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body, as well as the most neglected, and having made special study of the problems the field presents, he is remarkably well qualified to speak. The book is a complete dictionary of the perplexities of the general practician and exhaustive and comprehensive definitions await him. No physician has escaped these perplexities; all will hail this book as a treasure. It is substantially bound in strong cloth and boards. The printing is elegant, but unfortunately it is on glazed paper, which is always harsh to the eyes and should be used only for highly toned illustrations.

A PRACTICAL TREATISE ON THE CAUSES, SYMPTOMS AND TREATMENT OF SEXUAL IMPOTENCE AND OTHER SEXUAL DISORDERS IN MEN AND WOMEN.-By William J. Robinson, M. D., Chief of the Department of Genito-Urinary Diseases and Dermatology, Bronx Hospital and Dispensary; Editor of the American Journal of Urology, etc., etc. Critic and Guide Company, publishers, 12 Mount Morris Park West, New York, 1913. Cloth, 422 pages; $3.00, postpaid.

This is another good book added to the "Sex Library" of the Critic and Guide. Dr. Robinson is a facile writer and he has done some good work in the book just published. He is helping to raise urological science to a position it has been too long denied; and sexual diseases are taking a respectable place among the more serious and frequent ailments to be considered by those who devote their attention particularly to that line of practice.

Dr. Robinson deals with the subject in a dignified, scientific way, that will be helpful to the physician who has judgment enough to realize that he is as responsible for functions around which a modern sham, conventional modesty, has thrown a hiatus of folly as he is for the appetite, eliminative powers or nutritive functions of the same persons. And the science of eugenics can never be worthy of medical consideration until the people are taught that it is as much the duty and business of physicians to enquire about the sexual habits of patients as of their habits of eating and drinking. This book will do much good; and that good will be as extensive as its reading.

A CLINICAL MANUAL OF MENTAL DISEASES.-By Francis X. Dercum, M. D., Ph. D., Professor of Nervous and Mental Diseases, Jefferson Medical College, Philadelphia; Consulting Neurologist to the Philadelphia General Hospital; President of the Philadelphia Psychiatric Society; ex-President of the American Neurological Association, and of the Philadelphia Neurological Socity; foreign corresponding member of the Neurological Society of Paris, and of the Neurological and Psychiatric Society, Vienna; member of the Royal Medical Society of Budapest, etc., etc. W. B. Saunders Company, Philadelphia and London, 1913.

This is a handy, well-arranged and well-written book. Its text is composed of just the matter so much needed at this time; especially in states where the old-time barbarous laws allowing lay jurors to sit in judgment at trials of citizens for lunacy have given way to the new laws requiring that lunacy commissions be composed of reputable physicians, who shall determine whether or not the accused are insane. And as these new laws will require physicians to be informed in the symptoms and manifestations of insanity, this book will be found of great value. Also, since the courts are liable to call upon any member of the profession to serve upon these commissions, it will have a tendency to arouse among medical men a new and wider spread interest in nervous and mental diseases.

The author tries to keep clear of speculative and metaphysical psychiatry, giving the student the benefit of his clinical knowledge and experience as a man of wide opportunities in the line of his subject. He views the insane man as a sick man and as much in need of a doctor as any whose ailments are purely physical; but requiring a more experienced attendant, because more difficult to treat. He draws his clinical pictures with a vigor corresponding to his belief of the urgency of the demands for the well-being of his patient.

