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THE MEDICAL FORTNIGHTLY

THOS. A. HOPKINS.

A. LEVY, Pediatrics.

T. A. HOPKINS, Genito-Urinary Diseases.

tion that the constipation was more severe,
the ascending and transverse colon was espe.
cially tender to the touch; a few hours pre-
ceding an evacuation of the bowel, especially Issued Tenth and Twenty-Fifth of Every Month.
when the contraction of the bowel was such

Under the Editorial Direction of as to dislodge a large quantitig of mucous,

FRANK PARSONS NORBURY, patient would experience a sinking period

CARL E. BLACK. with intense pausea, cold extremites, cold

With the following staff of Department Editors sweats and subnormal temperature. I may 0. E. LADEMANN, Internal Medicine.

JOHN MCHALE DEAN, Surgery. say the cold sweats and cold extremities were

R. B. H. GRADWOHL, Pathology and Bacteriology. present to some extent most of the time.

W. H. VOGT, Obstetrics and Gynecology.

WALDEMAR FISCHER, Ophthalmology. One peculiar feature during this attack,

W. T. HIRSCHI, Therapeutics. which was related by those in attendance as

A. F. KOETTER, Otology. nurse, that what appeared to them as large as

HERMAN STOLTE, Laryngology and Rhinology.

F. P. NORBURY, Nervous and Mental Diseases. a good sized orange was noticed to travel from every

ROBERT H. DAVIS, Dermatology. and across the transverse colon and disappear, to be soou followed by an evacuation of a large mass mostly mucous of the darker

EDITORIAL character described.

Patient suffered withi “oramps of the stomaoh,” especially during the convalescent per. At the meeting of the St. Louis Medical So. iod. She is affected also with multiple fib. ciety, December 230, 1905, Dr. Mary Mo. roid of the uterus, and this may bave added

Lean, in a paper, *Med. to the gravity of the case. During extreme

Observations in

ical Observations in the distention these tumors would beome prom.

Far East," discussed

the Far East. inent, and to apparently disappear so soon

conditions as she found as relieved by an evacuation of the bowel.

them in the several citHer temperature ranged from 97 to 103.3; ies of China and Japan in the order in which pulse ranged from 86 to 140. At only one she visited them. At Shanghai there are two time, early in the attack, did the temperature fourisbing hospitals, Dr. Boone's hospital reach the highest mark stated, 103.3.

for men and boys, and the Woman's Hospi. Treatment was supportive, narcotics, anti. tal. The Chinese bare contributed some septics, and meeting depressed conditions $65,000 to the support of Dr. Boone's hospi. with stimulants as indicated.

tal, and this physician never charges a fee,
finding it pays better to trust to the liberal.

ity of his patients. The essayist concludes
COMPOUND FRACTURE DISLOCATION OF THE that the Chinese character is on a much
ULNA.-L. B. Henkel, Annapolis, Md.(Jour. more generous plan than the American. In
A. M. A., Deo. 23), reports the case of a the Woman's Hospital there is a daily clinic
workman who fell from a ladder a distance of of 100 to 300 women and girls. Some of the
about fifteen feet, landing on the palm of his cases in this hospital are so desperate that in
right hand, left wrist, knees and face. He this country early death could be safely pre.
suffered a lacerated injury of his right band, dicted. There they recover with but little
requiring six sutures, contusions of the attention, owing to their power of reouper&-
knees and face and a dislocation of the ulna, tion. Dr. MoLean saw but little of the Chi.
the free end being splintered and penetrating nese methods, but she did see a kit of surgi.
the soft tissues and skin of the wrist so that cal instruments in Korea. These instruments
the wound had to be enlarged about three were merely a number of needles varying in
inches to reduce the dislocation. This was size. The afflicted person is supposed to be
done, the wound sutured and a plaster band. possessed of an evil spirit and one of these
age applied with a window over the wound, needles is inserted into that part of the body
which was dressed with 10 per cent iodo. nearest the pain in the hope of releasing this
form gauze after bichlorid irrigation. The evil spirit. Even the heart is sometimes
plaster was removed in three weeks and pierced in this way. Dr. McLean referred
anterior and posterior splints applied for ten to one case in which a piece of flesh from a
days longer. The sutures were removed after woman's arm was cooked and given to her
four weeks, the wound having bealed by third sick child. There is no such thing as sani.
intention. After removal of the splints, tation among the Chinese. In illustration of
massage and passive movenients were ero this the doctor cited one instance that came
ployed and the patient discharged at the end to her notice. In a little pond, the water
of the seventh week with fairly good move. greenish-black, a woman was soaking her
ment.

