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tivs, too, are worthy of trial, such as vaselin I got a history of the family. Father was a and the bland oils like oliy oil. In making physician; died when she was 14 years old, of

pneumonia. Mother living; good health; all the high injections, we would use oliv oil

brothers and sisters have good health. She has instead of water, and by only elevating the had these spells ever since she was 10 years reservoir slightly above the hips, prolong of age, lasting from three to five days, sufferthe injection into an “instillation.” that is ing almost death. Menstruated when 13; has we would allow 20 minutes to be occupied

á always been regular. The spells come every 10

to 12 days; sometimes oítener. The last week in transferring four ounces of the oil into

before confinement she suffered these pains ine bowel. Given in this way the oil does every day right up to delivery; then had no not provoke peristalsis or straining, and will more trouble for ten days. During the past often be retained in almost its entirety for

month she has barely gotten over one until

another has come. Her health otherwise seems several hours—perhaps until the bowels

to be fine. She tells me that when she was move. If you get results from this, you can nine years old she got into her father's drugs employ it as often as required. Older per- and drank a large swallow of A. ext. of bellasons treated in this waủ can taste the oil donna, and that her father (a physician at that

time) thought that the cause of these pains in after a few treatments, showing that it

the head, altho it was one and a half years passes up the alimentary canal until it after that before she began to have them. Her reaches the mouth. This should solve the husband tells me that some physician prodifficulty in so far as the constipation is con

nounced it occipital neuralgia. I have blistered cerned, if persisted in long enuf to thoroly

cupt, given remedy after remedy, double doses,

repeating often, but nothing will do the work saturate the canal.

except a large hypodermic of morphin, and Doubtless you have given the bromids in that only eases very slightly. The patient is large amounts. Make sure that the mental getting desperate. She is not nervous, not excondition of the child is not partly caused

citable, is a very sensible, refined woman of fine

talent and judgment and good health with the by the medicin you are giving it. In other exception of this. Now can any one, from this words, do not induce a condition as bad as description, enlighten me any or make any sugthe malady, by excessiv administration of gestion?

W. S. O. drugs.-Ed.]

Kansas.

[The case is not "occipital neuralgia.” Migraine. Editor Medical World: Female, age 26 years,

Neuralgia presents no such periodicity; been married 3 years, has one child, 7 months moreover, it would have been more easily old, healthy and fine. Has had trouble in back influenced by the medication employed by part of head ever since she was 10 years old. I was called to see her two months ago. When

yourself and predecessors, if it had been I arrived I found her suffering tortures, both

of neuralgic origin. It is a true migraine, hands claspt over occiput, moaning, raving, we think. It is possible that it arises from eyes rolled back with not a twitch of lids, pulse auto-intoxication, and with this as a work78, temperature normal, tongue nice and clean, respiration good and normal; bowels regular,

ing basis we would proceed to secure and urin slightly acid, appetite good. right up to maintain the working at par of every emuncone of her spells. She could hardly talk; said tory. In addition to attention to the kidthat it seems to her that there was a lot of pus neys, and insisting upon drinking of large or some other fluid gathered right under the

amounts of water, we would employ puroccipital bone; said that at other times it seemed like a bunch of insects or worms working in

gativs which would not too greatly derange the brain in that one spot, and that the pain the digestion, and which could be given was so great she could not live without ease simultaneously with intestinal antiseptics at once. Her husband told me that she had anů antifermentativs. The skin should be been attended by several other doctors, . but rone could give her any relief except with large

kept activ by frequent bathing and brisk hypodermics of morphin. He said they had friction following. Exercise should be regemployed numbers of other remedies but none ulated to a desirable point. In short, make would relieve her. I gave her a powder con the environment and habits as hygienic as taining sodium bromid 5 grains, caffein 1-2 grain, acetanilid 2 grains, ext. henbane 1-2 grain,

possible. For, if the theory be correct, morphin sulf. 1-20 grain. No relief. Repeated. some of her organs are chronically inactiv. No relief. Bromidia, teaspoonful every hour We confess that in the majority of cases for three doses; no difference. She nearly went it is a very difficult matter to locate the oriinto convulsions. I then gave a hypodermic of morphin 1-2 grain. She got a little quieter,

gin of a migraine, and if you do find the but still suffered considerably for two days. originating factor there seems to have been Spell gradually wore off.

