reduced fee. A list of companies which give the $5 fee is being made up, and will be publisht as soon as complete.-ED.]

Glonoin in Labor.

Editor MEDICAL WORLD:-The August criticisms of Dr. Lowe's case (pages 303–304), recall vividly two cases, one a hospital case where hard labor pains lasted fifty-six hours and the woman made an unusually good recovery with a fine, lively babe. The rules of the hospital forbade the house physician giving chloroform or using instruments, and the attending physician, seeing that the pelvis was roomy and the pains strong, decided against interference. That taught me one lesson. But, alas! it taught me too well; for in private practise some five years later, a primipara about thirty-eight years of age, became suddenly a raving maniac and hourglass contractions came on after about ten hours of normal labor, and that when the head was stretching the perineum with every pain, and there seemed no reason for anxiety except a sensitiv abdomen which would not tolerate the weight of ordinary bed covering. A consulting physician delivered a dead babe next day when the relaxation of death had set in, five minutes before she breathed her last.

This case has prevented my ever becoming over-confident, and has developt an alertness which seems almost an instinct as to when to and when not to interfere.

Glonoin has in late years done wonders in these tedious cases. In fact, it has become almost my routine practise, in this climate of weak heart action, to give a granule every hour or two during labor. And I wish all would try it and report. It tones up the heart, evens circulation, overcomes muscular spasm, gives effectivness to the pains, and leaves the patient in better condition after labor than anything else I have found.

I never give ergot in labor. I will not again give quinin. I have always had occasion to be sorry when I have given it. I have never had any ill results from the use of forceps, but I never use them except for cause, and then am very careful to guard them, and in the high forceps cases to carefully, slowly, follow the curve of the pelvis and rotate the head accordingly.

In the few

high forceps cases I have had, I removed the instruments before delivering the head, to protect myself from being accused of rupturing the perineum with them.

Conant, Fla. O. E. W. SWAN, M.D.

Editor MEDICAL WORLD:-On page 296 of August WORLD, "What constitutes success?" The answer is an inspiration. May I add: Who at life's close, and all along the way, has realized the sweet consciousness of duty done? E. A. SANBORN, M.D.

Somerville, Mass.

Let it be Resolved:

That we strive to carry to every patient a more pronounced spirit of hopefulness and good cheer; to know more about disease, exhausting, so far as we may, every possibility of relief or cure; to search for medical truths and accept them wherever they may be found, regardless of source; to meet our defeats like men and fight our battles with undiminished courage; to hate evil and have no commerce with hypocrisy nor those who fatten on the misfortunes, the ignorance and the appetites of the weak; to give every man a square deal and demand the same for ourselves; to be kind to all, but especially to the unfortunate; and, finally, to dedicate our energies and our talents to the service of our fellow-men, aiming to make medicin, as we practise it, so helpful, so efficient, so scientific, that there shall be no abiding place in the communities in which we work, for quackery in any of its many forms. Chicago. DR. W. C. ABBOTT.

Who Was to Blame? the Country Doctor, or the Consulting Gynecologist?

The

Editor MEDICAL WORLD:-A country physician had a case of obstetrics, nothing of an abnormal nature developing, except the mother had a rather profuse hemorrhage immediately after removing the afterbirth. The mother seemed to improve for probably seven or eight days, when her appetite failed, and she began to decline; and there being no apparent cause for same, a gynecologist was called in, and after making a thoro exploration of the uterus, found same in a flabby, spongy condition (as he exprest it), suggesting that the womb should be packed with antiseptic gauze, which was agreed to. country doctor was directed to administer the anesthetic and watch the pulse, which was somewhat weak. This he did, not paying any attention to the manner in which the tampons were inserted, surmising that the tampon would consist of one single piece of gauze, or if more than one there would or should be some part of the gauze or something attacht to the tampon by which to remove same. The case was left in the charge of the country doctor with instructions to remove the tampons on the following day. This instruction was followed out, as far as the knowledge of the attending physician extended, but instead of one piece of gauze being left in the womb, there were I think four balls almost as large as hens' eggs deposited inside the uterus, then whole vaginal tract filled; consequently when the doctor in charge removed all that he could see, he of course thought that was all, and proceeded to wash out the womb for several days, when a change for the worse developt. The gynecologist was again called in. He thrust his hand into the uterus and removed the balls of gauze which he had deposited on the

former occasion, at the same time making a great to do about it, to the embarrassment and injury of the doctor in charge. Now the question arises, who was responsible for this condition of affairs? Let's hear from the medical fraternity; also the opinion of the Editor. C. S. S.; Ky. [Get another gynecologist next time.ED.].