vegetables, a coolie near by was washing his

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feet, while not far away a pig wallowed and a She found the Japanese surgeons skilful and woman was washing her clothes. The people painstaking and she stated, apparently in all are very poor, many of them, in the interior, sincerity, that they were always good natured subsisting chiefly on grass seeds, roots and and did not even swear. pounded corn, rice being too costly for daily The discussion was opened by Dr. George food. These people believe chicken deadly Gellhorn who related some of his experiences to consumptives, also eggs, none of them during a visit to China several years ago. drink milk or eat butter, both being disgust. He also showed the society two Chinese texting to them.

books on gynecology. In Hang Chow, Dr. Main, of Sootland, Dr. Robert M. Funkhouser and Dr. Rob. has had charge of the medical work for ert Barclay, in connection with these peo. twenty-five years. An immense amount of ple's quiet endurance of pain, discussed the cbaritable work is done bere and the several religion and philosophy of the orientals and institutions are almost entirely supported by the value of suggestion in its relation to sur. the Chinese. In the general hospital of 200 gery. beds every patient upon admission is re. The President, Dr. Henders quired to have a thorough bath and change with Dr. MoLean that the Chinese must be of clothes, to keep out the vermin so plenti. more generous than the Americans. In proof ful in China. Dr. Main uses a ton of car. of this he stated that but three patients had bolio soap in one year. In addition to this ever paid him more than the amount of bis hospital he bas one partly for men and bill; a German who could speak no English, partly for women, besides an institution for a Hebrew and a Chinaan. lepers, a school for leprous children and a The paper was further discussed by Drs. very fine tuberculosis sanitarium, for both Fleming, Goodloe, Stauffer and Hopkins. Chinese and mission workers.

In Kiu Kiang is a hospital conducted by : a young Chinese woman, a graduate of an American university. She has trained her The annual banquet given by the Medical own assistants, and is conducting the institu- Society of City Hospital Alumni at the betion most successfully in every particular.

ginning of each new ad. Dr. MoLean spoke very highly of the medical The Hospital ministration has come educational work being done in Pekin, where Society

to be recognized as one the representatives of the four denominations Banquet.

of the more important have united in the work. The hospitals here

social events of the sea. are well equipped. Here, too, she saw the son in which medical men alone are in. Northern Chinese bed, or kang, a raised plat. terested. The banquet this year was given at form of cement and brick, with an opening the Washington Hotel on the evening of Janunderneath for a charcoal fire.

uary 4th, and was an occasion of more than Of the military hospitals in Japan, the usual pleasure to all in attendance. The essayist bad nothing but praise for everything president for 1905, Dr. John Green, Jr., preand everybody in connection with them, in. sided during the feast, and when cigars were cluding the patients. The Red Cross and lighted, in a inost felicitous address gave a Toyama hospitals each have a capacity of resume of the work accomplished during the about 7000. The wards are one-story, long year and work under way and introduced frame structures, with windows on either the president-elect, Dr. Louis H. Behrens. side, a ball running down the middle, with President Behrens spoke of the past and fu. a bath-room at each end. The soldiers were ture of the society, dwelling on its accomplishbountifully provided with good nourishing ments and the duties which lie before it and food, many receiving the richest sterilized for the future, the responsibility of each memmilk in addition to their regular diet. In her to be a factor in the accomplishment of rethe diet kitcben everytbing was exceedingly forms and improvements which must be clean, and the milk sterilizing plant wonder- effected in St. Louis in the near future. fully complete. In the operating rooms the following Dr. Behrens, Dr. Geo. Gellhorn nursing was far superior to that seen in spoke on Medicine in Europe; Dr. M. G. St. Louis, there were never less than five Seelig,' on Medicine in the East; Dr. Walter nurses in the room, each attending strictly B. Dorsett, on Medicine at Home, and the to her duty. In the surgical dressing rooms Old City Hospital; Health Commissioner often as many as twenty soldiers were being Snodgrass, on The New Pathologic Laboraattended to or waiting their turn, yet dur. tory of the City Hospital; Irvin V. Barth, ing the two months over which her observa Esq., on Quackery in Medicine; and Dr. tions extended, Dr. McLean never heard one Merrell and Superintendent Elbrecht (of the of them utter a complaint, not even a groan. Female Hospital) on unassigned subjects.

The attendance at this banquet was better than 100, and the enthusiasm aroused pre. sages well for the work of the society during 1906.

