm. Carson, one of the oldest and most highly esteemed practitioners of Cincinnati, O., died suddenly Sunday evening, July 9th.