Under prevention, the author says that "The role played by syphilis and alcohol is of overwhelming importance; so great, indeed, that the neuropathy to be ascribed to other causes is almost a neglible quantity." And he thinks these factors are more powerful as hereditary than acquired causes; that since "It is syphilis and alcohol which stand prominently forth as the great causes

it is in

their prevention that the great hope of the future lies." He advises that when either party to a prospective marriage has a neuropathic ancestry, or is the victim of an inherited neuropathy, physicians should advise against the marriage. Under treatment, he is very clearly of the opinion that the commitment of patients devolves a serious responsibility upon the attending physician; that no commitment should ever be made without the sanction of a proper medical attendant; that such commitment should always be for the benefit of the patient and not for the mere relief of relatives who may be responsible for the care of the insane person, and that the patient should only be committed to environs more suitable for such persons than those from which he is removed. The author doubtless does not conIceive of the conditions in Texas, where the insane are conmitted to the common jails, where they often remain among criminals and under the care of frequently incompetent county physicians and illiterate jailors, until all hope for recovery has been dissipated, thereby ruining many valuable lives that might have been saved under suitable care. He holds, with the superintendents of the asylums of Texas, by the way, that the acute cases are mostly amenable to successful treatment, but that the chronic jail cases are not hopeful. We predict a large sale for this very excellent and timely book in the states where legislation has been advanced to humane methods in the commitment of the unfortunate insane.

STERILITY IN THE MALE AND THE FEMALE, AND ITS TREATMENT. By Max Hühner, M. D., New York. Chief GenitoUrinary Department, Harlem Hospital Dispensary, New York City; formerly Attending Genito-Urinary Surgeon, Bellevue Hospital, Out-Patient Department, and Assistant Gynecologist, Mount Sinai Hospital Dispensary, New York City, etc., etc. Rebman Company, publishers, New York, Herald Square Building. Cloth binding, 262 pages, $3.00, postpaid. 1913.

An interesting book containing the author's own experiences and original researches. It "presents a practical method of treating sterility in the male and female based upon scientific investigation and accurate pre-operative diagnosis." Most practitioners have been caught in the compromising situation of being unable to afford even encouragement to those who have applied to them for relief from the incubus of sterility; and such will be glad to avail themselves of the aid this volume promises. The author's methods do not seem to us to be entirely practical for the general practitioner. It will, for that reason, hardly be of general use, as it is the general practitioner who is confronted by these cases. It is a good book for him to read, however, and is of great value to the sex specialist.

THE ELEMENTS OF BACTERIOLOGICAL TECHNIQUE. By J. W. H. Eyre, M. D., Director of the Bacteriological Department of Guy's Hospital, London. Second Edition, rewritten and enlarged. Octavo of 518 pages, with 219 illustrations. Philadelphia and London. W. B. Saunders Company, 1913. Cloth, $3.00 net.

The author of this book has addressed himself to the matter of technique, setting out the methods, both new and old, that are in vogue at the present time. His illustrations are the best of any we have seen. He has adopted the terminology of Chester, as that author used it in his new and recently published book, "Determinative Bacteriology." While the book is a safe one to get results in the hands of beginners in bacteriology, it is primarily intended for use as a laboratory guide for medical and dental students generally.

The book consists of twenty-one chapters, devoted to laboratory regulations, apparatus in common use, methods of sterilization, the microscope, microscopical examinations of bacteria, and other micro-fungi, staining methods, methods of demonstrating bacteria in tissues, classification of fungi, schizomycetes, nutrient media, ordinary or stock culture media, special media, incubators, methods of cultivation, methods of isolation, methods of identification and study, experimental inoculation of animals, the study of experimental infection during life, post mortem examination of experimental animals, the study of the pathogenic bacteria and bacteriological analysis.

The plan of the book is excellent and new, so far as this country is concerned. As a laboratory guide to the advanced student it will rank with Mallory and Wright, Morris, Hiss, and Zinsser, Jordan, Abbott, Levy and Klemperer,

Park, Simon and others. In fact, it will prove useful to the worker already possessed of these authorities and we predict a sale for the book commensurate with the number of those in America who really know the science of bacteriology.