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HARE'S THERAPEUTICS. A Text-book of Practical Therapeutics, with Especial Reference to the Application of Remedial Measures to Disease and their Employment Upon a Rational Basis. By Hobart Amory Hare. M.D., B. Sc., Professor of Therapeutics and Materia Medica in the Jefferson Medical College of Philadelphia, New (11th) edi. tion, enlarged and thoroughly revised to accord with the cighth decennial revision of the U.S. Pharmacopoeia, 1905. In one octavo volume of 910 pages, with 113 engravings and four colored plates. Philadelphia and New York: Lea Brothers & Co., 1905. (Cloth, $1.00, net; leather, $5.00, net; half morocco, $5.500 net.)

Walter Bas-Thomas the current"

WORKING ORGANIZATION OF THE ST. Louis MEDICAL SOCIETY FOR 1906. – Presi. dent Homan has appointed the following standing committees to assist him in his administration of the affairs of the St. Louis Medical Society for the current year:

Elections - Thomas A. Hopkins, chairman; Since the appearance of the 1905 edition of Walter Baumgarten, Julius H. Gross. the U. S. Pharmacopoeia many new prepara

Executive-John C. Morfit, chairman; tions have been introduced, some official Davis Forster, John Green, Jr.

drugs have been excluded, and the dosage and Publication and Debate-Geo. M. Tuttle, strength of many tinctures, extracts and obairman; Hudson Talbott, Albert E. Taus. fluid extracts, have been altered, all of which sig.

are included in Hare's new book on TheraLibrary-James M. Ball, chairman; M. peutics. The physiological action, therapeuW. Hoge, Mary H. McLean.

tics and administration of drugs are clearly Microscopy and Pathology-- Albert E. outlined, and particular stress is put on the Meisen bach, cbairman; Wm. W. Graves, E. indications and reasons when during the F. Tiedemann, Wm. H.Mook, L. M. Warfield. course of a disease certain drugs are indicated

Public Health and Legislation-Clarence or contra-indicated. The chapter devoted to M. Nicholson, chairman; Hugo W.Bartcher, the treatment of diseases will be of great aid Robert Luedeking.

to the physician until he finds time to con· Ethios (elected)—Paul Y. Tupper, chair. sult special books on this subject. man; Benj. M. Hypes, Frank L. Henderson. Contested Eleotions (three Junior Ex

DISORDER OF METABOLISM AND NUTRITION, Presidents)-Frank L. Henderson ('05), B.

DIABETES MELLITUS. By Prof. D. Carl von Noorden. M. Hypes ('04), A. R. Kieffer ('03).

New York: E. B. Treat & Co., 19.5. (Price, $1.50.)

The author's extensive knowledge of the

pathology, chemistry and physiology of diaCALCIUM OXALATE CALCULI.-As prophy. betes mellitus enables him to give us valualaxis Bruce advises regular daily exercise in ble information in the dietetic, hygienic and the open air-change to bracing, bill or coast medioinal treatment of this disease. The inregion: cold or tepid baths with friction; disoriminate use of fixed diet lists or of exclusion of rhubarb, tomatoes and onions drugs does more harm than good, but the au. from diet and using cabbage, farinaceous thor advises us to study and treat each vase puddings and all kinds of sweets sparingly; individually. an alkaline stomachio tonio just before meals, or acid stomachic tonic after meals. SALINE THERAPY. By Prof. D. Carl von Noorden.

New York: E. B. Treat & Co., 1904. BRAIN TUMOR.–J.Grinker, Chicago (Jour. The author reports a number of cases, suf. A.M.A , Deo. 23), reports a case of brain tu. fering from anacidity, subacidity and hyper. mor, locally diagnosed antemortem as occu. acidity of the gastric juice who received sapying the subcortical region under the lower line mineral waters, some of which were two-tbirds of the anterior central convolu. much benefited while others grew worse, detion of the left side, but not involving the pending on the cause of this symptom and base of the brain. The autopsy revealed a the diet instituted. The chapter devoted to large subcortical glioma involving the region the effect on absorption of food, especially indicated and not clearly defined from the on the digestion of fat is very thorough, and surrounding brain tissue. The author re- proves that the use of mineral waters and a marks on the absence of local cortical symp- diet rich in fat are permissible, at times toms in the case, the probable limitation of being bighly beneficial to the patient. The the motor area to the region anterior to the same is true of fruits and vegetables. The Rolandic fissure in man, the impossibility of diet must be regulated according to the dismaking an exact anatomic diagnosis of the eased condition and the effect which certain nature of the growth and the general inoper. articles of food have on the patient. This ability of glioma because of its tendency to little book will be found useful to any one infiltrate and its usual deep situation in the who is interested in the various mineral white substance of the hemisphere.

springs.

be open world of ubarb, t

REPORTS ON PROGRESS

Comprising the Regular Contributions of the Fortnightly De.

partment Staff.