a systemic habit formed, like in an epi

aseptic comp in an emergen with the te

leptic case, that is very hard to break up by aseptic compresses, and instruct her how to medication.

apply them in an emergency. This is all In the treatment of these so-called idid- you can do. In labor, even with the vagina pathic migraines, there have been many bulging and the labia enormously distended drugs tried, and to none of them can be as- with varicose veins, rupture is rare: the cribed specific virtues. Dr. Seguin, of New vein structure seeming to take part in the York, many years ago, called attention to general elasticity of the other parts. Rupthe curativ powers of cannabis indica in ture may, however, occur, and you must be certain cases of migraine. It is necessary prepared to meet it by prompt incision to to make sure that a therapeutically activ expose the vein and ligate under aseptic preparation is secured, and then to "give precautions. it continuously, day after day, for months, In an infant of that age, cure is often obin such doses as will keep just within the tained by wearing a proper support for limit of distinct physiological effects." (H. several months. We think you will do betC. Wood.) The editor can endorse the ef- ter to make your own support, rather than ficacy of the treatment.-Ed.]

attempt to purchase one that will fit prop

erly and retain the hernia. Make a comSpina Bifida. Editor Medical World: I have a case of spina

press of absorbent wool covered with oiled bifida, meningocele in lumbar region. Can you silk of finest texture, or use rubber tissue or any of the "World" family advise me as to as a covering. Place the compress properly, best mode of treatment? Patient is two months and fix it in place by surgeon's adhesiv plasof age, and the tumor is about the size of a hen's

ter. By proper application, and protection egg.

E. E. EVANS. Bois D'Arc, Mo.

of the plaster from discharges subsequently, There is no treatment of any avail ex- such application need not be renewed for cept the radical surgical operation. Before several days.-Ed.] considering this, it would be well to have

Letter from Dr. Cooper, an X-ray picture of the tumor taken, and

- Cleves, Ohio, March 13, 1906. thus ascertain what deficiency there is in Dear DR. TAYLOR and the WORLD FAMILY:-I

take this method and opportunity, first, of thanking the bony structure. If the deficiency is

the editor of THE WORLD for his conscientious and slight, the operation at a little greater age sympathetic review of my little work, “Preventiv may promise much; if the deficiency is

Medicin” (March WORLD, page 115); and second, of

thanking numerous of the WORLD readers for their great, but little hope of benefit can be ex generous patronage. If I never knew before (and I

did) that THE MEDICAL WORLD has, quite certainly, tended to the family. See any of the good

the largest circulation of any medical journal publisht, I modern text books on surgery for a dis know it now. However, the problem presented is quite

a complex one. It has been my opinion that not more cussion of the various phases of such cases.

than one doctor in fifty reads the book reviews of a medWe can not devote the space here to the ical journal, and that not more than one or two of this consideration of all of them, and you are

fifty buys the book reviewed. If my sales since Dr.

Taylor's review depend solely on this fact (granting not sufficiently explicit to enable us to give that my hypothesis is correct), then the circulation of

the WORLD is little short of 50,000. To the extent you a definit opinion.-Ed.]

that the circulation is less than that, the results have

depended on the character of the review, and the Varicose Veins.-Femoral Hernia in Male Infant.

character of the WORLD readers. I leave the problem Editor Medical World: Will some of the fra- with the reader and with Dr. Taylor. ternity give me a little light on the treatment

The principal object of this letter, however, is to of varicose veins, involving the whole length of

make known to WORLD readers the utter impossibility

of my answering the personal letters I receive in conleft leg, labia, vulva, and one side of the vagina?

