Advertising rates on application.

their files broken on account of failure to remit. Unleg

AFTER major amputations an elastio constrictor should always be left at the head of

the bed, so that the nurse can immediately A Cosmopolitan Blweekly for the General Practitioner

apply it in case of secondary hemorrhage. The Medical Fortnightly is devoted to the progress of the Practice and Science of Medicine and Surgery. Its aim is to present topics of interest and importance to physicians, and to this

THE Cost OF MODERN HOSPITALS.-S. S. end, in addition to a well-selected corps of Department Editors,

Goldwater analyses at length the conditions cured correspondents in the leading medical centers of Europe and America. Contributions of a scientific nature, and which cause the cost of the modern hospital original in character, solicited. News of Societies, and of interesting medical topics, cordially invited.

building to be so much in excess of what was Advertising forms close on the first and fifteenth of each month. Time should be allowed to submit proof for correction

the case a generation ago. He estiinates that

a hospital of 1870, 450 beds with a space al. Remittances and business communications should be addressed to the Fortnightly Press Co.

lowance of 6,000 cubic feet per patient could · Subscription, $2.00 a year, in advance, including postage to

could be built today at a cost of $1,200 a any part of the United States, Mexico and Canada. Postage to foreign countries in the Universal Postal Union, including New bed. A modern hospital with the same space foundland, $1.00 a year additional. Entered at the St. Joseph post-office as second-class matter.

allowance would cost double, or $2,400 a bed, The Medical Fortnightly will not be discontinued at expira

while actually in a bospital recently built tion of subscription, as many of our readers prefer not to have

11,000 cubic feet were allowed per patient, ceive a distinct request to discontinue, and payment for all arrearages, this magazine will not be discontinued.

and the cost was approximately $4,400 per Subscriptions may begin at any time; volumes end with bed. The author then analyses at length the June and December.

Contributors should understand that corrected typewritten various features entering into the construccopy is essential to clean proof and prompt publication, and is much more satisfactory than manuscript. Original articles tion of the modern hospital which contribute should be as condensed as justice to the subject will allow.

to raise its cost to so great a degree, such as Editorial offices in St. Louis, Jacksonville, and St. Joseph, where specimen copies may be obtained, and subscriptions will fireproof construction, electric light and be received.

Contributions and books for review should be addressed to power, laundry, kitchen, refrigeration, sur. the editors, 319 and 320 Century Building, St. Louis, Mo.

gical facilities, disinfecting and sterilizing

plants, accommodations for the staff, nurses, MEDICAL MISCELLANY and employees, Jaboratories, etc. He sum.

marizes by saying that, aside from economic SUBSCRIBE for The Medical Fortnightly.

causes which are beyond our reach, the high The best drainage should be afforded for prevailing cost of construction is apparently all punctured wounds of the palm; suppura

due to new methods of disease-classification tions in this region are very disagreeable and and treatment, to more intense nursing, to are followed by severe consequences.

the discovery of scientific methods of diag.

nosis, to an application of the principles of In cases of suspected rupture of the blad.

wards, work-rooms and living rooms, to the der, catherization is not always a sure test. desire to release from the wards during part The rent may be so large that the catheter of the day convalescents to whom the atmos. draws away urine that has already flowed into phere of the sick room is detrimental, and the peritoneal cavity.

finally, to the evolution of the fireproof, and THERE must be in existence few unpub.

to a certain degree germ-proof, building. If lished portraits of Thackeray. One of them

we apply to all of these improvements the is to be presented in the January Century.

rigid tests of result, we shall find that the It is from a photograph of the crayon-draw.

test is fairly met; but while we may grant ing from life by E. Goodwyn Lewis. This

that to build a general hospital embodying drawing was done for a member of the Mack

all of the features enumerated is to tread the worth Praed family, at the sale of whose

path of wisdom, we may nevertheless ques. effects it changed hands in January, 1904.

tion the propriety of investing all of our cap. Later the portrait was acquired by the Ken

ital in the construction of such a plant. The inston Public Library.

author then proposes the plan of having

the hospital maintain in the country a less DERMOID OVARIAN CYST SIMULATING expensive branch building for the reception FLOATING KIDNEY.-E. A. Isaac's patient was of the convalescent patients, and shows that a woman of nineteen years, with an indefinite in this way a much larger number of patients previous history, who was suddenly seized can be provided for at the same expense. For with abdominal pain and vomiting. On ex. example, the sum of $1,000,000 will provide amination a freely-movable tumor was dis a city hospital with country annex, it will covered much resembling the kidney, though furnish accommodations for 250 patients. the author made the diagnosis of ovarian cyst The conditions of operating will also be such with twisted pediole. On operation this as to render this division of the plant the opinion was shown to be correct, the pedicle most economical system of managing the being seven inches long and attached to the hospital, and he urges universal adoption of tissues over the sacrum.-Medical Record. the plan.-Med. Record.