PATHOGENIC MICRO-ORGANISMS, INCLUDING BACTERIA AND PROTOZOA. A Practical Manual for Students. Physicians and Health Officers. By William Hallock Park, M.D., Professor of Bacteriology and Hygiene, University and Bellevue Hospital Medical College, etc., assisted by Anna W. Williams, M.D, Assistant Director of the Research Laboratory. Second Edition, Enlarged and Thoroughly Revised, with 165 Engravings and 4 full-Page Plates. Philadelphia and New York: Lea Brothers & Co., 1905. (Cloth 3.75 net.)

PATHOLOGY AND BACTERIOLOGY. This well-known work appearing in its

R. B. H. GRADWOHL, M. D. second edition certainly represents a working

Intestinal Origin of Pulmonary Tuberculomanual of excellence in bacteriology for any one interested and working along these lines,

sis.-A. Calmette and C. Gurein (Annales whether he be student, physician or labora

de l'Institut Pasteur, No. 10 Tome XIX, tory bacteriologist. The part devoted strictly

October 25, 1905) call attention to the fact to the pathogenic bacteria has been revised

that Bebring claims that all cases of pulmonand brought up-to-date, facts submitted and

ary tuberculosis seen in the adult are not inconclusions drawn in the bright, concise and

fected through the respiratory tract, but are thorough manner so obáracteristio of that in.

due to infection in early life through the in. defatigable and able worker and writer, Dr.

testinal canal. The writers determined to at. Wm. Park, the author of this work. Park

tempt a solution of this problem and conseneeds no introduction to our readers. To

quently selected for their experimentation the those of us who have seen his work in the

kid as an animal easily susceptible both in New York Department of Health, as was the

young and adult life to the tubercle infection. good fortune of the reviewer, the work in

Advantage in these experiments was taken of band is a speaking and written likeness of its

the work of Nocard, Rabieau and Schroeder author. For those who bave not had the

who proved that it is easy to produce a tuberpleasure of Dr. Park's acquaintance, a care

culous mammitis by injection tubercle bac. ful study of his work will give one an idea of

illi directly into the mammary glands of his ability in this new-found science of bac

goats. As a preliminary measure, Calmette teriology. The chapters on the Protozoa are

and Guerin injected goats with cultures of of invaluable aid to those who have not had

human, bovine, aviary and pseudo-tubercle time or occasion to follow the recent litera

bacilli. It was found that the injection of ture on this line. The study of the protozoa

bovine tubercle bacilli into the mammary has received a new impetus in the last few

glands produced a rapidly fatal local mam. years, particularly by tbe work of those on

mitis tuberculosa, without extension of the this side the Atlantic. The chapters on pro

lesions into other parts; that the human tutozoa written by the able assistant director of

berole bacillus produced similar effects, not the Health Department Laboratory teem with

so pronounced however (many animals sur. these new facts and discoveries. The work

viving the infection for a while); that the of Mallory and his followers on the protozoo.

cultures of the pseudo-tubercle bacillus and an-like bodies found in scarlet fever; the

the avian tubercle bacillus were comparawork by Theobald Smith on the tick of Texas

tively inoffensive. Finally, these prelimin. fever; the study of trypanosomes in man,

ary tests demonstrated that the differentia. particularly the work of Schaudin on the

tion between the human and the bovine bacspirochaeta pallida found in syphilitic le

illus could be made by comparison of the sions is given in extenso. We cannot com.

effects on these goats. The tests were then mend the work too highly; certairly it is the

carried out by infecting pregnant goats and best that has yet appeared in our language,

allowing their young to be suckled from and compares equally wlll with any that has

these tuberculous-infected mammary glands. appeared in any language. R.B.H.G.

At the same time living cultures of the different varieties of the tubercle bacillus were introduced into the intestinal canals of fullgrown goats by means of esophageal hollow tubes. Typical tuberculosis was developed.