The Old Problem, Ever Perplexing. Editor MEDICAL WORLD:-A little gossipy town, where every one knew the exact number of socks and undershirts you sent to the laundry. Dr. sat reading THE

WORLD in his office, and was speculating as to whether he had prognosed the proper date in his nearest labor case, when his pastor of local church entered. His face was seamed, and the care-wrinkles were showing about his mouth.

"I need a friend," said the pastor. "Yes," said the doctor, "I know you do." (And we all do at times.) The doctor, after reflecting for a few minutes, continued: "Nuf said; can you send your son to C-ville to receive mail, etc., for four months without questions?" แ Yes," "said the pastor.

In three and a half months the doctor had business in a city nearby-including the placing of a baby for adoption. In a short time the pastor's son and daughter returned from a protracted visit to relativs in a distant part of the state.

In three months the daughter married a very estimable young man of the neighborhood, and the doctor held the carver's chair at the feast. Was this legitimate work, or not? TEXAS.

[There never will be a time when all will agree upon a question like this. Those lucky ones whom misfortune nor disgrace have never toucht, will condemn in bitterest terms. Those whom the fires have tortured may be sympathetic, but some of these forget as soon as they are safe again. It is awful to leave one's offspring in the hands of strangers, and never see it again; but isn't that better than murdering it before it is born? It is dreadful to deceive a trusting groom with a girl like this, when he thinks he is getting a virgin. But has he always been virtuous? Did he tell his bride-to-be all his escapades? But that is not a fair comparison, for most women do not ask nor expect virginity in a man. know that some may loudly challenge this statement, but those who know, know. If there is laxity in regard to this, indifference on the feminin side is responsible for a large part of it. But this is a side issue. The sad and perplexing situation above presented is likely to occur in any state as well as Texas, and in any family as well as a clergyman's. We do not wish this matter very voluminously discust, for many are always ready to "slop over" in matters of this kind when

I

Put malt, hops, corn and rice in a flour sack; place sack and contents in a vessel large enuf, then put in the 5 gallons of water; let the water cover the sack, and put it to boil. Let it boil 4 to 6 hours, or longer if you so desire, turning, punching and otherwise manipulating the sack to get out all the strength of the ingredients. When this is done, set it off the fire, place some sticks across top of vessel and lay the sack on the sticks over the liquid to drain; when cool enuf to handle, press the juice out of the sack, and add the 5 pounds of sugar and stir till dissolved, and then strain thru cloth into a keg, and add enuf hot water to bring it up to the 5 gallon mark. Then add the 2 cakes of yeast and set to work, leaving a small vent for the gas to escape. Taste it occasionally, and when it begins to taste like lager beer, close the vent so as to charge the beer with gas. Notice the keg closely and prevent bursting by occasionally opening vent to see if too much gas is forming. When it has workt well and begins to taste like lager beer (which usually takes 12 to 48 hours), close it up tight and place where you can draw thru a faucet and drink. It will last a long time, and will taste well and give you a nice soothing feeling, even after the gas is gone and it begins to get flat. Martin, Ga. T. H. LYON.

You Can Apply the Principle Yourself. Editor MEDICAL WORLD:-I feel like emphasizing the praise that is rightly due you for the manly stand you have taken in defense of the honest and faithful physicians of this country against grafters and unreliable, unscrupulous agencies who tour the country in pursuit of their ill-gotten gains, and often ensnare unsuspecting physicians in the meshes of technical law. I hope you will continue the good work, and keep before the attention of the fraternity the importance of being on their guard for collecting agencies and many other traveling humbugs. I have just had a visit from the Sprague Mercantile Agency, La Salle street, Chicago. Will you kindly give us some information concerning these people? What do you know about them? When I called this agent's attention to THE MEDICAL WORLD, he seemed to grow shy of me, and insisted that I should not use you as authority. Dr. Taylor, he thought, is only a journalist. I met an M.D. in Kentucky a few days ago who said he was annoyed by traveling agents; but just as soon as they see THE MEDICAL WORLD on his desk, a large percent of them leave his office without asking many questions.

We are now in an embryonic stage of development for statehood, and need the assistance of all good writers to help us to construct good and wholesome laws that will not only assist the medical fraternity, but all classes regardless of their station in life. Meridian, O. T.