THE MODERN HOSPITAL; ITS INSPIRATION; ITS ARCHITECTURE; ITS EQUIPMENT; ITS OPERATION. By John A. Hornsby, M. D., Secretary Hospital Section, American Medical Association; Member American Hospital Association, etc., and Richard E. Schmidt, Architect, Fellow American Institute of Architects. volume of 644 pages with 207 illustrations. Philadelphia and London; W. B. Saunders Company, 1913. Cloth, $7.00 net; half morocco, $8.50 net.

Octavo

This excellent work is in a class to itself; combining the practical knowledge and observations of an experienced architect and physician, each of whom has mastered the subject. The volume is large of necessity, since no detail is overlooked. Beginning with the selection of a site and ending with the destruction of waste material, every possible phase of hospital construction, equipment, management and development is presented in a clear, practical, businesslike manner. Details abound in every department, from the selection of a medical staff to purchasing blanketsnot to ones distaste by any means. General and private hospitals are discussed separately with many happy suggestions applicable to one, not to the other, are made. The book fills a great need in the doctor's library and will no doubt meet with a warm reception, particularly at this time, when the subject of hospitals is very much before the profession and the laity as well.

SURGERY, ITS PRINCIPLES AND PRACTICE. By various authors. Edited by William Williams Keen, M. D., L. L. D., Emeritus Professor of the Principles of Surgery and of Clinical Surgery, Jefferson Medical College, Philadelphia. Volume VI, with 519 illustrations, twenty-two of them in colors. Philadelphia and London. W. B. Saunders Company, 1913. Keen's Surgery originally consisted of five volumes and was published between the years of 1906-1909. They were reviewed successively in the JOURNAL and were pronounced good. The advance in surgical procedures has recently been so rapid, and in spots almost revolutionary, that it has seemed necessary even in the brief time intervening to bring the system up to date with an additional volume, which is before us.

In this new volume we find not only sufficient supplementary matter to bring the several older chapters abreast of the times, but several new chapters on entirely new subjects. To quote a part of the Preface, "an important chapter on Anoci-association, a fuller description of apparatus for operating on the thorax and its contents under positive and negative pressure; the method of anesthesia of Meltzer and Auer by intratracheal insufflation; the newer methods of anesthesia by nitrous oxid and by the intravenous introduction of ether; the surgery of the hypophysis; the treatment of cancer by fulguration, desiccation, etc.; the rapidly extending use of iodin as a disinfectant of wounds and of the field of operation; the use of salvarsan in syphilis, etc. The department in which the greatest progress has been made within the last five years has been Thoracic Surgery. This has been fully discussed." In addition to these items, the Editor has provided chapters on the incomplete investigations of Wassermann and others on mouse cancer, on the ground that the subject is of such importance as to warrant it. A general Index of the whole six volumes is included in the present volume. This Index, because of its size, was not included in volume V, as had been originally intended.

We find this volume the most interesting of the entire system; it brings the work up to date in a most satisfactory manner indeed, and should by all means be placed in every library containing the other five volumes.

THE MOTHER'S GUIDE IN THE CARE OF INFANTS. By Henry
Towne Safford, M. D.
12 mo. Cloth bound; 104 pp.
Published by H. L. & J. B. McQueen, Washington,
D. C., 1913.

This is one of two recent books written for the use of the laity, by medical authors of marked ability, one, "What Shall I Eat," by Dr. F. X. Gouraud, Paris, France, and translated by Francis J. Rebman, and this one by Dr. Safford. The author has handled his subject with propriety; |

maintaining care for the well being of the babes above everything else. In dignified terms he has given to mothers the very counsel that is sure to promote the safety of the baby. One, as this reviewer believes, rather dangerous error has crept into the book, and it is the common error of the text-book writers on pediatrics; that is, giving "a glycerine enema-an ounce or two to the pint," to evacuate the bowels in spasms. This is not a safe treatment for a baby, as it is likely to produce rectal prolapse if repeated. Glycerine is so irritating to the mucus membrane of the rectum that it sometimes produces painful tenesmus. The little book, however, is worthy of the confidence of the mothers and doctors of the country, taking a place not occupied by any so valuable, so far as this reviewer is aware. The doctor should own, read and keep a copy for reference, and should prescribe it for the mothers under his care during the child raising period of their lives.