The conclusions of the two writers were that POST NASAL ADENOIDS.—These growths in the immense majority of cases tuberculo. are characterized by open mouth and vacant sis pulmonalis is not contracted by inhalaespression, a peculiar muffled voice; and by tion, but by ingestion, as has been so long the appearance of a reddish-gray mass hang. contended by Behring. They reject the the. ing down from the vault and obscuring the ory of Behring's that adult tuberculosis is upper part of the nasal septum. The only the result of a latent and tardy intestinal tu. treatment worth consideration is operative berculosis developed in early infancy. They removal with curetle and finger under co. believe that adults are more easily infected caine or general anesthesia.

through the intestinal canal than are infants,

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i.e., that the young are better protected and yet milk from such animals may fairly through their early life by their ganglionic swarm with virulent tubercle bacilli. (mesenterio glandular) system than are adults. They believe that it is easier for in. fection to travel from the intestinal canal

INTERNAL MEDICINE. through the blood and lymphatic systems of adults than of obildren. They believe also

O. E. LADEMANN, M. D. that the swallowing of sputum bolding tu. berole bacilli in adults means re-infeotion af.

Pavy's Test for the Percentage Estimation ter re-infection, with absorption tbrougb the of Sugar in the Urine.—Sabli (Deutsche Med. lymph stream, causing new foci to form in

feito form in Wochensohrift, No. 36, 1905) upholds the different parts of the lungs. For this reason muohly disfavored Pavy method of sugar ti. they advocate that tuberculosis patients

tration with the ammoniacal copper solution should never swallow sputum, and that there

and proposes a modification which overcomes should be a strenuous attempt made to keep the technical difficulties heretofore entailed, the mouth clean and free from these bacilli

namely: (1) The exclusion of air during the after expectoration, particularly before eating process of titration, necessitating an air

tight fastening of the buret to the flask in The Pulmonary Lesion of Tuberculosis. order to prevent an oxidation of the color. M. H. Vallee (Annales de l'Institut Pasteur, less solution; (2) as a consequence of the No. 10, Tome XIX, Oot. 25, 1905) in a paper

gradual addition of the urine cuprous ox. read before the International Congress of ide will be precipitated by the removal of Tuberculosis, discusses the lesions and the

ammonium occasioned by the too prolonged methods of infection in pulmonary tubercu.

boiling of the solution. The author dis. losis. He narrates a number of experiments ousses its application in the clinic, and for made upon calves with bovine tuberculosis. general practice, highly commending it as a Calves were treated with tuberole bacilli by

simple, rapid and reliable method for the direct injection into the trachea. It was quantitative estimation of sugar in the urine, found at autopsy on these animals that while giving it preference to the methods of Sox local tuberoplosis of the mucosa was brought hlet-Allihn, Lehmann's iodometrio titration, about in every case by such injections, that

the areometric fermentation test, the polari. the tuberculous process did not spread to the metric estimation or Lohnstein accurate fer. lungs, even though the secretion from the mentation saccharometer. Sabli prepares tuberculous areas in the trachea was carried the ammoniacal copper solution as follows: down the bronchial tree and deposited in all

No. 1. accessible parts of the lungs. It was also determined by means of pulverizations of

Crystalized copper sulphate... 4,158 grams living virulent cultures of tubercle bacilli

Distilled water...............500 0.0. into the naso-pharynx that while immense

No. 2. caseous tuberculous lesions were produced in

Sodium potassium tartrate...... 20.4 grams the retro-pharyngeal glands, all other organs, Potassium hydrate, C.P......... 20.4 grams lungs, liver, etc., remained free from tuber-'

Aq, ammonia (S. G. 0.88)......300.0 0.c. culosis. Another series of experiments

Distilled water, ad.............500.0 0.c. wherein young calves were allowed to feed upon the milk from a cow with tuberculous Ten oc, of the combined solutions (5 cc. mammitis showed that these animals con- each), which exactly reduce 0.005 grams of tracted tuberoulosis of the lungs and peri: sugar, are put into a flask of 75-100 cc. cabronchial lymph nodes, said infection taking pacity to which is added 30 oc, of water, the place through the intestinal canal. The mes. addition of the latter being to prevent an enterio glands however, showed but very min. early escape of the ammonia. The flask is ute changes. These experiments proved that gradually heated until it simmers on an asinfection can take place through the intes. . bestos gauze. Violent boiling is to be tinal canal, afterwards reaching the lungs, avoided. The urine, before placing in the without producing any marked changes in buret for titration, is diluted fifty times its the intestinal mucosa or in the mesenteric volume with distilled water. In diluting the lymph nodes. The writer believes that adult urine it is better to use 10 cc. to 500 cc. of cases of tuberculosis are due to a tuberculous water than in the proportion of 1 to 50. Ti. infection through the intestinal canal. He tration is practiced until the simmering am. points to the work of Rabinowitch, Mobler moniac copper solution is completely oxy. and Moussu who showed that cows may have dized and the percentage of sugar estimated tuberculosis of internal organs without any by the usual mathematical calculation. Sabli manifestations of tuberculosis of the udder, also emphasizes the necessity of the practi.

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