Sidebilder
PDF
ePub

and thus gather, in a bloodless manner, the urine from each kidney separately. 9. We can thus make out, in certain cases, by observing the character of the jets of urine, especially by timing their frequency and duration at the urethral orifices, whether the other kidney is doing the work for the one which is diseased.

10. These facts will tend to make superfluous, in the majority of cases at least, a preliminary suprapubic or perineal incision for diagnostic purposes, as well as a nephrotomy performed for determining the action of the other (not diseased) kidney. They greatly widen and strengthen our means for determining the indication and prognosis of nephrectomy.

11. With the aid of Nitze's newest instrument, the operating cystoscope, we may look forward to being able to carry on intravesical treatment under the direct guidance of our eyes.-The Therapeutic Gazette.

ERROR IN DIAGNOSIS.

thoracic and not abdominal. The wound was closed. An autopsy was possible a few days later, when the real disease was revealed to be pericarditis with an unusual amount of effusion.-Journal of American Med. Association.

THE SENSE OF TASTE IN THE
LARYNX.

For many years (British Med. Jour.) it has been known to histologists that the specific end-organs of taste, namely, the taste-bulbs, occur on the posterior or inner surface of the epiglottis, but up till now the physiological proof of the existence of the sense of taste in the epiglottis has not been forthcoming. Michelson, under Langendorff's direction, made a number of experiments, which show that the inner surface of the epiglottis is endowed with taste. A Schrotter's laryngeal sound, tipped with a solution of quinine, or saccharin, was introduced into the larynx, and the drop of the sapid substance was cautiously brought into contract with the inner surface of the epiglottis. Positive results were obtained, which were controlled by the sensation

electrical taste-known to be produced by electrical stimulation. It seems, therefore, proved that a part of the nerve fibers passing to the larynx are nerves of taste.-N. Y. Med. Times.

ACTION OF CAMPHORATED OIL.

The Vienna correspondent of the American Practitioner narrates a remarkable error in diagnosis, which is useful, not because it shows how "a great clinician may be tripped up, but because it should make the little fellows more cautious." The writer states that his authority for the statement is Dr. Kundrat, chief of the pathological institute at the University. There came one day to Professor Nothnagel's clinic At a meeting of the Società Lancia patient offering a dubious chain of siana degli Ospedali di Roma on Febsymptoms. He had a very large area ruary 13 (Gazz. d. Osp., March 8, 1892), of dulness over the upper abdominal L. Taussia stated that he had used camand lower thoracic regions of both phorated oil with good results in many sides. The man also gave as part of cases of influenza in which collapse his history the fact of having had a dog from cardiac paralysis appeared to be to which he had been greatly attached. imminent, and in pneumonia, typhoid, The diagnosis was plain to Nothnagel etc. He gave the drug dissolved in oil as one of echinococcus, and a lecture of of sweet almond in the strength of 1 to considerable length was given to the 2, and sometimes 4 to 5 per cent. class on that topic, preliminary to the sence of peppermint was useful in dispatient's being handed over to Bill-guising the taste. Liberal doses (two to roth's clinic for operation. An operation, laparotomy, was performed, but the liver was found to be normal, or nearly so; and the same was true of the spleen. The trouble was seen to be

Es

four grammes per diem) were always. given; the remedy was always well borne, and no disagreeable effects were observed. The remedy should be given before the patient is in extremis, when

an active stimulant and expectorant is required, and when it is not contraindicated by the existence of great cerebral excitement. In cases of pneumonia, broncho-pneumonia, and typhoid fever, the drug produced increase of arterial pressure, freer expectoration, and a feeling of physical well-being, which lasted a considerable time. Taussia insists that only the best Japanese camphor should be used, the artificial preparation having, according to him, no therapeutic value. -British Med. Journal.

OBSERVATIONS IN REFEERNCE TO
THE USE OF ICHTHYOL IN

FEMALE DISEASES.

Observations made by Oberth (Der Frauenarzt, Hft., 19, 1891) do not agree with the excellent results reported by Freund. Oberth reports forty-two cases treated with ichthyol. Of these thirty-five were cases of chronic inflammatory swelling of the appendages, and four parametic exudations. His conclusions were that ichthyol does not

have a specific effect upon the inflammations about the uterus, nor does it cause resorption of the products of inflammation. He did observe, however, that it quickly diminished the amount of pain. His favorite manner of using the drug is as a 5 to 10 per cent. ichthyol-glycerine on tampons.

It pays to be a popular physician in Europe, almost as well as it does in America. Dr. Metzger, of Wiesbaden, it is said, received about $400 a day during his attendance upon the Czarina of Russia. In addition to this the Czar conferred upon him the decoration of the Stanislas order, set in diamonds.Times and Register.

AN unheard-of offense brought Ernest Taffer, of New York, a lad of seventeen, into the policemen's hands. Three Italian women, of Mott street, charged him with coming to their tenement and, declaring that he was a doctor of the Board of Health, compelled them to submit to a physical examination.