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Look well to your prescriptions—a careless or dishonest pharmacist may ruin your reputation.



(Wm. R. Warner & Co.)

For Alkaline Treatment of Rheumatism, Gouty Diathesis,

Cystitis, Gravel, Kidney Troubles, Uricemia, etc.

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B Lithii Citratis 5 grs.

Potass. Bicarb. 15 grs.
Sodii Bicarb.

10 grs.

Lithia Salt Alkaline affords a most excellent means of ridding the blood of an excess of lactic and uric acids, upon which the above diseases depend.

The Physician is cautioned not to confuse this remedy with those of similar sounding names, and in prescribing, it would be well to specify Warner & Co. Sample on request.


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2 grs. In each dose, or two teaspoonfuls.



Makers of everything for Physicians' Prescriptions.

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HOME OFFICE, ST. LOUIS, MO. ZHIS Company sells Five per cent Interest-Bearing Gold Bonds

U for Savings Investment on partial payments of one dollar per week and over.

Also Five per cent Interest-Bearing Gold Coupon Bonds calling for a Cash Investment of $500.00. The Gold Coupon Bonds carry semi-annual five per cent interest coupons.

Both the partial payment Savings Bonds and the Gold Coupon Bonds are ideal forms of investment for physicians and other professional men who, from the nature of their pursuits and profession are in the habit of receiving varying sums of money at 'uncertain intervals, and which incomes in the absence of a stipulated scheme of investment, is likely to be distributed in a way that secures no profit of any kind to the earner.

Assets ..... ............ April 1, 1902.................. $125,000.00
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Assets...........July 1, 1905.. $927,332.58 PROTECTION FUND, March 24, 1905, $500,000.

Under the plans of the NORTH AMERICAN INVESTMENT COMPANY OF THE UNITED STATES, fifty-two dollars a year paid in weekly instal. ments of one dollar each, or an investment in a lump sum of $500, each draws interest at the rate of 5 per cent a year, and—to furnish UNQUESTIONED SECURITY for principal as well as interest—the Company, under State inspection, has deposited with the Treasurer of the State of Missouri FIVE HUNDRED THOUSAND DOLLARS($500,000.00) as a security fundNO OTHER SIMILAR COMPANY IN THE WORLD CARRIES SO LARGE A PROTECTION FUND of this kind for the protection of its investors

No other savings investment company in the world can show so consistent and steady an in Cut out and mail this coupon TODAY. crease in its business. The Savings Investment Bonds of the company operate in reverse of North American Investment Co. life insurance. By means of dividends and

Odd Fellows Bullding, St. Louis. Mo. other distribution of accrued profits the bonds PAY MORE THAN FIVE PER CENT PER

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. MD. To facilitate such correspondence the reader is requested to make use of the subjoined in Street quiry blank by mailing the same to

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MEDICAL MEMORANDA. FOR SALE OR EXCHANGE.—Betz Body Hot Air Outfit, almost new. Will sell cheap, or exchange for microscope. Address at once, Sadoac,” care "Fortnightly."

BOARD OF EXAMINERS. —The Civil Service Commissioners of Illinois bave appointed the following Board of Examiners to conduct the examin. ation of applicants for positions as assistant physicians in the State Hospitals for the Insane, viz , Drs. Hugh T. Patriok, Frank Billings, John B. Murphy and Harold N. Moyer, of Chicago, and Dr. Frank P. Nor. bury, of Jacksonville. This board will prepare the list of questions and grade the papers, the commission itself supervising the examination.

Pass CHRISTIAN, THE FAVORITE RESORT OF THE SOUTHLAND.-Pby. sicians who have traveled extensively have pronounced the climate of Mis. sissippi on the Gulf of Mexico, the ideal one for winter, especially for that class of patients who have a tendency to bronchial troubles, and who do not stand the rigorous winters of the north. The Mexican Gulf Hotel, at Pass Christian, is one of the famous hostelries of the South, and under the management of Mr. E. F. Carroll, has grown more popular than ever. Take a trip yourself, doctor, and you will find a climate equalled only in the south of France. Here you will find boating and fishing during our Northern midwinter, and an average temperature of 70 deg. F. The Pass is only fifty miles from New Orleans, and easily reached in two hours via the L. & N. R. R. Do not overlook the fact that not a single case of yellow fever occurred at Pass Christian during the recent epidemic, a fact that speaks volumes for the hygienic surroundings and the peouli. arly healthy climate of this resort. Write to Mr. Carroll for full particulars.

