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is to come into existence at all, a permanent council of the medical colleges, for discussion of and agreement upon all lines of conduct which they may see fit to adopt in concert, always desirous of acting in concurrence with the Association for objects of interest to both bodies, but as independent of that Association as the Association is of it. From such action, at once concurrent and independent, we believe that, if entered into with the right spirit in both assemblies, inestimable results may follow, effecting improvement in practice and elevation in feeling, in both the teaching and practicing members of the profession, and, above all, establishing harmony and concert of action where mutual suspicion and jealousy have most unnecessarily existed.

What might be the measures we should desire to propose to a council so constituted, we shall have to state in a future paper, as we have but little space to devote to the subject in this number.


We are able to record the complete success, so far as the question can be at present determined, of the experiment of conducting medical education from first to last on a clinical basis.

Besides the routine of lectures constituting the preliminary course, the following clinical lectures have been given during the month, down to the present date, October 28 :

1. On Acute and Chronic Rheumatism : with two illustrative cases. By Professor Wright. October 6.

2. On Paronychia : with operation. By Professor Maddin. Oct. 7.

3. On Tubercular Phthisis: with four cases. By Professor Haskins. October 13.

4. On Jaundice, with Hepatic Abscess. By Professor Maddin. October 14.

5. Same case continued. October 20.

6. Injuries to Soft Parts : with rhinoplastic operation. By Professor Maddin. October 18.

7. On Hepatic Abscess, with ulceration through the diaphragm and suppurative destruction of right lung. By Professor Haskins. Oct. 20.

8. On Caries and Necrosis of Bones, with a case of extensively necrosed femur. By Professor May. October 27.

Besides which, Professor Maddin has, during his hospital visits, lectured on Tertiary Syphilis; Ankylosis of Ankle with Fistulous Ulcers ; Chronic Diarrhæa with Ulcer of Rectum, etc.

The following operations have been performed before the class : Excision of Metacarpal Bone. By Professor Wright. September 28.

Amputation of little finger at metacarpo-phalangeal articulation. By Professor Maddin. October 7. Rhinoplastic operation. By Professor Maddin.

By Professor Maddin. October 18.
Besides these, several operations are expected to be performed by
Professor May after the class shall have assembled.

The lectures of the preliminary course have been as follows:
Professor Ford, on Diseases of Children.
Professor Callender, on Classification of Diseases and Remedies.
Professor Maddin, on Anatomy and Functions of the Nervous System.

Professor Wright, on Mental Pathology; and two lectures on Comparative Physiology.

Professor Haskins, on the Dietetic Treatment of Diseases.
Professor Currey, on Natural Philosophy, etc.

Professor May having arrived on the 23d October, commenced his regular course on the 25th.

The class seem highly attentive and intelligent, and we have every hope of finding it, when the regular course commences, as satisfactory in quantity as quality.

The chemical apparatus and the greater part of the beautiful preparations for the museum have arrived, and are deposited in their appropriate apartments. Among the latter are some astonishingly accurate and beautiful preparations in wax, by celebrated Parisian artists, of the nervous and digestive apparatus, and of the uterus in every stage of gestation; pathological models representing all classes of lesions in papier maché ; enlarged models of cranial bones, etc., etc.; and, above all, a most elaborate model, double the size of life, of the distribution of the sympathetic nerve, by that prince of modelists, Schmidt, of Philadelphia. Another by the same artist, of the lymphatic system, on the same scale and equally elaborate, is expected.

Several classes are already engaged in dissecting in the spacious and airy dissecting-room, and upon the whole, the establishment has a thoroughly business-like aspect. Its complete success is now an established fact.


honest course,

We have had a few copies of the RECORD returned. This is the

where the recipient does not desire the journal, or does not intend to pay for it; but when this is done, we ought to have some means of knowing who the returned number comes from ; whereas one or two copies have come back with nobody's name, and we are therefore uninformed who it is that declines subscribing. In all such cases there ought to be appended to the address, "declined by

On the other hand, we hope very soon to receive the subscriptions of those who approve of the RECORD. It can only be furnished on the cash principle. A contemporary, the “New Orleans Hospital Gazette,” takes us to task for the lowness of our terms, affirming that with a much higher rate of subscription that journal does not pay expenses, and that we injure the cause of medical literature if we publish at unremunerative prices. Amen! say we; and if through our failing to establish the cash principle our enterprise should turn out unremunerative, our subscribers and contemporaries may rely upon it that it will be abandoned, in justice not only to ourselves, but to the general cause of medical literature. If, therefore, any of our friends who have not paid up should fail to receive the December number, they will do well to send us two dollars, current funds, carefully enveloped; and the stream of medical chronicles will flow again. For individual subscribers the RECORD will cease to circulate, if, after reasonable warning, they fail to pay up within the month. For the profession generally it will terminate its existence if at the end of the year an aggregate of funds has not been remitted sufficient to pay all its expenses.