THE PROBLEM: THE AUTOBIOGRAPHY OF A PHYSICIAN. By
Charles Percy, B. Sc., M. D. Cloth bound; 12 mo;
128 pp.
The Shakespeare, 114-116 East 28th Street,
New York, 1913.

The author seems to be dealing with the problem of sleep as a physiological process. After many futile experiments he obtains possession of a victim of drowning, from whose bosom he removes the clot engorged heart, replacing it with an artificial heart, operated by electric currents, which pumps normal salt solution into the blood vessels. He thus revives the head-cerebrum and cerebellum-but finds that his appliance only supplies the left common carotid and the innominate arteries-and the right arm. Perfect consciousness is restored to the head, but there is no respiration, as no blood fluid flows to the lungs or to any other parts of the trunk. The left arm and lower limbs are soon withered and he amputates them, leaving only the head and right arm living and acutely conscious. He tries to induce sleep by lowering the tank of blood fluid but gets syncope to a frightful degree, and is forced to raise the pressure until full consciousness is restored. The face is then covered and sound sleep almost instantly ensues; so he concludes that the cause of sleep is the closing of the channels of sensation. He tries the effects of atropine, morphine and apo-morphine in the blood-fluid, with the usual physiological effect, except emesis, which cannot occur in the absence of the diaphragm. Finally, he puts the head to sleep and bisects the brain, exactly between the glabella and the inion, places the two halves on two low tables and awakens them. When they show consciousness he asks them in which side the soul resides? And in the language of the author, "They looked at me, then looked at each other; and the great problem was solved at last." In other words, there is no soul.

This story is, while containing some real science, the excrement of loosely geared thought. The writer has given himself over to the dreams of an idler, trifling with the serious subjects of science. But the last four or five pages of the book are exceedingly interesting to the riper student. The last scene, however, drops from the sublime to the ridiculous. Throughout one is struck with the idea that the writer is subject to temperamental spasms, and the reader will find, unconconsciously displayed by the author, some fine psychiatry.

The book serves to remind us that there is need for a real study of the problem of sleep, by real physiologists and psychologists.

BOOKS RECEIVED.

The Problem, Percy (Shakespeare Press).

Diet in Health and Disease, Friedenwald-Ruhrah (W. B. Saunders Co.).

Gray's Anatomy, English Edition (Lea & Febiger).
Sex Origin, Reed (Redman).

Surgical Clinics, John B. Murphy, October, 1913 (W. B. Saunders Co.).

Medical Diagnosis, Musser (Lea & Febiger). Essentials of Prescription Writing, Eggleston (W. B. Saunders Co.).

General Medicine, Vol VI, 1913, Billings-Salisbury (Practical Medicine Series).

Obstetrics for Nurses, 4th Ed., De Lee (W. B. Saunders

Co.).

International Clinics, Vol. 3, 23rd Series (Lippincott).

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DEVOTED TO THE INTERESTS OF THE MEDICAL PROFESSION AND PUBLIC HEALTH OF TEXAS

Merry Christmas! For its readers the JOURNAL wishes many good things-success, health, happiness, wealth, friends; these things and more, but for the present we wish only joy for the Christmas season. Nature has fortunately endowed the human animal with the faculty of enjoyment, and to be merry is to give it expression. The child is true to nature; in it we find the fullest manifestation of joy and the greatest freedom from care. In the process of education care is developed, as it should be, but the disposition to be merry is too frequently excluded from the scheme of things by the assumption of obligations out of proportion to the talent of the individual. Most of us are limited in our capabilities and we develop certain faculties to the exclusion of certain other faculties, and thus it is that we dwarf characteristics which seem to us to be trivial, but which in truth are of the greatest importance. Expansion is the solution of the problem, and our earnest advice to many is to so expand as to include joy even at the expense of symmetry. Frivolity is not the idea; it is as bad to be frivolous as it is to be grouchyalmost. Joy is not attainable when sought for itself alone; it comes naturally only to those who know what care means and who have felt the burden of responsibility. Let us mistake not in this, and let us so shape our lives that we may deal sternly with the great problems of life and enjoy fully the pleasures thereof.

