claws, and the voice the very expression of extreme weakness, and debility. This sad picture may again, like a wilted flower, blossom, after some days or rest from the diarrhoea, permitting the thirsty tissues to absorb the necessary water supply, and regain their natural health tone, to a degree. Pain may be very annoying, of a dull aching character, or sharp and cutting, or again the patient nay describe it as burning, as if the bowels were full of hot water; this pain may be around the umbilicus, which is more frequently the case in catarrh of the small intestines, or in the transverse colon. There may be an associated proctitis, which is by no means infrequent, when there is a catarrh of the colon caused by fermentative or chronic substances. Patients may suffer markedly with headache, and backache, which are the result of absorption of certain deleterious toxic substances. The feces may contain large am ounts of mucus; this mucus may be incorporated in the fecal bolus, or coating it over, more frequently being the case, when the condition is higher up, and admixture of mucus and feces when the pathology is in the lower intestine. If there is ulceration, blood may be macroscopically present, microscopically we find mucus, blood, pus, undigested food particles, the latter being a good method of determining the progress of the healing process as the case is being treated.

Upon examining the urine large amounts of indican, denoting intestinal fermentation fermentation higher up may be found. Microscopically albumen, and casts, and all the phenomena of nephritis, provided the toxins have diseased a once healthy kidney.

Treatment consists in removal of the cause, if some mechanical condition in which surgery can lend its beneficient hand, then surgery. The stomach contents should be as harmless as possible, non-irritating, and easily digested, food that will leave a small amount of residue, and at the same time prove very nourishing. These patients are usually very weak and anemic, therefore concentrated food must be considered. As to the discussion of the chemie properties of the foods, it is too extensive to be considered here, and we must use our judgment, as to the amounts of protein and carbohydrate. Would add that sweets are not usually very well borne, fermenting very easily, and hence irritating the mucous membrane. As to medication, tonics are indicated. arsenic, iron, zinc phosphide, nux vomica, to control nervousness, such antispasmodics as cannibis indica, asafoetida, bromides, to aid digestion mild digestants may be employed as takadiastase, pepsin, hydrochloric acid, pancreatin. But I prefer to hope for a proper functionating digestive

apparatus, by relieving the catarrh or the cause, and not by drugs, as digestants.

As to constipation and diarrhoea-would not advise purgatives in constipation, they only increase the intestinal peristalsis, and add fuel to the flame, but if we must resort to them, some mild drug as cascara sagrada, olive oil, liquid petroleum, the latter in quantities sufficient for therapeutic results, which will prove non-irritating and very soothing to an already inflamed mucous membrane. For diarrhoea certain drugs as bismuth, chaik mixture, camphorated opium, and others, but I prefer a thorough cleansing of the bowel by means of an enema, using such solutions as a one to two or three-thousands solution of silver nitrate, which can be followed by a retentive enema of ice water, barley or starch. water, containing enough tincture of opium, to render the bowel quiescent. Now to the treatment of the bowel itself,-for this I prefer the oil enema, can use the fine cottonseed oil, or olive oil, the latter however, is very expensive, and many patients may not be able to afford it. This should be introduced into the bowel at bedtime, with patient in the left lateral position, or dorsal decubitus, or Simm's position, permitting the oil to flow slowly into the bowel. In from one to sixteen ounce quantities according to age and ability to retain, this oil will render the bowel soft and pliable, causing a peeling off of the intestinal contents, and will be carried high into the intestine, by capillary attraction as oil is carried upward in the wick of a lamp. This must be kept up as long as there are symptoms of intestinal indigestion, or fermentation.

