« ForrigeFortsett »
those exposed but few times and for short in Hurrah for Courageous Journalism! tervals.
The present is a notable time in periodical These results are sufficient to prove the x-ray literature. McClure's Magazine has thoroly far from an inoccuous plaything, and it is now exposed the Standard Oil Company and John the duty of every operator to learn all the dan- D. Rockefeller; Everybody's Magazine has gers that may beset both himself and the exposed the methods of “frenzied finance ;” patient. One can easily imagin the sterility the Ladies' Home Journal has exposed many induced by the x-ray as figuring in suits for of the secret nostrum methods, and Collier's damages in much the same manner and with Weekly is now engaged in a still greater war the same detrimental effect to the agent and to against the drug evils. Pages 16, 17 and 18 of the operator that the burns and dermatitis pro- Collier's for December 2 are devoted to "The duced formerly. There is no doubt that this Subtil Poisons,” exposing chiefly the acetanilid sterility is produced by the x-ray, and in many mixtures, chief among which are “orangeine," cases by a very light dosage. Whether or not antikamnia and bromo-seltzer; and the opium the effect will pass away in time, or whether it bearing soothing syrups, chief among which is may be permanent, has not been settled. Some Mrs. Winslow's; and the cocain bearing cases have recovered, and others of like dura catarrh cures, chief among which is Birney's. tion are still impotent.
This issue is well worth its price (10 cents) to Every patient exposed to the rays should be any physician (address Collier's, 416 W. 13th protected by lead plates or by lead screens street, New York City). THE MEDICAL fitted with adjustable openings thru which the WORLD, several years ago set the example in rays may pass in treatment. Every operator courageous journalism by exposing fake mining should employ some artificial aid in adjustment companies, collection agencies, and many and manipulation of his tube.
other shady things that no one seemed to have Even if the x-ray cause no actual baleful ef- courage enuf to tell the truth about. We are fect, the indications for its use should be clear, gratified to have thus done a great and much dis inct, and thoroly understood; and it needed service to the profession, and we are should not be employed ignorantly nor without also gratified that the above mentioned very due study of the case and of probable results. worthy publications have adopted a similar Under existing conditions, it is frequently em policy, and are thus doing a great and much ployed when we have much better methods of needed service to the public at large. Hurrah treatment. Some x-ray operators have for- for courageous journalism ! gotten the fact that we have the arsenic paste How can the editor of any medical journal and the knife strongly indicated in some epi- read the exposé of antikamnia above mentioned theliomas. Grosse, of San Francisco, says : “ I and print the advertisement of antikamnia in believe it almost criminal that cancers of the his advertising pages ? The profession should lip with beginning glandular involvement .ask every medical editor if he has read the should be so treated " (i. l., with the ray). article above referred to, and then ask why he “ Epithelioma is to my mind much too fre. carries the antikampia advertisement. Will quently treated by this means." Many cases you write to the editors of all the medical of hypertrichosis, lupus vulgaris, and erythem- journals you take about this matter? atosus, acne vulgaris, alopecia areata, and psoriasis, do better under treatment other than by Sink-holes for the Savings of Doctors. the x-ray.
All kinds of speculation and investment We would not belittle the wonderful results schemes still come to me, either directly from achieved by the intelligent use of this agent the exploiters, or from the “ brethren" The in the hands of those who have given the matter first one I open as a text for these lines reads comprehensiv study, and who have had enuf “8 percent guaranteed.” Well, what is the experience in its use to insure a mature and guarantee worth? John Smith, the shoe-string competent judgment; but we certainly decry peddler, might say that he would “ guarantee its indiscriminate employment by those who 8 percent on $10,000,000; but it would mean have not devoted more than a modicum of a very different thing if “Uncle Sam” would consideration to the subject, and who have no say it. I remember, when a small boy, I saw regard to accurate dosage or ultimate effects. a young, half-clad but optimistic colored Every practician intending to use the X-ray in fellow working a game of chance or skill on treatment should post himself thoroly by read- circus day; it consisted of throwing rings at ing the best and latest literature, and fortify pins; and a series of prizes was offered. His himself and his treatment by moving cautiously cry was, “come right up; here's the place to in every case, and even then make certain to make your fortune in a half an hour !" Where use every safeguard about the person of his was the “ fortune" to come from? Perhaps patient and himself.
that negro never even saw a $5 bill. Some of the seekers after fortune are as short sighted as profession wouldn't be bothered so much with the players of this ring game. They depend those who wish to sell oil stocks, mining on blatant promises, but they never look to see stocks, plantation stocks, etc. By the way, no what is behind the promises.
