be of infected of the les, etc.

their files broken on account of failure to remit. Unless we receive & distinct request to discontinue, and payment for all ar

copy is essential to clean proof and prompt publication, and is

be received.

VARICOSE VEINS OF THE LOWER LIMB. This patient was also presented by Dr. Bodine. Of middle life, she presented for A Cosmopolitan Blweekly for the General Practitioner operation the worst type of this condition.

The Medical Fortnightly is devoted to the progress of the Great masses of infected thrombi were pres Practice and Science of Medicine and Surgery. Its aim is to pre

sent topics of interest and importance to physicians, and to this ent on the inner side of the leg. Three end, in addition to a well-selected corps of Department Editors, weeks' rest in bed, with ice bags, etc., was

it has secured correspondents in the leading medical centers of

Europe and America. Contributions of a scientific nature, and insisted upon, until all inflammation and original in character, solicited. News of Societies, and of inter

asting medical topics, cordially invited. sepsis bad disappeared. She was then oper. Advertising forms close on the first and fifteeuth of each ated upon. It is the speaker's belief that

month. Time should be allowed to submit proof for correction

Advertising rates on application. when the Trendelen berg operation cannot be Remittances and business communications should be ad

dressed to the Fortnightly Press Co. utilized the only other to be recommended Subscription, $2.00 a year, in advance, including postage to is that of excision of the entire internal sa

any part of the United States, Mexico and Canada. Postage to

foreign countries in the Universal Postal Union, including Newphenous vein, because if the blood current foundland, $1.00 a year additional. Entered at the St. Joseph

post-office as second-class matter. in the vein is cut by any other operation, the The Medical Fortnightly will not be discontinued at expirawalls of the useless rein may become a for.

tion of subscription, as many of our readers prefer not to have eign body and require removal. The opera.'

rearages, this magazine will not be discontinued. tion recommended by the speaker is that of Subscriptions may begin at any time; volumes end with Caseta in which the entire veip is removed June and December.

Contributors should understand that corrected typewritten through three or four small cuts in the over

much more satisfactory than manuscript. Original articles lying skin, the vein being pulled out subcu.

should be as condensed as justice to the subject will allow. taneously, the numerous tributary vessels be

Editorial offices in St. Louis, Jacksonville, and St. Joseph,

where specimen copies may be obtained, and subscriptions will ing torn across, but not ligated. At the juno.

Contributions and books for review should be addressed to tion of the middle with the lower third of the editors, 319 and 320 Century Building, St. Louis, Mo. the leg, the skin and subcutaneous fascia are then cut through to the muscles, the out en is weighty prosthetic evidence that even this ciroling the entire limb. After this opera. point of amputation should be discarded in tion the patient is usually in the hospital favor of removal seven inches above the for two weeks. In every one of the twenty ground line. There is but one American firm cases in which the speaker had operated ac- of limb-makers which claims it can fit partial cording to this method the cure had been foot amputations with a satisfactory appli. perfected.

ance, and even it admits that the advantage The paper of the evening, entitled

is obiefly economio, the apparatus costing less

than in the case of higher amputations. SURGICAL HERESY,

After leaving the point seven inobes above was read by Dr. John A. Bodine. He said the ground line, the rule of save every inch in part:

possible holds good until within two inches The first slipping away from the faith of of the knee-joint. In amputations of the our forefathers was in “Where and How to thigh above this point, one should save Amputate” No article in textual creed is every inch possible. stronger than, “Save all you can in amputa- In the event of future improvements in tions." The various and multiform ampu. artificial substitutes, nullifying the potency tations through the complex tarsus and meta- of the speaker's argument, he submitted that tarsus bones are the result of the necessity in partial foot amputations the technical for speed before the advent of anesthesia. and complicated textual amputatiuns should This golden rule was also strengthened by be discarded and the foot treated as one the argument that in amputations the nearer bone, the rule then being, “Save all you can the trunk the greater the death rate, and still from toe to bip joint." further bed-rocked in the belief of the pa. Dr. F. M. Jeffries, in discussing the paper, tient that the less of his anatomy lost, the less said that so far as Dr. Bodine's remarks con. a cripple he was. The advent of skilled pros- cerned the laboratory, he must agree with thetic surgery has done away with peg legs him in the main, but some of his assertions and crutches for the unfortunate victims of he could not coincide with. With regard to amputations, and today instead of traditional cancer, he felt that if the pathologist's report anatomic and sentimental arguments, one is that of cancer, no matter what the clini. should be guided by a new article of faith: cal findings might be the surgeon should Amputate where the limb maker can best proceed on the assumption that it is malig. supply the loss." Save all you can from tip nant in character. Regarding appendicitis, of toe to the tarso-metatarsal joint, and dis- it is generally known that hematology is not card every one of the many technical ampu. the useful diagnostic aid that at one time it tations through the tarsus in favor of the was hoped it would be, nevertheless, instances Syms' amputation at the ankle joint. There were on record in which it had been of service.


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.

B Lithii Citratis .. 5 grs.

Potass. Bicarb. , 15 grs.
Sodii Bicarb. . . . 10 grs.

Acetanilid ... 2 grs. In each dose, or two teaspoonfuls.