nection with orders for the book. It is a physical pregnant six months. Also best method of re impossibility for one person to do this, and I am not taining a femoral hernia in an infant (male) six yet consequential enuf to keep a private secretary, weeks old. As the latter case is in my own fam. Besides, a private secretary's letters would be purely ily, I am doubly interested.

perfunctory; there would be no red blood in them. I

have received very many warm-hearted, congrat. Aurora, Mo. J. B. FLEMING, M. D.

ulatory, and laudatory letters, each one of which [In a case of such extensiv involvement

richly deserves an extended answer. Let me say

here to the authors of these precious letters, that they of vein structure, in pregnancy, you can do have done me a world of good as psychic' tonics. I nothing but guard against rupture until am deeply grateful to all of these brethren and shall

try to deserve their good will to the end. I ask each after delivery. When delivered, you can of them to accept this as an answer to his good letter. accomplish much by medication, if the trou

Fraternally and cordially,

WILLIAM COLBY COOPER. ble does not disappear spontaneously. Band- [Dr. Cooper writes separately that a number of our age the leg, and keep the patient off her readers have adopted his method of treating pneu

monia, and are “more than satisfied with it."feet as much as possible. Provide her with C.F. 1.j

OUR MONTHLY TALK..

but they don't. In a representativ democracy both parties should represent the public good. But our

parties don't. They might, and they should differ as to Well, I have been "talking" in this column a

the policy to pursue to serve best the common interest.

But our parties don't differ at all. They both stand long time-over ten years. I have pointed out the

today for special interests and graft, and we are comimportance of economic, sociologic, and political ing to realize-we, the voters-that we haven't any problems to every citizen, including the physician. parties at all, nothing but organizations that have us. I have said some things a good many times, because of the importance of, and the general non

ALL GRAFTERS LOOK ALIKE. acceptance of, these things. One of these things What is the difference between the republican orwas the evils of partisanship. I have pointed out, ganization that exploited Philadelphia and the demomany times, that partisanship among the masses is cratic organization that sold out St. Louis? Or between the instrument by which the corporations and the

Tammany Hall in New York and the socalled repubprivileged classes generally get control of things,

lican party of Cincinnati?

There wasn't any difference. . They were alike in and “work" the masses. Hence the large and

the character of their leadership, the purposes of their growing number of millionaires and multimillion- organization, and the methods of their stealings. aires in this country; and for every millionaire there have never been South, but in the North and West and are, necessarily, many who are poorer than theyEast the only correct classification is between the outs would be were exact economic justice meted out to

e exact economic justice meted out to and the ins. every one. While this is an exceptionally wealthy

All reformed majority parties-no matter what their country, the wealth is distributed very unevenly, and

names-whether republican or democratic, look alike,

act alike and talk alike. this tendency is growing all the time. I have tried And, curiously enuf, the minority parties all reto show that this is not only an evil to the country semble one another. The minority republican party and to humanity in general, but it is a disadvan of St. Louis was a replica of the democratic minority tage particularly to the doctor, who must serve all organization of Philadelphia ; it wasn't quite so misclasses and must look to all classes for his support erable, because the St. Louis republicans got some -particularly to the masses, as most of his work is

Federal graft from their national party.

The Philadelphia democrats "lived only on the with them.

crumbs dropt from the table of the majority party. But I am not particularly fond of talking. I have

And that's the way our minority parties live, on been talking only because what I have been saying

the majority party. They are “kept” by the boss needed to be said. I have been looking for a man grafters, to keep us divided and catch us if we run who could say them better than I could, and I am away. glad to say I have found him ; and I am glad to

That there is this tacit agreement between the two yield, this month, to him.

parties we all know well, but we can see it best in a

state like New York, where one party controls the The Phila. North American is an old republican

city, the other the state. paper. It is now owned by Ex-postmaster-General

All “business" that is done at Albany is handled John Wanamaker. In its issue for March 11, 1906, by a combination of Tammany democrats and upMr. Lincoln Steffens says as follows:

state republicans, the majority groups. I know of CRACK ACROSS THE FRONT OF BOTH OLD

but one state where the people, sick of “their” ma

jority party, have had a minority party fit to go to. PARTIES, HE SAYS.