VIRTUE Running Wild.—The sentiment which underlies the present efforts of certain worthy medical men, to protect the profession from im. position and to make our tberapy clean, reliable and trustworthy, is en. tirely laudable and commendable. The extenat to which some of these gentlemen are permitting their enthusiasm to carry them is lamentable. The judgment passed upon many of the pharmaceutical preparations which have stocd the test of time for years in the practices of thousands of successful medical men, has seemed hasty and all-advised. To one who is prejudiced in neither direction, who endeavors to look at tbe matter with perfect fairness, it is very questionable if it is right that a small faction of the American Medical Association should use the organ owned by all of the members to condemn or detract from the reputation of long established pharmaceutical preparations, many of which are used regularly by a large part of the membership of the association. The manufacture and sale of pharmaceutical preparations is and must be commercial in its character. It can never be strictly professional. The average preparation which has been used by medical men of intelligence for years with good results must have something in its favor, even if its manufacturers are not willing to conduct their business exactly as we may wish to dictate. I have no desire to uphold in any way the secret medical nostrum, but I ques. tion as a matter of fairness, the propriety of attacking any well-tried preparations until it is demonstrated beyond reasonable doubt that the members of the Association are opposed rather than being users of the preparation in question. Those who have been placed in positions of power—which may be used for the accomplishment of evil as well as good-should appreciate that such an office is one of trust and there should be an effort to carry out the will and wish of the majority rather than to be led by personal prejudice or petty motives.-G.T. F. in the The Chicago Clinio and Pure Water Journal.

RESPIRATORY AFFECTIONS: SYMPTOMS AND THEIR TREATMENT.-(By Justin Herold, A.M., M.D.) The past few months have afforded me, and no doubt others, opportunities to test the efficiency of the therapeutio qualities of the various remedies vaunted as certain to relieve the barassing symptoms attendant on the diseases produced by the bacillus of that nineteenth-century infant, “La Grippe." I refer to this epidemio partio. ularly, because it had not manifested itself in such virulent form since the memorable grippe epidemic of 1889. The author of this paper, in tte past few months has bad occasion to employ the several preparations recommended for the relief of the distressing respiratory symptoms attendant upon “la grippe. These manifestations, from my view.point, have been characterized principally by cough and dyspnea, in other words, “dyspneio cough.” Expectorant mixtures, anodyne solutions, together with hypodermic medication, proluced in me a disgust; and why? Simply and undeniably for the reason that the ordinary cough inixtures contain the opium preparations in sucb combinations as to leave a depressing effect, which, especially in cases of the grippe of the “depressing or melan. cholic" type, enhances the already depressed feeling. Combinations of expectorants with stimulating ingredients had no less the same effect. Glyco-heroin, in all the cases in which I bave used it, bas never caused vomiting, an important point for the physician. Another important point noted was that this preparation of heroin-glyco-heroin (Smith)-never played pranks with the structures composing the vasomotor system. Now, what do we, in treating disease, want in addition to a good stomach and a stable nervous attachment? We want rapid action. That I effected through the use of glyco-beroin. You cannot produce toxic effects with this preparation, as its effects are lasting, and in most cases do not necessitate the use of the drug at very frequent intervals. Glyco-beroin allays cough, without doubt better than any remedy I have used this winter. And that without the sometimes disastrous results of other preparations of the papaver group. Respiraion is stimulated, not in number, but in the depth of the inspiratory act; thus full and complete oxygenation takes place, an important adjunct to the helpful effects of drugs in general, and saving the patient that expensive tank of oxygen. Given full and com. plete oxygenation, all other symptoms must accordingly diminish; thus temperature and pulse-rate are reduced to a normal condition. Elimina. tion of noxious products not being interfered with the excretion of urine is brought to the normal under the use of glyco-heroin. It is well known that diminished quantity of urine follows as a result of inflammatory diseases of the respiratory tract; thus the standard quantity of urine is enhanced by the judicious use of glyco-heroin:

I beg to submit the following cases :

Case I.-Acute Laryngitis.-George F. N., aged 14 years. Coasting, perspiration, and no overcoat, a good combination to bring on an acutely inflamed laryngeal mucous membrane. Pain on swallowing, talks in wbis. pers, temperature 101.5 deg. F., pulse 135, respiration 23, cough, barking like dog, uncomplicated case of laryngeal inflammation. Stokes' expectorant did not relieve, seemed to increase cougb. Glyco-heroin, full doses of one teaspoonful every three hours, while producing much sleepiness, re. duced inflammation, cough, and pain in three days. I then combined it with squills and syrup balsam tolu, to be given every four hours until completely relieved.

Case II.- Chronic Bronchitis, Asthma and Emphysema.—Mrs. H. D., aged 44, has bad asthmatic attacks, every fall and spring, for the past eleven years; not in winter, but only at the beginning and end of seasons. Iodines, senega, squills, digitalis, and cupping gave relief, but with the penalty of a return of more severe attacks. Dyspnea, cough and expector. ation in this case was something frightful to witness. In this case, prompt hypodermio injection of 1.8 grain of morphia relieved somewhat, followed by the use of glyco-heroin, one teaspoonful every hour for three doses, then every four hours, and on the third day every six hours. In this case the glyco-heroin seemed to continue the effect of the morphia.

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