Repeatedly examining the feces microscopically as your control in the treatment of a disease with your associated symptoms. As improvement comes on your reduce your enema, in frequency to every other night, continuing for several weeks, finally leaving off entirely as your end results prove satisfactory. If a proctitis is an associated evil, can use sedative suppositories, you will find that a daily painting of the anal canal with a tenper cent solution of argyrol will give happy results. As to prophylaxis, plenty of fresh air, moderate exercise, sunshine and cheery surroundings, all this coupled with persistence and attention should give you encouraging results

Tissue Cultures in Investigation of Cancer.-As the result of his own studies, Lambert is inclined to endorse the view that the cancer celi is a cell of relatively low resistance and that ma lignancy is to be attributed entirel yto the capacity of the cells for unlimited growth.

NEWS ITEMS AND COMMENTS

Dr. and Mrs. E. M. Brown, of Georgeteown are guests at the Martinsville. Dr. Brown has a number of friends in that city with whom he is renewing acquaintances.

Dr. D. C. Curry, State Board of Health officer of Bowling Green, was in Harlan August 11, and after the show at the Presbyterian church that night gave an important lecture on Health and Hygiene. He presented the illustrations on the screen and together with explanations the lecture was very interesting and instructive. He explained definitely the cause of typhoid, hookworm, tuberculosis and consumption, and urged the County Board of Health to be more strict on unsanitary conditions. Dr. Curry also warned the audience of the danger of drinking water from surface wells. Especially did he urge the fight against soda fountains and public drinking places that do not sterilize their glasses.

He expects to pay Harlan another visit in the near future.

At a mass meeting of citizens held at the Tabernacle, with the Rev. J. N. Jessup presiding, the Christian County Public Health and Welfare League was organized with the following officers: President, Ed L. Weathers; first vice president, Dr. J. E. Stone; second vice president, Dr. J. B. Jackson; secretary, Mrs. N. H. Fentress; treasurer, Bailey Russell. The president named the following Executive Council: Mrs F. K. Yost, Miss Katie McDaniel, Mrs. George Kolb, James West, Charles F. Johnson, Mrs. R. M. Wooldridge, Mrs. B. D. Hill, Mrs. V. L. Gates, L. E. Foster, Mrs. L. Hisgen, Miss Minnie Pyle, Miss Fannie Phelps, Mrs. M. J. Lowenthal and Mrs. Georgia Clark. Interesting addresses were made by Miss Marian Williamson, of the State Tuberculosis Commission, and Mrs. Marian Sager, the resident nurse.

The Mayfield Medical Society, organized by the physicians of Mayfield, has adopted resolutions to the effect that persons who are able to pay doctor bills and refuse to pay them, hereafter will not be attended by the members of this society. They suggest that it is cheaper to pay cash for the visits and operations. The society

gave as a reason for the new rules the increased cost of living and expenses..

Faithful and honorable in every act of his long and useful life, never faltering at any duty, always willing to respond to any summons or aid that was reasonable, Dr. A. W. Brasher, who is now 86 years of age, sits calmly and serenely in the evening of life clad with the happy and peaceful thought that he has lived a life that has been spent in doing all he could for his fellowman and aiding the unfortunate whenever and wherever he could.

Dr. Brasher is now a resident of Madisonville, where he has spent many years of his long existence, and during all of his residence there lived in such manner that he has been most highly respected and honored by every one. He has innumerable friends all over Hopkins county and this section of the state who will be glad to learn of his present good health and condition.

Dr. Brasher served as prison physician at the Eddyville penitentiary from 1898 to 1906, and while in this position made a model official and left the institution with a splendid record. He was at one time engaged in the drug business in Madisonville. He was actively engaged in the practice of medicine for over 40 years, and during this long period was one of the leading physicians in this section of the state.

May the remaining days of this good, venerable gentleman be as tranquil as a babbling brook in the springtime, and when the end of his noble life shall come, may he be permitted to pass into his reward like an innocent child into sumber.

The Pulaski Medical Society held their regular monthly meeting at Dr. Parker's office on Thursday, August 16, 1916. The following were present: Drs. M. M. Price, of Dabney; A. W. Cain, S. G. Cain, J. A. Boland, S. F. Parker, F. A. Taylor, Carl Norfleet and W. R. Alexander, of this city. Some clinical cases were reported and discussed. No papers were prepared for this meeting. General discussions were given along the professional lines.