That state is Ohio.
BY LINCOLN STEFFENS.

In Missouri, Wisconsin and now in New Jersey,

Pennsylvania and Illinois, reformers have had to seize, (Copyright, 1906, by J. L. Steffens.)

clean up and set about the reorganization of the rotWASHINGTON, March 10. ten old majority party, whichever it was. A political realignment is going on here. There is

After visiting a few such states and cities one bea great slanting crack across the face of both the old

comes party blind. When I came down here I couldn't parties. It isn't a new crack; on the contrary, it is

tell the difference between a democrat and a republivery old; but it is spreading just now and so rapidly

can, and it hurt my pride to have statesmen tell me that the outlines of four political divisions are discerni

about their parties.

The candid thieves who run our states and cities ble: republican and democratic, conservativ (and let us say) liberal. The democratic leaders seem not

had ceased long ago to try to work off that sort of bunto see the cleavage very willingly, but the President

combe on me, and I thought that all talk of parties does, and so does Senator Aldrich.

was for the "peepul," not for me and the railroads

and the boodlers, who change parties as we change Neither of these two men could trace the line in language for me. Mr. Aldrich had names for two sides;

cars to follow the majority from state to state. it was he that first used the word “conservativs” for those who stood with him in both the old parties, and

UNCLE JOE'S STUMP SPEECH. he waved away all others as “radicals.”

But still they would talk parties, and the Speaker, He said that the division was not one of principle, Mr. Cannon, was especially annoying. He sat me down but he couldn't or wouldn't describe what it was. And in a big chair, gave me a cigar, stuck another in his neither could the President. Yet these two men are own mouth, and then he stood up over me and delivthe leaders, at present, of what may turn out to be two ered a regular stump speech. new American parties.

He called it an interview, but it was the sort of oraAnd we need two new political parties. One isn't tion he delivers to his constituents out in Illinois. All enuf. When Governor Folk, of Missouri, was Circuit about “the” party, "the great party which has made Attorney of St. Louis, he called on the President, and this great country what it is great." they spent an evening together. After it Mr. Folk Since he is a humorist, I thought at first that he was said:

joking," but he seemed very serious and I put it “Isn't it too bad that two men who agree as the down to habit; till by and by it dawned on me that he President and I do on all moral questions should be in was trying to deceive himself as well as me. I half different parties!”

believe he half believes the G. 0. P. brings up good When this remark was repeated to the President, he crops. But he said one thing that is true: This is a answered, quick as a flash: “No, it isn't bad. It's government by parties." good that there should be men in both parties who It is. As I left the room, John Sharp Williams, the agree on all moral questions.”

minority leader, entered. They work together, these The President was wiser than Mr. Folk, but not so two, for government by parties. We have a bi-parpractical. Both parties should stand for right things, tisan system here as well as in the cities and states.

The Pension bill graft goes to democrats as well as republicans ; no party difference there.

If there's a River and Harbor bill, the democrats get their “divvy.” They don't get as much as “the” party gets, but-there's no difference in “pork," which, mind you, is treated as “graft.”

So with the other pork barrel, the Public Buildings bill. Toledo needs right now a Federal building, so do Atlanta and other places, but they can't have what they need till there's enuf money to go around to all the Congressmen of both parties who voted right. And they vote right here without any precise regard to party

The Speaker put his Philippine bill thru only with the help of the democrats; and Rice, the last special interest "taken care of" by “Uncle Joe" Cannon in his free trade measure, was expected to win over enuf Southern protection democrats to overcome the insurgent high-tariff republicans. The party line there is as confused as that sentence.