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.




Makers of everything for Physicians' Prescriptions.


The “Princess Irene” of the North German Lloyd Steamship Co., upon which the American party to the last congress sailed. This boat is a sister to the steamship “Koenig Albert," which will carry the American party to the Congress in April.

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Lisbon, Portugal, April 19 to 26, 1906

ROUND TRIP, FIRST-CLASS all throngh, $300, including board and all expenses. Sails from New York on the “Koenig Albert,” April 7. Full particulars and itinerary may be obtained by addressing



MEDICAL MEMORANDA. I cannot get along without nuclein. It's a wonderful remedy.—Dr. J. S. D. .................. , Nebr.

A good remedy for relaxation of the womb and its appendages is aletris cordial (Rio); it strengthens the uterine organs and at the same time corrects the co-existing general weakness.

Best Results than from Any Combination.-I must say that neurosine has given better results and more universal satisfaction than any combination ever used by me. I have tried it in many nervous affections and in epilepsy of long standing. In some it is a specific, in others a therapeutic agent of great value.-W. L. Gahagan, M. D., coroner of Hamilton county, Chattanooga, Tenn.

Pneumonia is now running riot throughout the winter-visited world. Physicians everywhere are putting forth their best efforts to overcome the evil effects of this disease, which is even more deadly than the great white plague. The physician who covers the thoracic walls—front, sides and back-of his pneumonia patients with antiphlogistine, is the one who is actually giving his patients the very best chance of recovery. No method of external application—be it ice, hot water. turpentine, or what not—has commenced to yield the beneficial results obtained from the proper application of antiphlogistine.

Huston Brothers Co.-We would call the attention of our readers to the advertisement of the Huston Brothers Co. that appears in this issue. There would really appear to be many points of distinct advantage in the electrical cabinets manufactured by this firm, and we strongly advise all our readers, who are at all interested, to write for their catalogue. It has only recently come to our knowledge that the millionaire Armour family selected one of Huston's electric cabinets in preference to all others for the treatment of Lolita, the famous little patient of Dr Lorenz during his recent visit in this country. Although the Huston cabinets undoubtedly would appear to be the best on the American market, their prices are by no means the highest. Huston Brothers have recently issued a very neat, compact, little catalogue to cover this special line of goods Even if you do not think of purchasing a cabinet right away, you should at least have a catalogue so that you may get posted.

Carabana recently admitted to the domain of therapeutics, has, at a bound, jumped into the first place. A mildness and certainty of its purgative action, smallness of dosage, a few contra-indications contribute to make it useful, not only as a remedy, but also as a means of diagnosis. It produces, when used as a purgative, a number of abundant, regular passages without griping. If taken in small doses for several days, continuously, it does not cause gastric or intestinal disturbances as do waters of analagous composition. In the diseases of my clinic I have had splendid results from its use; as a resolvent in chronic inflammatory affections of the prostate and vesicles, in gonorrhea; in inflammation and conjestions of the cervix uteri and in leucorrhea, carabana, taken in small doses, combined with injections and douches, speedily effects a cure. In scrofulous, glandular and cutaneous manifestations, especially in eruptions of the face and skin, have I met with success by using carabana locally and administering it in small doses. It is desirable that its employment become general, as the indications for its use, derived from a study of its chemical composition, become greater from day to day.”—Prof. M. S. B,

Treatment of the Throat.–Dr. E. Jay Fisk, Troy, N. Y., uses eusoma in the treatment of all forms of irritation of the throat, and states that even in follicular tonsillitis he has been surprised, as well as pleased, with the prompt and satisfactory results which he has obtained from its use. Dr. Fisk prescribes eusoma as a local application in these cases, and almost without exctptlon, immediate relief from unpleasant symptoms is obtained. Dr. Fisk also states that he gives eusoma internally in irritative disease of the skin, supplementing its internal use by the external application of the same remedy. Dr. Fisk's experience is confirmatory of that of other physicians who have studied the clinical us: of echinacea. Dr. A. B. Matthews, of Elberton, Ga., in an article published in the Georgia Practitioner, May 15, 1905, states that it promotes the flow of saliva with Ceeling of well-being in the stomach, and is slightly diaphoretic, increasingly if continued. The action of the kidneys and whole glandular system seems to stimulate under its influence. The stomach is improved in its function, the appetite increases, food is more perfectly digested, the bowels operate better and absorption and assimilation and general nutrition are in every way improved. It encourages secretions and excretions and in this manner prevents any further autoinfection and quickly relieves the system of any that is present. Eusoma is simply echinacea combined with the adjuvants, thuja and baptisia, and is without doubt the most reliable preparation of echinacea upon the market. Each fluid dram of eusoma contains 15 grains of echinacea, 2 grains of thuja and 4 grains of bactisia. The Eusoma Pharmaceutical Co., of Cincinnati, have collected a large amount of information with regard to echinacea, which they will be glad to mail to any physician requesting it.

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

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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 HUNDRÉD THOUSAND DOLLARS ($500,000.00) as a security fundNO OTHER SIMILAR COMPANY IN THE WORLD CARRIES SOʻLARGE 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

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