Dr. W. G. Lindle, of Sturgis, died from the results of a fall August 9. He was the son of J. W. Lindle, an old pioneer settler of Union County.

Dr. Lindle was one of the best known physicians in Sturgis and was a graduate of State Normal College at Valpariso Indiana, Kentucky School of Medicine Louisville, Johns Hopkins University at Baltimore, Md. Jefferson at Philadelphia, and post-graduate of Polyclinic, New York, and also took a course in Cincinnati. He was considered the best read physician in Union County. He was one of the best beloved men in Western Kentucky.

COUNTY SOCIETY REPORTS

Russell The Russell County Medical Society met in regular session at Russell Springs, August 12, with a fairly good attendance of doctors and the laity. The heavy rains the night before made the dirt roads so muddy that quite a number were prevented from attending.

The meeting was called to order at 10 A. M. by President Dr. Hammond. Dr. Combest read the 1st Psalm after which prayer was offered by Rev. Breeding. The Address of Welcome was then delivered by Dr. Combest and responded to by Dr. L. P. Hammond. The remainder of the forenoon was taken up with the clinic, which was large and interesting.

The society was greatly pleased upon the arrival at noon of Dr. R. C. McChord, Dr. Kobert,, of Lebanon; Dr. Hancock, Cane Valley; Drs. Cain and Bolin, Somerset.

After dinner an interesting paper was read by Dr. Kobert on "Public Health" which was very interesting. He stated in his paper that when the public schools opened in Marion county that every child and teacher would have been successfully vaccinated and that fly-proof closets for the school houses would have been supplied.

This paper was discussed by all the members present.

R. C. McChord's paper on "The Passing of the Old Family Physician" was warmly received. He also lambasted fee-splitting or selling of patients and the so-called specialist without first being a first class general practitioner. The paper was an excellent one and was discussed by all.

A. W. Cain made a general talk to the society. L. D. Hammond read a paper, "Why A Medical Society?" which was listened to by all with much interest as it was one of the best ever heard or read. The members congratulated Dr. Hammond on his paper and requested that it be published in the Journal.

The doctors present were: A. W. Cain and J. A. Bolin, Somerset; R. C. McChord and Kobert, Lebanon; L. D. Hammond, Irvinston; Flanagan and Rowe, Jamestown; Blair and Combest, Russell Springs; Hancock, Cane Valley; J. B. Scholl, Jabez.

As it was getting late, or well along toward time to do up the night work and milk, the society adjourned to meet the first of September with a big public health meeting at Old Friendship church house or some other good place to be announced later by L. D. Hammond.

J. B. SCHOLL, Secretary.

Hardin The Hardin County Medical Society met August 10th at the office of Dr. Mobley with the following members present: Drs. Mobley, English, Layman, Rock, Rogers, O'Conner, Strickler, Allen and Alvey.

The meeting was called to order by the presi

dent, M. S. Allen. The minutes of the previous meeting were read and approved.

Application for membership was made by J. H. Rock and by unanimous vote of the members present Dr. Rock was made a member of the society.

R. T. Layman reported a case of a child which he saw in consultation with Dr. McPherson. The child on the first day of the illness vomited a fluid which had the appearance of very thick green paint. The child had a temperature ranging from 99 to 102. He said he had never seen a case just like this and was undecided as to the diagnosis.

J. W. O'Connor, C. W. Rogers and J. W. English discussed the case and the opinion was that the symptoms indicated either typhoid fever or gastritis, the treatment given in the case was elimination and supportive.

R. T. Layman reported a case of water dog in the stomach of a man, the case had been treated for quite a while for stomach trouble without any results and the patient was finally put on arsenic for the tonic effect and in a short time the waterdog was expelled from the stomach dead, and the opinion was that the arsenic poisoned the waterdog and caused it to be expelled from the stomach.