And as for the Hepburn rate bill, everybody voted to pass that measure up to the Senate to be fixed. So there's no difference there.

And, taking the Senate, what's the difference between Aldrich, the republican leader, and Gorman, the democratic leader? Or between Clark, democrat, of Montana, and Wetmore, republican, of Rhode Island?

Bailey, of Texas, is a democrat, but he is not so much of a democrat as La Follette, a republican, of Wisconsin. And certainly Dolliver, republican, of Iowa, is at least as democratic as McLaurin, democrat, of Mississippi.

There are differences among these men, and these differences are political. They are broad enuf to build political parties on. But the old political parties are not built upon them. The new parties will have to be and, as a matter of fact, the new parties are being built upon them now, here as elsewhere, in the United States.

What are those differences ? What is the line the President and Mr. Aldrich could not draw in words? What is the American issue?

Out in Chicago some twelve years ago a group of reformers undertook to clear the boodlers out of their council. The street railways, which needed the corrupt council in their business, were in politics, and they fought reform. The fight has been waging ever since.

"Municipal ownership" is the form the issue has taken out there, but the fight is really between the public service corporations and the people for the control of the government; and men divide according as they are for special interests or the common interes

In Cleveland the story is essentially the same. The form of the issue is “three-cent fares," but the fight, which has extended into the state, is between the railroads and other public service corporations on the one hand and the people on the other for representation in the government, and the voters are dividing as in Chicago.

In Wisconsin, Robert M. La Follette undertook to tax the railroads like any other property. They resisted. He taxed them. They were going to take it out of the people of the state by means of higher rates. He undertook to regulate rates.

SPECIAL INTERESTS VS. THE PEOPLE. The issue there was, as in Chicago and Cleveland, representativ government; the fight was between privileged business and the people, and the voters abandoned the old parties and took sides according as they were for the special interests or the common interests.

Everett Colby, Mark Fagan, George L. Record, and their friends in Jersey are just beginning to tax the railroads. Their cry is "equal taxation." But the people of Jersey are really fighting against the special interests for the control of their government in the common interest of all of them.

In Wisconsin the common-interest party calls itself republican, and it controls the republican organization, but the La Follette half-breed party contains many democrats. In Ohio the reformers call them selyes democrats, but they won with republican votes.

In Jersey the republican party is the party used, but in the last election the voters paid no heed to old party lines. They were for themselves.

And so it has gone in Pennsylvania, Missouri, and elsewhere. Wherever the people have found a leader who would lead, they have crossed all party lines to follow, and they are forming a new party. For Folk (dem.) and Colby (rep.), John Weaver (rep.) and Tom Johnson (dem.), La Follette (rep.), and Dunne (dem.), all belong to one party.

Differ tho they may in ideas, in wisdom, in the slogans they have raised and the symbols they vote under, they all are fighting one fight, raising one issue. They are dividing old parties into new parties, and all that is needed to complete the realignment are national leaders to bring them together.

NEW LINES IN WASHINGTON. And the same thing is happening here in the same way and from the same cause. When the President undertook to pass a rate regulation bill, he opened up that old crack which runs across the front of both the old parties.

That bill is called an attack on the railroads. It isn't. It may not be a wise bill, but it isn't unfair. Purporting to empower the Interstate Commerce Commission to regulate railroad rates, it will do nothing of the sort.

The best friends of the Hepburn bill, as it passed the House, do not pretend that it will solve the railroad rate problem ; the most that they claim for it is that it is la step forward." and the advocates of the effectiv regulation of rates want to amend the bill to make it do its work.

So, while the bill may be weak, it is not harsh. But it was a challenge to the power of the railroads in the national government, and they prepared to oppose its passage.

Public opinion put the bill thru the House, and the railroads hoped to avoid an open fight by “fooling" the President into accepting amendments. Everybody thought that they would succeed in this, but they didn't. The President saw the game.