doctor who has put money into such stocks has There is an air of solidity and safety about come forward to say that he has gotten his the word “bond.” Many who will not touch money back, out of the enterprise, tho I have stock will buy bonds. So some slick schemers publisht an urgent invitation several times. issue bonds on stock ? That catches the bond- Are we to infer that all such things offered to ites, who do not realize that they might as well the medical profession are sink-holes for buy stock as to buy bonds with only stock money? Maybe the money never got further behind them, or with only the same property than the schemer's pockets. This is quite likely. behind them that is behind the stock. There Why will doctors throw their money away in are many schemers after the savings of the this way, when they can keep it safely in bank, people, and many of the people are anxious to or loan it out at good interest on real estate let their savings go. The “ flotation" of the security in their own community ? Don't listen stock or bonds of a big corporation on Wall to fairy promises of profit. Look to security street means the exchange of the stock or first. bonds of said company for the good, solid Here is a quotation from an address delivered dollars of the people. If the people knew the before the Technical Society of the School, of safe and permanent value of their dollars, and Mines, at Golden, Colo.: the uncertain and shadowy value of the securi- “In one city, which I will not name, a promoting ties offered, they would keep their dollars. concern by a combination of circumstances were reBut the trouble is that Wall street purchasers
cently driven into such a corner, by a big daily news
paper, that they had no recourse but to allow an (speculators) usually expect to sell later for more examination of their books by an outside public dollars than they gave. Sometimes they suc accountant. The concern had organized and floated
seven 'wild cat' companies based on the merest 'prosceed in doing this, and sometimes they don't;
pects’in out of the way, speculativ districts. As a but the securities are finally loaded on the result of the examination of their books by the public public, in exchange for good dollars. If there
accountant he showed that the total receipts from the
sale of stock in such seven niining companies was were no easy public to unload vast securities
$166,805, out of which only $23,237 had been spent for on, not so many of these securities would be labor and supplies, $20,578 had been spent for supermanufactured; or if the schemers were held
intendents' traveling expenses (including the pro
moters) and no less than $114,714 had been pocketed strictly responsible for the money taken, being by the promoters for commission and for sale of proforced to either make their promises good or motion stock, leaving aggregate cash on hand for the return the money, many a Wall street fortune
seven companies $2,276 only.” would shrink to nothing. That's just the kind Fortune hunting, even when successful, is a of a law we need, and it should be vigorously bad business, any way. Today a pauper, toinforced. If the President's plan of National morrow a millionaire, and next day a pauper incorporation of all corporations doing an again! Not impossible; these things have inter-state business (advocated by our Corpora- occurred time and again in the mining districts tion book which came out a year or two ago) of the west, in the oil regions, and on Wall were realized, the general government could street. Where these things are possible, a craze control absolutely this stock and bond business siezes the community ; everybody is affected; (few corporations are confined to a single the foundations upon which reason and morals state), and then responsibility could be in- are based are undermined; the old and true forced. The rascals who set traps for the public, standards are swept away, and moral fiber is advertise glowingly, and by their control of worn to tatters. Better stick to the old way. the newspapers work up a sentiment for the Better work for every dollar, and then guard corporation (as in the case of the Steel (steal) its safety; thus climbing to comfort and comTrust, Amalgamated Copper, etc.), and load petence (not wealth) for yourself and family, 22/2/2/2ti2ti2mēņ222222 222ņģētiffim2Ỉtimătiņ22ņģēģēm2/2ūtiņ2\\22\2\\2\22\ătiti2m22/2/2ūti chary about this sort of business if they were generations the old tried and true standards compelled to stand behind every dollar put of our fathers; standards of industrious honesty into the stock by the public. President and moral rectitude that have made the world Roosevelt used to say that publicity would cure what it is, and that will preserve the best there the evils in trusts and corporations. Publicity is in civilization as long as they are adhered to. is a good thing as far as it goes, and it does With these standards firmly planted in our some good ; but we have had publicity galore, daily life, we can receive telegrams like this: and many of the evils persist. Responsibility, “Shot No. 9 yesterday; 500 barrels of oil the strictly inforced, with the penitentiary for those first 24 hours"; or “Struck a new rich vein who squander the money intrusted to them by today; assays $1000 per ton," etc., together the public, would finish the cure. Then the with urgent appeals to take stock before it
Short articles of practical help to the profession are solicited for
this department, Articles accepted must be contributed to this journal only. The
editors are not responsible for views expressed by contributors. Copy must be received on or before the twelfth of the month, for
publication in the issue for the next month. We decline responsibility for the safety of unused manuscript. It can usually be returned if request and postage for return are
received with manuscript ; but we cannot agree to always do so. Certainly it is ercellent discipline for an author to feel that he
must say all he has to say in the fewest possible words, or his reader is sure to skip them; and in the plainest possible words, or his reader will certainly misunderstand them. Generally, also, a downright fact may be told in a plain way; and we want downright facts at present more than
anything else.-RUSKIN. READ REFLECT COMPARE RECORD
Sudden Death in Labor. Editor MEDICAL WORLD:-About 3 p. m. December 4th of this year I was hurriedly called by phone to assist Dr. Huber of this place in a case of childbirth. On arrival at the residence of the patient I was informed by the Doctor that he had been summoned about an hour before by the husband to attend his wife, who, he said, had been in labor for some
rises, without reaching for our pocketbook. