of Göttingen, Germany. Being surgeon to three prominent hospitals, he has had ample experience to qualify him for this work. He has for many years conducted the important branch of Applied Anatomy at the University of Pennsylvania, where he has created a Museum of Applied Anatomy containing some of the finest preparations and dissections we have ever seen, made by himself and his assistants, illustrating fractures, dislocations and other surgical conditions for diagnosis and treatment. These were exhibited at the Boston meeting of the American Medical Association, June, 1906, where they created a lively interest.

ing surgeons, where but a few score could be taught before. Not only that, but with greater effect, for the operation as seen from the clinic bench cannot compare in instructive value with the study of the lecture accompanied by stereographs. With them it is possible to look into an incision instead of at it, and to discern the different tissues and structures with greater fidelity than with the naked eye. This depth of perspective and wonderful detail is where the stereograph differs from the ordinary photograph.

TETANUS.

fate Not Successful.

To get the best view, hold the stereoscope pointing downward (not horizontally), as in looking through a microscope.

We have in hand for February issue an article by Dr. Wilmer Krusen, of Philadelphia, describing and illustrating with stereographs a case of complete prolapse and protrusion of the uterus, with operation for repair of cervix, replacement and suspension of the uterus and repair of the perineum. Other important operations by eminent surgeons will follow in rapid succession, with this method of illustration.

By this means the doctor can make special study for an operation which he is about to perform. He can also do postgraduate study in surgery without leaving his office. However, as the more one knows the more he wants to know, we think this will increase rather than decrease the demand for work in post-graduate schools. Stereoscopy, as applied to the teaching of surgery and the study of visible diseases, opens up an entirely new field.

The re

markable stereoscopic work of Mr. Graves entitles him to the highest praise from the medical fraternity. He makes it possible for the surgeon of eminence to instruct by means of his marvelously realistic stereographs thousands of students and practic

For some time our current literature has contained recommendations of the intraspinal injection of 21⁄2 to 6 c.c. of a 25 per cent. sterile solution of magnesium sulfate for tetanus. Dr. J. N. Henry, of Philadelpiha, read before the Philadelphia County Medical Society, October 23, 1907, a report of a series of four cases, with one recovery.

The uniform action in all the cases was such as to make it unlikely that the recovery in the one case was due to the magnesium sulfate. The treatment is always followed by relief of pain and the nervous symptoms, relaxation, sleep, but the temperature always goes up very high, to 106° F., or more (contrary to the usual temperature of tetanus), and the patient dies an easy death. The action of the drug is cumulative-the second day it requires much less to produce the characteristic symptoms than the first injection produced-and it seems to lead pretty surely to a fatal end.

In the discussion, Dr. H. A. Hare said that magnesium sulfate, when injected intravenously, is very poisonous, producing se

vere convulsions.

Physicians who use Dr. J. J. Taylor's size, price $1.00, or desk size, $5.00, do not Physician's Account Book, either pocket have to post their books; they are always posted. One entry of a transaction takes complete care of it.

The Tuberculosis Crusade: Our Part.

"The Philadelphia Tuberculosis Exhibi

tion,"

," "The National Association for the Study and Prevention of Tuberculosis," "The Crusade Against Tuberculosis," "The Coming Congress on Tuberculosis," and "The International Congress of Tuberculosis," are terms as suggestive as they are formidable. Whether they designate facts or are forecasted schemes, both of which are well represented, they impart the conviction that something is being done and that still greater results are promised by each passing day. New things have dawned and great bars of gold on the eastern horizon show the advent of yet newer things. One thing is already evident: the sage who found "nothing new under the sun" could not foresee a tuberculosis exhibition for educating the public and a tuberculosis congress to enlist conjoint interest of all nations and peoples and tongues. The former is a grand fact and the latter a superb early possibility.

A few fundamental teachings in this crusade of education are as startling in their simplicity as they are axiomatic. Indeed, they are basic truths so easy of proof that none should think to subject them to proof before accepting them as working principles. These first truths are (1) tuberculosis is the disease of the three D's-Dampness, Darkness and Dirt; (2) Nature's cure of tuberculosis is air, sunlight and cleanliness; (3) tuberculosis is above all a social condition.

The mere acceptance of these fundamentals will go far toward the expulsion of this preventable disease from the homes of all except the most ignorant and benighted during the lapse of a single generation. The physician immediately finds in these basic facts a powerful therapeutic force and the laity potent factors for prevention. Much will be gained from the latter for both the common people and the success of the medical practician. It throws the former upon their own resources. This cannot but prove salutary. The resources are adequate, as to

the disease in question, and the common people should know the fact. Wholesale prevention of disease, particularly "the white plague," will follow the mere acting upon this knowledge. As to effecting a cure, when pronounced symptoms are present, this knowledge is essential to co-operation of the patient in carrying out the strict details of the fresh-air treatment as laid down by the physician in charge.

The crusade recognizes tuberculosis as a social condition much as were smallpox and yellow fever in the cities of Cuba at the close of the Spanish-American War-amenable in large measure to a thorough municipal housecleaning. This is perhaps the greatest present gain, since it shifts the responsibility from the medical profession to the general public. This shifting is well expressed in the following from a recent editorial in the news press:

"The whole question is one of educating the public. Tuberculosis is neither a 'doctor's disease' nor a 'nurse's case.' It is not one of those maladies which turn on an operation, or prescription or on the unique skill of some specialist. It is not like typhoid, for instance, where recovery rests on the care of the nurse. Every person so

educated will help spread the public knowledge of a public peril and its remedies and prevention (which only the public mind can set in motion). Once universal, the disease will disappeear."

Does this popular crusade free the family physician of any part of his former responsibility? Emphatically no! His responsibility is now increased by tenfold. He is still rightfully in the front ranks of the army of crusaders. It is his privilege now to scale fortifications and possess strongholds hitherto not accessible. The mere fact of the crusade will prove helpful in family work where as yet the word has not been spoken. It gives physicians a story to tell that will not fall upon deaf ears. Health tracts take on new interest and enhance valuation.

In conclusion we will name but one patent sign of actual net gain of the tuberculosis crusade. There are many, but at this writing one may suffice. Twenty years ago we lamented that so few cases of incipient