Q. B. NEALE. [We have always advised doctors not to patronize collecting agencies that charge a "membership" fee, or any other kind of a fee that is to come out of the doctor's pocket. Collecting should be done strictly on

SEPTEMBER, 1906]

a percentage basis, with no fee of any kind, and no complicated contract. You can apply this principle yourselves to all collecting agencies that apply for your patronage.-ED.]

Treat Your Obstetrical Cases Before Confinement.

Editor MEDICAL WORLD:-"'Tis always easier to avoid trouble than to get out of trouble after you get in." In all my obstetrical cases, I begin treating them 4 or 6 weeks before the date of expected confinement by giving the following: Genitone in dram doses 4 times a day, and pepto-mangan (Gude) in dram doses 3 times a day after meals. (Don't understand me to be advertising Merrell's and Gude's preparations.) Here the genitone acts as a tonic to the reproductiv organs of the female, especially to the uterus, strengthening and increasing its muscular fibers and regulating its nerve and blood supply, thereby avoiding primary or secondary uterin inertia, dry labor which we so often meet with, correcting any disease condition of the uterus, and best of all, lessening to a certain degree the suffering of our patient. Pepto-mangan acts as a general tonic, especially in anemic cases, building up her blood and giving her strength so that she can bring the accessory powers better into play. Under this treatment the appetite and digestion are increast, bowels become regular, insomnia controlled, the liability to postpartum hemorrhage is reduced to the minimum, and the use of instruments may be done away with except in certain cases of pelvic deformities or some pathological conditions of child.

After entering the lying-in chamber and making your first examination, and finding any kind of presentation except a transverse, face with backward rotation of chin in hollow of sacrum, presentation of cord, or multiple presentation, you can take your seat out on the front porch, light your cigar, and "spit mine feet over the railing," for everything is going your way. Goss, Miss. W. S. POLK, M.D.

Bug in Ear.

Dr. E. V. Rankin, of Rosendale, Mo., writes a rather lengthy but interesting story of how his minister got a bug in his ear in the midst of an evening sermon, and how the clergyman and the doctor had to adjourn to the doctor's office to remove the intruder. The doctor then saturated a piece of absorbent cotton with chloroform, placed it over the ear, had the patient to hold that side of his head down, and on removing the cotton, in about 30 seconds, the bug lay on the cotton fully anesthetized. They placed the bug on a piece of paper for inspection, and it soon began to recover from the effects of the chloroform.

This is a little accident that may happen to any one at any time during the "bug season"; and the doctor who can remove the intruder "with neatness and dispatch" will make a good impression. A bug scratching on the tympanum can put one in a frenzy of misery

Asthma.-Ulcer of Leg.

Editor MEDICAL WORLD:-Dr. J. H. Thomas, of Wyoming, Del., in the June WORLD, page 219, claims to cure asthma. I sincerely hope his prescription will do the trick, for it will certainly be a great boon to sufferers from that distressing ailment. Physicians generally are very skeptical when they read or hear about asthma cures. In fact it is very difficult to make the sufferer believe that he can be cured-he has tried so many different things, he will tell you, and they have all failed. However, I shall give the Doctor's prescription a trial and hope it may have as good a result as he claims for it.

If any of the WORLD family have had considerable experience in the treatment of chronic ulcer of the leg, I would be pleased to have them write me. Toronto, Canada.

A. NOXON, M.D.

Editor MEDICAL WORLD:-I will consider it a favor if any of your readers will inform me where I can procure the plant Chelidonium Majus or Garden Celandine (Tetterwort), writing to me direct on the subject. Arkansas City, Kan. R. R. TELLER, M.D.

Response to Appeal.

365

Editor MEDICAL WORLD:-I enclose herewith the sum of $1.25, $1 for relief fund for doctors who were victims of the San Francisco earthquake and conflagration, and 25 cents for "Politics in New Zealand." A. F. BARNARD, M.D.

St. Marys, Ga., Aug. 13, 1906. [This is the first and only response to our appeal for the San Francisco sufferers.-ED.]

Four Percent of the Population Injured on the
Fourth.

Editor MEDICAL WORLD:-The Fourth has just passed, and in this town of a little over two years' growth and 200 people, I am sadly reminded by eight casualties, resulting in the loss of an eye, two noses broken, and eyes injured and hands and arms severely burned, of the wise admonition given in your columns (July, page 255). I certainly shall endeavor next year to prevent our merchants from purchasing firecrackers and allowing promiscuous use of fireworks. Moore, Mont. S. S. OWEN.