The Christmas season is the time of all times for merriment. We have only to observe our young friends to be convinced of that fact. Their instinct is unerring and it leads to joy without fail. Let us follow in their footsteps, those of us who have lost the way ourselves, and may the same goal be ours-a Merry Christmas!

Ipecac and Emetine in the Treatment of Amoebic Dysentery. Until recently amoebic dysentery has been considered a tropical or semi-tropical disease. Modern conditions of travel have, however, rather dissipated this idea; at least, we find the disease widely distributed at this time. The early completion of the Panama Canal and the consequent travel to and from the tropical countries which it will bring about, will serve to make this and other tropical diseases matters

of particular concern to the State of Texas. Numerous isolated cases have from time to time been reported from Texas, and doubtless many other cases have escaped diagnosis. Since the discussion of emetine and its apparent specific effect in amoebic dysentery has become rather common in medical literature, renewed interest in the disease is evident. Dr. H. L. McNeil of Houston, reported a case relieved by emetine in the August JOURNAL, and Dr. A. E. Greer of Houston, reports a similar case in this number. There are doubtless others that have not been reported.

For a great many years ipecac has been recognized as a remedy valuable in the treatment of dysentery. The history of the drug, as recounted by McPherson, is quite interesting. It has been variously hailed as a specific and condemned as of no avail in the treatment of this disease. No dependable observations could be made, of course, until the amoeba were discovered and the disease recognized as a clinical entity, which took place, it seems, in the latter seventies and the early eighties. Osler reported a case in the United States in 1890, but there were few other cases to be reported until the close of the Spanish-American War, at which time it became more or less prevalent in this country. The ipecac treatment was given a thorough trial by Army and Marine Hospital surgeons stationed in the tropical countries, and it was by them universally pronounced as curative. However, the drug is an emetic, which fact has served to complicate its administration to a considerable extent, as enormous doses are necessary to bring results. Numerous expediencies have been resorted to in an effort to overcome emesis and permit the drug to reach the intestines, where its local specific effect might be exerted. It was found that large doses of opium immediately preceding the exhibition of the drug, the recumbent posture and darkened, quiet room, would permit fair sized doses to pass through the stomach with a minimum of distress; but this frequently failed and in such instances trouble was sure to follow. The favorite method has been to coat the drug with a heavy layer of salol, the latter being insoluble in the acid juices of the stomach but entirely soluble in the intestines. Even this practice has not been uniformly satisfactory and the duodenal tube has been successfully used on several occasions.

The bulk of the dose is considerable. It is customary to administer 60, 90 or even 100 grains in the course of a few hours. This in itself is a consideration in most cases.

There are two alkaloids in ipecac, emetine and cephaeline. There is also a resinoid, emetin, which is sometimes confused with the alkaloid emetine. It is the latter that seems to have a specific action for the amoeba; which action is local, either as it comes in contact with the amoeba in its passage through the bowel or in the process of elimination by the bowel when administered hypodermically. It is an emetic only when exhibited in the stomach, its action being on the terminal nerve fibres in the gastric mucosa. It has no action on the vomiting centres in the medulla. It seems that the principal emetic property resides in the alkaloid cephaeline.