The Sequelae

TO WHICH THE ESPECIAL ATTENTION OF THE MEDICAL PROFESSION IS CALLED, ARE THOSE WHICH FOLLOW LA GRIPPE AND ITS ALLIED COMPLAINTS. A "BROCHURE" CONTAINING THE PATHOLOGICAL AND PHYSIOLOGICAL ACTION OF ANTIKAMNIA, ALSO ITS USE IN GENERAL PRACTICE, WITH SAMPLES IN POWDER AND TABLET FORM, SENT FREE ON APPLICATION. ADDRESS: THE ANTIKAMNIA CHEMICAL COMPANY, ST. LOUIS, MO., U. S. A. WHEN PRESCRIBING ANTIKAMNIA, SEE THAT THE GENUINE IS DISPENSED, INSURING THE DESIRED RESULTS.

[graphic]
[blocks in formation]
[blocks in formation]
[blocks in formation]

Pharmaceutical Specialties

PHENACETINE-BAYER

Antipyretic

Analgesic, or

P

HENACETINE-BAYER IS A TRUE AND DISTINCT ORGANIC DERIVATIVE, not a mechanical mixture. It is indicated in influenza (la grippe). in all fevers, with or without pain, rheumatism and rheumatoid maladies, neuralgia, bronchitis, phthisis, pertussis. Anodyne and the gastralgias. Phenacetine-Bayer acts promptly. and is both safe and effective. It is supplied in ounces, tablets and pills.

SULFONAL-BAYER

Hypnotic

Antineurotic

Nerve Sedative

EUROPHEN

Antiseptic

Antisyphilitic
Local Stimulant

ARISTOL

Antisuppurative

Antiseptic

[blocks in formation]

A

S A SUBSTITUTE FOR IODOFORM, Europhen is winning an enviable place in therapeutics. It has a special value in specific lesions; while as a surgical dressing in ulceration, open wounds, and septic conditions of the cavities, it has given excellent results. It is supplied in ounces. Europhen-Aristol. a combined product consisting of equal parts of each medicament, is also supplied in ounces.

(A THYMOL-IODIDE IODOFORM SUBSTITUTE)

[ocr errors]

HE VALUE OF ARISTOL in all the morbid conditions formerly treated by iodoform is widely recognized. In all external traumatisms, in cavital lesions and in many of the dermatoses it has given very satisfactory results. As a surgical application, it is safe. inodorous and non-toxic. Aristol is supplied in ounces. Europhen-Aristol, a preparation consisting of equal parts of each medicament, is also supplied in ounces. DESCRIPTIVE PAMPHLETS FORWARDED ON APPLICATION.

Cicatrisant

W. H. Schieffelin & Co., New York.

THE

CINCINNATI LANCET-CLINIC:

New Series Vol. XXVIII.

A WEEKLY JOURNAL OF

MEDICINE AND SURGERY.

CINCINNATI, May 14, 1892.

Address.

ADDRESS OF WELCOME. Delivered at the meeting of the Ohio State Medical Society, May 4, 1892,

BY

N. P. DANDRIDGE, M.D.,

CINCINNATI.

Mr. President and Gentlemen:

It is with great pleasure that I extend to the members of the Ohio State Medical Society a most hearty welcome on the part of the profession of Cincinnati. More than twenty years have now elapsed since the Society has honored us with its presence, but these years have counted more in the momentous and wide-reaching changes they have brought than any century in the history of medicine before. These two decades have seen the burial of much of the old medicine and the development of most of the new.

During this time antiseptics and asepsis, with their immeasurable influence on operative work, have appeared above the medical horizon. The bacteriologists, with their culture-broths, their colonies and their ovens, have come among us. The laparotomist has developed into full flower. The pustube has been invented, and the appendix has thrust itself into recognition, even if it has not yet justified its raison d'etre; while the septum and turbinated bones have grown so closely together that the galvano cautery alone has been able to separate them.

Within twenty years we have seen the "rise and fall" of many a widelyaccepted theory. Well sustained and conclusive demonstrations of the cause of disease have been followed by imma

Whole Volume LXVII.

ture and futile therapeutic deductions, whose promulgation has been but the precursor of their downfall. With the rapid dissemination of knowledge new discoveries have been widespread at once, and often received with an enthusiasm and excitement that bordered on wild delirium, and which has only too often been followed by a revulsion equally illogical.

Within twenty years the work of the dispensing and compounding druggist has almost disappeared, and we have now pilules, parvules and peptonoids, tablets and triturates, and can easily carry in the vest pocket supplies which at that time would have stuffed out a pair of saddle-bags.

But who will say that in this almost wild and convulsive change, this giving up of the old and adopting of the new, with the many disappointments and failures, with immature deductions and uncertain inferences, that great and solid progress has not been made? A retrospect of twenty years lands us amid strange and unfamiliar surroundings. It is hard to recall the theories on which our deductions were based before we began to talk of the bacillus and pyogenic microbes, of ptomaines and chemotaxis, of immunity and phagocytes. Can we picture to ourselves the work of the surgeons before they were occupied with osteotomies, resection of ribs, or thyroidectomy, or busied themselves with nephrectomies, intestinal anastomoses, and gastro-enterostomies? Can we recall the armament of the physician when we had no antipyretics, no hyoscine, no nitroglycerine, sulfonal or menthol, and were without the long list of effective alkaloids?

Who can foresee and foretell where this wild progress is tending, where it will end, where we shall stand

« ForrigeFortsett »