I wish to say to Dr. Lyon, of Martin, Ga., who makes an inquiry for information under the title of "A NonAlcoholic Beer for Hot Weather" (page 329), that if he presumes that the mixture he suggests is non-alcoholic he certainly has forgotten the essentials of his chemistry. A mixture of cane or other sugar and yeast will produce, with temperature, alcohol and carbonic acid gas, even if the activity of malt has been killed by being previously boiled. The doctor will find by applying the proper tests that his so-called non-alcoholic beer contains from 2 to 6 percent of alcohol. G. W. BENTON, M.D.

Gowanda, N. Y.

Medicins Excreted in the Milk.

The following drugs are excreted in the milk of nursing women, when they have been ingested by them: Oils of anise, cumin, dill, wormwood, garlic, turpentine, copaiba; and likewise the activ principles of rhubarb, scammony, castor oil, opium, iodin, indigo; and also the following drugs: antimony, arsenic, bismuth, iron, lead, mercury, zinc.

Acids given the mother cause griping in the child. Natural salts, as a rule, and the purgativ agents above named, act as purgativs to the child, and the potassium salts as diuretics.

In operating for paracentisis of the ear drum, the application of pure carbolic acid along the line of the intended incision renders the operation nearly as painless as when cocain is used. The acid is an admirable antiseptic, and in no manner retards the healing of the incision.

"People Wanting Something of that Kind."

In reply to a subscriber's criticism of the patent medicin advertisements in a certain religious paper, one of the editors said in the paper that there is plenty of good reading in the paper for all except those who are scenting around for something to object to; the patent-medicin advertisements are only intended for people wanting something of that kind." This editor was compared to a minister who would build a brothel, a saloon and a church under one roof, and who would defend himself by saying that the church was big enuf for all good people, and only those "wanting something of that kind" need get into the other two places. -From Proceedings of Jeff. Co. Med. Soc., Birmingham, Ala.

QUIZ

New books as they appear, are sent to our Assistant Editor, Dr. A. L. Russell, of Midway, Washington Co., Pa., for review. As the Doctor thus has all the late books for reference, and is made familiar with them by reviewing each one carefully as it reaches him, he is unusually equipt for answering queries. Therefore it has been our custom for a long time to send queries to him for reply. In fact, the Doctor made a special request that this be done, as he enjoys this work. It now occurs to us that time will be saved if you will send directly to Dr. Russell matter intended for the Quiz Department, which has grown so much under his vigorous "treatment." Please notice that our query department is not used to "boost" proprietary remedies, almanac fashion. THE MEDICAL WORLD has no interests other than to give to the medical profession the greatest amount of honest service possible. It has absolutely no interests in any proprietary preparation nor any medical supply house. Other medical editors have become, and are becoming, wealthy, by using their pages to increase the sale of preparations that they are interested in; but we prefer to render service to our subscribers that is above suspicion of personal pecuniary interest. How can a man interested in the sale of certain preparations render the best service? He is always trying to push one of his preparations in. That is commercial journalism. We prefer ethical journalism-and so does the profession, for THE MEDICAL WORLD is growing in popularity faster than ever before-and our subscribers are paying ones. They must be, for we have no medicins to "boost," nothing to sell, nothing to depend on but pure journalism; but doctors that want honest, straight journalism are willing to pay for it-they are glad of the opportunity.

Only such queries will be publisht as are likely to interest and instruct many others, as well as the one asking help. No charge has ever been made, nor will any charge be made, for this service to our subscribers. However, those who wish an immediate and personal reply by mail may obtain the same by inclosing two dollars to Dr. Russell. This is really a consultation in the interest of the patient, and should be charged to the patient-two dollars being a very moderate consultation fee. The Doctor agrees to give full, careful and immediate attention to such consultations. We reserve the right to publish in this department any such consultations that may be interesting and helpful to our readers. Name and address will be withheld if requested; but anonymous communications will receive no attention. Come freely for help, but read up as fully as you can before coming to us.

Unexpected Death.-Passage of a Fish Bone.--
Axillary Perspiration.