Major Leonard Rogers of the English Army medical service in India, made the discovery in the spring of 1912, that emetine hydrochlorid would kill amoebae in stools in dilutions of 1 to 200,000. He immediately began the use of the drug by hypodermic, and in June and August of the same year reported through the British Medical Journal a series of 25 cases, 21 of which were cured. In all of these cases the amoebae

disappeared from the stools very promptly. In April, 1913, Dr. Randolph Lyons of New Orleans, reported through the Journal of the American Medical Association, a series of 6 cases treated with subcutaneous injections of emetine hydrochlorid with marked success. Drs. Myer and Cook of St. Louis, in the March Interstate Medical Journal, reports also a series of 6 cases with even more notable success. There are numerous single case reports to the same end to which we need not refer at this time. A number of cases of liver abcess have also been reported entirely relieved by this treatment after having resisted all other efforts, therapeutic and surgical.

It seems rather clear that ipecac, by virtue of its contained alkaloid emetine, closely approximates the role of a specific in amoebic dysentery. It would seem, also, that the subcutaneous administration of the alkaloid itself is destined to supplant the use of either the drug or the alkaloid by the mouth. Not only is this method safer and more convenient, but there are case reports which would indicate that it is likewise more efficient. It is probable that increased efficiency in such cases is due to the relatively larger proportion of the active principal administered. In The Journal of the American Medical Association, March 1st, 1913, Dr. William Allan reported a case which refused to improve on salol-coated ipecac (because of a subsequently proven faulty drug) or even daily 2 grain doses of the alkaloid. The dose of the latter was increased to as much as 4 grains daily, and the patient promptly recovered.

As to permanency of cure, while opinion differs

somewhat, it is quite likely that results are as good in that respect as they are by any other treatment. It is probably well to supplement the treatment with local applications, such as coal oil enemata, etc., but it must be borne in mind that local applications during the administration of the ipecac or emetine, will interfere with the action of the latter, which is local. The hypodermic dose of emetine hydrochlorid is from 11⁄2 gr. to 4 gr., repeated daily, even to mild nausea, for several days or until the amoebae disappear from the stools.

An Important Opinion on the Medical Practice Act. -The belief is rather prevalent that any person who practiced medicine in the State of Texas prior to 1885, can even now establish that fact to the satisfaction of the State Board of Medical Examiners, and receive a verification license entitling such person to practice medicine under the present law. This is not true. Recently a party made application for a verification license, stating that he had practiced medicine in this State prior to 1885, confining his praetice at that time to genito-urinary diseases. Applicant stated that he had never attended a medical college and had never received a license from any examining

board, or any person authorized to issue permit to practice medicine in Texas; that he had been engaged in the barber business continuously for 25 years. He demanded a license on this statement of facts. The Secretary of the Board not being satisfied made application to the Attorney General's department for a ruling on the following question :

"Would a person who claims to have practiced medicine in Texas prior to 1885, who was not a graduate of any medical college and who has not received any license from any medical board, or had anything whatever recorded in any District Clerk's office entitling him to practice medicine, but who merely practiced medicine by virtue of the fact that there was no law to prevent him from doing so without registration of such documents, have any right under the existing law, by virtue of the exemption laws in section 6?"

The reply of Assistant Attorney General Taylor is quite clear and leaves no doubt in the mind of any reasonable persons that his conclusions will be sustained by any court before which this question may be raised. His opinion is as follows:

"We are therefore of the opinion, and so advise you, that a person who practiced medicine prior to 1885, and who had never received a license from any previous board, who held no diploma from any school and who has not practiced medicine for twenty-five years, would have no standing before your board and would not be entitled to a verification license. He would have to comply with all the requirements of the Act of 1907, above referred to, before he would be authorized to practice medicine in this State."