Let all medical periodicals do the same, and we shall have a self-supporting medical literature in the United States.


We are pleased to see an increasing attention given to mental disease and its treatment in this country, the various reports of our State Asylums being fuller and more valuable every year, and the American Journal of Insanity, one of the most valuable of our exchanges, giving us four times a year a well-digested fund of information and scientific discussions on psychological questions. The number now before us is especially valuable, as giving so many of its pages to the science in its medicolegal aspect. This is a subject which has become important to general

practitioners, inasmuch as the plea of insanity has become a regularly established defence in our criminal courts; and we fear that in too many cases the testimony of medical witnesses has had the effect of defeating the administration of justice, and at the same time of compromising the respect in which we should desire the medical profession to be held.

The time is come when no physician should be without at least so much knowledge of psychological medicine as is to be attained by reading Dr. Bucknill's recent work, and subscribing to the American Journal of Insanity.

The recent reports of insane hospitals are also very interesting, the physicians dealing more and more in questions interesting to the profession, Dr. Worthington's report of the Friend's Asylum, and that of the New York City Asylum, being especially interesting. We rejoice to observe the general disposition to abolish restraint in the treatment of insane patients; but we fear that much remains to be done yet before we come up to the Hanwell standard. The following would hardly be considered a favorable statement there :

“Our apparatus for restraint consists of the camisole, muff, common restraining (belt and wrist ?) strap, and bed strap. Of these, the first two are most frequently used, principally to prevent females from removing their clothing; the restraining strap most rarely, that the patient may be unable to injure himself or others; while to obtain the quietude necessary for sleep, the bed strap forms the only mode of restraint. This embraces all and every means of restraint; and the daily average of any application of this kind does not exceed one, among two hundred inmates.”

We would suggest to the physicians of asylums that much good would be done by distributing their reports to the medical press throughout the country.


NEARLY all of our old friends have found us out, and besides these we recognize several new faces; among them, The MONTREAL CHRONICLE, or Monthly Journal of Medicine and Surgery, edited with great ability, by Drs. William Wright and D. C. McCullum, both Professors in the Medical department of McGill College, Montreal. We are glad to see the profession in Canada keeping up their Medical Colleges and Journals independently of the mother country. We have reason to believe that their instruction is thorough, at least, if we may judge by a

thoroughly elaborated paper on Strychnine, the inaugural essay of Dr. A. P. Reid, one of their Alumni.

THE MEDICAL JOURNAL OF NORTH CAROLINA, 100 pages, bi-monthly, $3.00 per annum, promises to be the solidest addition to periodic medical literature since the first appearance of the North American MedicoChirurgical Review. It is published under the auspices of the State Medical Society of North Carolina. We trust that those who have been active in starting it will be punctual in paying for it. By-the-bye, will the editors favor us with No. 1? Our only copy is No. 2.

Our ever-welcome friend, the Medical and Surgical Reporter, is so changeable in its habits that we never know in what form to expect it; but it is always welcome, whatever its disguise. First it hails from New Jersey, then from Philadelphia ; then, after a few months, by some feat of sub-duplicate gemmation peculiar to animalcular life, it breaks up its monthly fasciculus into four weeklies of the most vivacious description, each of them circulating among the colleges and hospitals of Philadelphia with the rapidity of a volvox globator, picking up here a clinique, there an operation, and, upon the whole, posting us up week by week most satisfactorily in the medical doings of the City of Brotherly Love. Long life to it! It is a perfect model of a student's journal, and ought to circulate freely in the Philadelphia schools. Take it, boys; it will be good for you; and pay for it—that will be good for the editors.

Two of our North-western confrères have not yet found us out. We hear from them occasionally, in our other exchanges, and are sorry to learn that they are still keeping up some family quarrels. Fie, fie, gentlemen! “Let dogs delight,” etc. Forget old quarrels, and remember old friends. The last word is a privilege with women; with men it is rather a discredit.

Last and least, we have just received the BELMONT MEDICAL JOURNAL, Bridgeport, Ohio; the minutest medical periodical we have yet seen, but apparently sound in principle. We examined carefully, being rather shy of Ohio journals. Its editor is a little exercised about the medical schools, and wants us to give preliminary examinations, etc. Gentlemen, take that into your own hands : preliminary education can only be kept right by the profession at large. A preliminary examination worth talking about would reject nineteen students out of twenty. You take care to send us the right material, and we will do our best with it, when we get it.

Sixteen pages, the letter-press just six inches by three and a half, (we were curious enough to measure it;) published monthly; fifty cents per annum. If any man takes that journal and does not pay for it, watch him : he would steal. We gladly place it on our exchange list.

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