Editor MEDICAL WORLD:-I had a case last January which puzzled me, and I would like a little light on it, particularly because the parents blame me in some way for the sad termination. Boy, aged 2 years, had never been strong and robust, tho for five weeks just previous to fatal attack recorded here, had been experiencing the most healthy period of his life. Mother came to office about 6 p.m. and askt me to call and see boy, as he had been feeling bad all day, tho she didn't think it was anything more than dental irritation, and told me to eat my supper first. I replied that there is no time like the present, and went up there immediately. Found child peevish and cross, cheeks flusht, temperature 102°, pulse 125. inquired into diet, and couldn't discover anything that he had eaten that would produce irritation. Examined gums, but they were not much swollen, tho there was evidence of molars in process of eruption.

Ordered an enema, left bell. et cham., to be taken every half hour, and instructed them how to take care of convulsions, should any occur.

At 10.30 was called again in a hurry; said he was having convulsions. When I arrived they had just succeeded in bringing him thru one convulsion.

In about two minutes he was seized with another convulsion, and we immediately put him into a hot mustard bath, and I gave a copious enema while in bath. We soon brought him thru, but in a few minutes another convulsion came on, and he didn't answer readily to the bath and enema, so I gave him a few whiffs of chloroform, to which he readily responded, and had no more convulsions, but went to sleep, awaking every few minutes in a startled way, with eyes staring wide, and calling "mamma." I remained with him until 2.30 a.m. and left him sleeping and sweating profusely. No more starting up, but occasional nervous twitching.

At 5 a.m. I was called out of bed to see another patient, and about ten minutes later a hurry up call was sent to see bov again. Finding me not in, Dr. G. was called, but child died five minutes before he arrived.

I didn't get a chance to examin urin, and parents would not consent to a postmortem. What was the diagnosis? Was it dental or gastro-intestinal irritation (stool appeared to be normal), or acute nephritis, or sporadic cerebrospinal meningitis?

A unique case came to my office the other day. Mr. P. swallowed a fish bone. Knew it at the time, for he said it stuck in his throat, and was dislodged with some difficulty by copious draughts of water. Took up line of treatment of his own, which consisted of castor oil and large quantities of water.

The following day he came to my office and said he had a fish bone in the rectum. I put him on the table and inserted a finger, and readily discovered the bone about 11⁄2 inches from the anus. Passed a pair of forceps alongside of finger and removed bone at first attempt. Found a piece of fish bone 1⁄2 inch long, blunt on one end and sharp on the other.

The peculiar thing about this case is that with treatment pursued, there was not a perforation of the intestin higher up.

Needless to say, I instructed him in the proper dietary in case of another mishap.

L. O. Powell (May WORLD) will cure his case of axillary perspiration by internal administration of one of the following remedies: sulfur 30th, silica 30th, merc. vivus 6th, or rhus. tox. 3 x. Locally, boracic acid powder. WM. H. REMER.

Park Falls, Wis.

[We do not see how the parents could blame you in any way or manner for the unhappy termination of the case. We would not venture a guess as to what caused the convulsions, but it is no unusual thing to see children sink rapidly after even a single convulsion, when they have little natural stamina. "The startled cry and staring eyes would be rather a slim basis for diagnosis of cerebral trouble, but such may have been the case. Any attempt to label the affection, now, would be mere hazard.

It is astonishing what tolerance the gastrointestinal tract will show to such foreign bodies, and how serious trouble is often averted. THE WORLD has had repeated reports of sharp bodies, like open safety-pins, etc., traversing the gut without damage.ED.]

Enlarged Testicle,

Editor MEDICAL WORLD:-An old gentleman called on me a few days ago for advice and treatment. He is nearly 70 years old. Some eight years ago his left testicle began to get a little tender and began to enlarge. He has been treated by all the M. D.'s in all the adjoining towns and received no benefit. It is as large now as the largest goose egg, not sore, doesn't bother him in that respect. I have not had the opportunity to test his urin. His appetite is fair. He takes what he calls smothering spells once or twice a month; can't lay down at all when he is bothered that way. His heart is regular at times and at times is dicrotic. Complains of cold feet. The best description I can give of the testicle is that it feels like an egg without a shell (say like a turtle's egg). His stomach and bowels are too full and hard; his liver is enlarged. I have given him only one treatment, and that was a good cathartic. Also he has a dry, hacking cough-sometimes almost takes his breath."

Can you get enuf out of this to give me any help?
Ark.
J. S. B.

[You will not find such cases discust fully in the ordinary work on surgery. You ought to have one of the late works on genito-urinary and venereal disease. With such a work, and the case at hand for examination and comparison, you will hardly be likely to err.