According to this opinion we must start with the medical practice act of 1873, which provides that no

person shall be permitted to practice medicine in any of its branches or departments as a means of livelihood, without first having attended a regular course of study in some regularly established and accredited medical college and received the degree of Doctor of Medicine, or who has not a certificate of qualifications from some authorized board of medical examiners. The examiners under that law were appointed by the county courts. In 1876, a change was made, in that the boards were to be appointed by the district court and applicants were required to stand an examination on certain branches, whether they were graduates of medical colleges or not. This law did not apply to those who had qualified under the previous law, or to those who had been regularly engaged in general practice in this State for a period of five consecutive years prior to January 1st, 1875. The next alteration in the law was made in 1901, which created three separate State boards, the Regular, Homeopathic, and Eclectic, doing away entirely with the old district board system, but perpetuating the rights as provided by the previous law. The present medical practice act, with the terms of which we are all familiar, establishes a single standard, a single board and attempts to conserve the previously guaranteed rights of physicians, as other laws had done. The point is, it con serves the right of the individual under previous laws but does not attempt to restore any rights which had been forfeited or legalize practices which were never legal. We trust this opinion will do away with the notion that anybody who has ever attempted to practice medicine may do so now, provided the attempt was made long enough ago.

The Decision Against (?) The American Medical Association. Much capital is sought to be made by the American Medical Association haters and baiters, of a decision rendered by a certain court reversing certain other decisions made by other courts, claiming with a loud voice that the octopus has at last been slain and the Association returned to its rightful owners, who are, of course, the rank and file. Not pausing even long enough to question the interest of those who are exulting, in either the rank and file or the organization itself, we beg to observe that there has been no action against the American Medical Association, and consequently no decision against it. The action was against the State's attorney, seeking to cause the said State's attorney to bring action against the American Medical Association. It was necessary to go into the courts in this matter because the State's attorney, failing to see any case against the Association, could not conscientiously bring action. Should the Supreme Court uphold the decision about. which so much fuss is being made, the State's attorney will simply then be required to take action against the Trustees seeking to determine whether the affairs

of the Association are being managed in accordance with the laws of the State of Illinois. We fail to see anything to be gained by upsetting the Association in this manner; that is, anything to be gained by its members. Doubtless, there are those who would be much the gainers by a total disorganization of this great body, but with those we can in the nature of the case have no sympathy. They are those against whom we have striven for many years, and they are dying hard. dying hard. In this connection, the following paragraph from a statement issued by the Board of Trustees may be of interest:

"As will be seen, the decision does not in any way affect the American Medical Association, but relates entirely to the duties of the State's attorney. Should the Supreme Court sustain the decision of the Appellate Court all it would mean would be that the State's attorney would have to bring quo warranto proceedings against the American Medical Association. Then, and not till then, would the American Medical Association be technically concerned, and not until then would the question come up as to the Association's method of transacting its business. It will be seen that the statements and inferences contained in the interviews and articles above mentioned, that Dr. Lydston had won a great decision over the American Medical Association, are without foundation in fact."

The Red Cross Christmas Seals are again on sale and we are pledging those behind the movement the undivided support of the medical profession of Texas. No one knows better the need of true charity in dealing with the subject of tuberculosis, than does the Texas physician; and no one is more willing to help. The Texas Anti-Tuberculosis Association, at the head of which is the wife of our Governor, Mrs. O. B. Colquitt, is behind the movement, which is a guarantee that the funds raised will be properly expended and for the purpose intended. The first use of the funds so raised, aside from defraying the expenses of operation, is the maintenance of the Children's Hospital at Galveston. Any balance above the operating expenses of this institution will be spent in financing the health exhibit train provided for by the recent legislature, until it can be cared for by deferred appropriation. If there are sufficient funds, a movement at present on foot to secure for Texas Federal aid for the care of interstate indigent tuberculous persons, so many of whom are at present an unjustified burden on our charitably disposed citizens. No method more delightfully easy of accomplishment could be devised for raising funds, and it is to be hoped that its operation will continue in the future to be solely in the interest of the anti-tuberculosis movement and the health of our people, until tuberculosis shall be no more and disease a subject for historical consideration.

The physician is in a peculiar position to aid in this movement. Not only may he contribute his mite in purchasing these little stamps, but he can by agi

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