When Senator Aldrich exprest his concern lest the bill was unconstitutional. the President is said to have answered : “ Then why do you object to it?"

When Senator Knox offered an amendment to perfect the bill, and Attorney-General Moody reported that the Knox amendment did a little more than that, the President lost some faith in one of his most trusted advisers and Mr. Knox lost his temper. The fight was on.

Further attempts were made toward a “reconciliation," and the President listened to them. But if we don't lead, others will. It certainly looks as if the fight would go on to the end, the fight that is waging in so many parts of the country.

REAL ISSUE, WHO SHALL RULE? The apparent issue here is an accident; railroad rate regulation may not be central or essential, but neither is three-cent fare central or essential.

The particular issue does not matter, however; anything will do that brings the people (by “people," I mean all men, not alone the "down-trodden") in just conflict (not with the “rich," but) with the interests which corruptly rule this country.

“What do they represent?” That is the question we have always to ask, and when the fight was thrown out of the White House into the Interstate Commerce Committee of the Senate the answers came fast,

Elkins, Aldrich, Kean, Foraker, Crane, republicans, were for an amendment to appeal rate-making to the courts for delay, and two democrats, McLaurin and Foster, leaned that way. No old party line there.

Dolliver, Clapp, and Cullom, republicans, and Tillman, Carmack, and Newlands, democrats, were opposed to any emasculation. No old party line there.

But there were new party lines, and Senator Aldrich indicated them. When it appeared that the bill must be reported out with a whole skin, he said that this (the republican President's) bill was a democratic bill; and it is. It is in “our interest," wherefore Aldrich said: “Let a democrat lead it thru the Senate," and

Bind Your Medical Worlds

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he named Senator Tillman, and the republicans voted the leadership to this democrat.

This incident was regarded as high because Tillman is no friend of the President. But it may turn out to be more than picturesque. Tillman is a democrat, but Theodore Roosevelt is a democrat. The President isn't an intellectual democrat, else he

We supply one of could not have advocated a Ship Subsidy bill.

the best ready Binders But instinctivly “that man" is for that government

we have ever seen; not which Lincoln said should not perish from the earth.

something merely to Aldrich is not, nor Kean, nor Foraker.

hold the various numThey are “conservativs"; Mr. Aldrich says so. They stand for business ; Mr. Aldrich says so. These

bers of the Journal tomen honestly believe that anything that helps busi

gether, but a complete ness is good, no matter how much it may hurt our

cover that neatly and national character as a people or the institution of our | MEDICAL durably binds them government, if it helps business, that thing must be

into a' book. Each right.

WORLD

copy of THE MEDIAnd there are many men in the Senate and in the House and in the Cabinet and in the country at large

CAL WORLD can be who are for “ prosperity at any cost." But also there

added as it comes, are a few men in the Senate and in the Cabinet and in

without removing the House, and in the country at large there are many

those already in ; it men who hold that whatever hurts our manhood and

takes but a moment to our government, no matter how much it may help

do this, and it is no business, is bad.

trouble. Every subscriber to THE MEDICAL These men think that the corruption of legislatures and courts is wrong, even if it is necessary. And these

WORLD should have these Binders: the price is two groups of thinkers are lining up to fight in the only 35 cento each ; with an awl for panching, nation as they are in the cities and states, and it is just 5 conto extra; or three Binders and an awl for possible that the fight over the rate bill, with Tillman, $1.00. We have sold these Binders for about 18 a democrat, and Roosevelt or some other republican

yoars, and have never had a complaint concernleading one side, and Aldrich and his “democrats”

!ing them. on the other, may split both the parties wide open and show the state and city fighters who the new national leaders are of their new national parties.

[graphic]

Thus it is proven, as I have often said, that the plutocratic party has controlled both the republican and the democratic voters thru their political machines. Isn't it time to break the machines ?

THE MEDICAL WORLD 1520 Chestnut Street, Philadelphia, Pa.

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