[If everything were normal, a child would not die after delivery just because the cord and placenta had not been severed. This is what we presume you refer to when you speak of "neglect."

The causes which might act during delivery and for a time subsequently, which might cause death soon after completion of the second stage, are numerous, much too numerous to discuss fully in the space at our disposal. Undue compression in passage thru the birth canal; excessiv or unduly prolonged uterin contractions; syphilis of the cord, causing a diminisht calibre of the umbilical vessels; pulmonary hemorrhage; any anomaly or disease of the fetus preventing the entrance of air into the respiratory tract; any anomaly preventing normal distribution of blood from right ventricle to lungs, as a patulous foramen ovale or atresia of the pulmonary artery; allowing the child to lie in a position in which respiration was impossible; occlusion of nose or mouth by a "caul," or by the maternal discharges; untreated asphyxia neonatorum, etc.

With an uncut and untorn umbilical cord, the placenta being attacht, no child could bleed to death except thru hemorrhage from some internal organ. Such example might be furnisht by a ruptured coronary artery in the heart, by a ruptured pulmonary vessel, or by hemorrhage from any cerebral vessel. -ED.]

Is It Tape Worm?

To

Editor MEDICAL WORLD:-Am sending under separate cover sample of an intestinal parasite new to me. The patient, Mrs. C., was told she had tape worm. When she described the appearance of the segments I declined to treat the case until I had seen them. day samples received. They are white, fleshy, alive, and move when passed, tape-like in appearance, about % inch long, to inch wide, and scant inch thick. When squeezed, a liquid comes out that, when examined under microscope, % objectiv, millions of living, moving rod and other bacteria appear.

She first noticed these segments pass last March, and has been passing some every day since, always in single pieces, alive and "kicking."

Later: Since writing you about the intestinal parasite, have examined fresher samples, and now think it tape worm. The samples sent you were long and narrow, but the one I now have is about twice as long as wide and looks like a tape worm segment.

I can now account for the millions of bacilli from the

water in which they were brought, and length of time passed from bowel. Am sorry I took up your time. Clyde, Ohio. W. VAN NETte.

[Before we had opportunity of examining the specimens, we had your second communication declaring your conviction that the You segments were from the tape worm. are right. Yet, it is our opinion that the worm is not the tenia solium, but the rarer worm, the tenia mediocancellata. The segment is longer than one expects in the tenia solium, and more nearly corresponds to the classical form of the tenia mediocancellata. Then, too, the branches in the uterus are more numerous than any specimens of solium segments we have seen; this, also, corresponds to the mediocancellata. Perhaps only a microscopical examination of the head would settle the matter definitly. As it is neither a point of essential merit in diagnosis or treatment, we need not have mentioned it, after receipt of your second letter, but we always teach exactitude in diagnosis where such is possible. For this reason, when the head is obtained, we suggest a careful microscopical examination. The head of the tenia mediocancellata is much larger than that of the solium, and has no hooklets; the segments, too, have a much more pronounced disposition to "crawl," or, as you express it, "kick" -so much so, in fact, that they occasionally migrate as individuals thru the anal sphincter.-ED.]

Discharge from Vulva of Infant.

Editor MEDICAL WORLD:-Female, white, parents healthy, no venereal disease in either. Born December 17, 1905. No sickness of any kind; is lively and playful. June 16, 1906, mother noticed a discharge from vulva-a few drops of pus, which became more profuse for a day or so, when my attention was called to it. Discharge was then about three or four drams in twenty-four hours, a thick, green pus; no perceptible odor. Vulva and parts normal; no irritation that I can find. Have used carbolic acid, boral, boracic acid solution. Irrigation with clean, boiled water without any benefit. Can find absolutely no cause for discharge. Please give me any help you can. Jerico Springs, Mo. A. T. HOLMES, M.D.

[The vaginitis and vulvitis noted in female infants may or may not be gonorrheal. Even if the parents be entirely free from this disease, there are many other possible sources of infection. If you have a microscope you can readily settle the question as to whether or not it is specific. However, the differential diagnosis is not a vital matter, except in so far as the prophylaxis of the child's eyes, or of other members of the family, are concerned; as the treatment is much the same. If you have carefully excluded all possible sources of reflex irritation, it will be proper to consider the case as possibly representing the strumous diathesis, and to treat it by codliver oil and tonics internally, and by the following plan locally: With the aid of a small soft rubber catheter, irrigate first the external genitals, then the separated labia, and finally the vagina, with a solution of creolin, 1 to 500;