J. M. English reported a case of a child with cholicy pains in the stomach and bowels which he was unable to relieve for several days but after repeated doses of oil the child finally passed a number of buttons and was relieved from any further pains.

J. W. O'Conner reported a case in which the patient had a large bone in the stomach and the bone was of such shape that the doctor did not understand how it could have been swallowed.

M. S. Allen reported a case of squirrel bone in the stomach and also a case of feeble-minded person in which a number of nails and spoons had been swallowed and which were found in the stomach upon post-mortem examination.

C. W. Rogers reported a case of a lady twenty years of age that complained of soreness in the bowels which indicated appendicitis and was advised that an operation might be necessary, but medical treatment was given with the result that she passed a number of small stones and it was learned later that she had been eating these stones for the purpose of curing some ailment that she had and that some of her friends had told her the stones would cure. She had no further trouble after passing the stones.

J. W. O'Conner reported that he had seen an unusual number of cases of neuralgia and rheumatism at that particular time and asked the society for information as to the cause of so much of this trouble at that special time.

J. M. English, R. T. Layman, M. S. Allen, C. W. Rogers and J. C. Mobley discussed the case. It was thought that at that time an increase in

this trouble may be due to certain vegetables and fruits.

J. C. Mobley was of the opinion that most all rheumatism came from some focal infection. Nothing new was offered in the way of treatment. C. W. Rogers reported good results from the salicylates given in 100 grain quantities per day.

J. W. O'Conner reported a case of a lady 45 years of age complaining of dizziness, it was difficult for her to sit up or to walk straight on account of the dizziness. She also had partial paralysis of one side of the face. He asked for suggestions as to the diagnosis.

F. P. Strickler, J. M. English and C. W. Rọgers discussed the case and suggested that a Wasserman should be an aid to diagnosis.

The essayist also reported a case of a man injured by being caught by a belt on a threshing machine, the injuries were on the head without fracture of the skull; there was loss of consciousness which had lasted for two or three weeks, but at that time the patient had improved until he could recognize members of his family.

C. W. Rogers wanted to know of the society if the case was one of concussion or compression, and what would be the prognosis in the case. He also reported a case of wart on the lip of a patient which appeared to be developing into cancer, the growth was being treated with nitrate of silver and kept under observation. No further business the society adjourned.

W. F. ALVEY, Secretary.

Eagle Valley-The Eagle Valley Medical Society met at Sandes, August 9th, 1916.

The meeting was called to order by Dr. Threlkeld. Minutes of the last meeting read and approved.

W. I. Hume, of Louisville, and Drs. Hoffman and Shinkle, of Cincinnati, Ohio, were elected to membership.

J. Edward Pirrung, of Cincinnati, read a paper on "Fracture of the Upper End of the Femur.'' It is his custom to check up all his cases by the X-ray and should be treated in a well-equipped hospital when possible. Also both limbs should be placed in abduction by placing a sand bag or pillows between the limbs. And he dwelt upon the point that we should not try and get crepitus in these cases.

A. D. Willmoth and George Purdy discussed this paper.

C. E. Skinkle, of Cincinnati, read a paper on "Cord Localization," illustrated by drawings, showing the origin of the nerve supply of different parts of the body and their function and what symptoms injury to certain parts of the nerve tract would produce. This was a very instructive paper and a treat to the society, proving that the writer had given it a great deal of study. Dr. Wendell complimented the writer very highly, saying that he had never heard a better paper read before any society.

John R. Wathen, of Louisville, read a paper on "Some Observations on Gall Bladder Surgery." This paper was illustrated by drawings and was very interesting and was full of food, thought and facts. Showing the writer was well acquainted with his subject gained by experience and sound judgment. Dr. Wathen says that stones will be overlooked if the hepatic and common ducts are not explored and in every case he makes it a rule to explore these ducts.

A. D. Willmoth and J. E. Pirrung discussed this paper

A. O. Pfingst read a paper on "Emergencies Seen by the Eye, Nose and Ear Men." This was an instructive paper enjoyed by all. The general practitioner could afford to go miles to hear this paper as it shows what damage could be done by inexperienced men trying to remove foreign bodies from the ear, nose and throat and that it was bad practice to try and wash a bean out of the ear for this bean might swell and cause the ear drum to rupture.

G. C. Hall and S. L. Cockran discussed this paper.

J. T. Wendell read a paper on "Modern Treatment of Syphilis." This paper was enjoyed by all and was delivered in that pleasing mode that is characteristic of the writer. From the number of questions that was asked Dr. Windell and by the prompt replies showed he had unlimited knowledge of this subject.

A. O. Pfingst and J. R. Wathen discussed this paper.

W. I. Hume read a paper on "Local Anesthesia." This was a timely paper as well as instructive. He says that it may truthfully be said that almost all surgical procedures are possible of accomplishment by the use of local anesthesia. The range of practical use is determined by each individual operator for himself.

Discussed by Bernard Asman, A. D. Willmoth and J. T. Wendell.

Motion made by Dr. Purdy and seconded by Dr. Brown, that the society adjourn to meet again November the first. Motion carried. ALLEN DONALDSON, Secretary.

BOOK REVIEWS

Obstetrics, Normal and Operative-By Geo. Peaslee Shears, B. S., M. D., New York Polyclinic Medical School and Hospital, etc. J. B. Lippincott & Co., Philadelphia and London. Price $0.00.

It is a pleasure to review this new work. Although the author confesses it to be to some extent a compilation and acknowledges his indebtedness to others, yet it bears the impress of individuality and is written in a readable style that reminds one of the former masters of the art of teaching. The book is of generous size, yet not so formidable as to be unwieldy. This desirable

result is achieved by leaving out much unnecessary matter that encumbers many larger works. Dr. Shears writes with all the authority of experience and it appears to us that he has produced a working text book that will be a favorite with all who practice and study the art of obstetrics.

The Medical Clinics of Chicago.-Volume I, Numbers V. and VI. Volume II, Number I. Octavos of about 230 pages each, illustrated. Philadelphia. W. B. Saunders Company, 1916. Published Bi-Monthly. Price per year: Paper, $8.00; Cloth, $12.00.

These three numbers are a continuation of this excellent new series of clinical papers and reports. While it is impossible to give a list of the entire contents the subscriber can be assured that they represent the very best and foremost authorities in a city noted for medical education. The busy, stay-at-home practitioner will find in them a complete post-graduate course in medicine.

The Clinics of John B. Murphy, M. D., at Numbers Mercy Hospital, Chicago.-Volume V, I and II (February and April, 1916). Octavo of about 180 pages each. illustrated. Philadelphia: W. B. Saunders Company, 1916. Published BiMonthly. Price per year. Paper, $8.00; Cloth, $12.00.

As the reviewer writes these lines the news is being printed throughout the world that John B. Murphy is dead. A great surgeon, a great teacher, a great man, and modest and unassuming as the really great are. Those who know the man whose clinics are recorded here will visualize him as they read his terse comment, illuminating that which would be hidden from many, directing attention to every essential with neither word nor effort wasted on the unessential. Many medical teachers would do well to achieve Dr. Murphy's literary skill as well as his surgical ability.

International Clinics.-Volumes I and II. Twenty-sixth series. 1916. J. B. Lippincott & Co., Philadelphia. $2.00 each.

As so often emphasized in these columns the busy doctor needs to subscribe to clinical reports if he is to keep up with medical progress and can not take time to attend the clinics themselves. Among so many noteworthy contributions from all sections of the country it would be unfair to mention any one as being of more value than another. Each special field has one or more articles of interest. The general excellence of the International Clinics, both in binding and illustrations as well as the comprehension scope of the contents make them an especially desirable acquisition to a medical library.

The Basis of Symptoms-By Dr. Ludolph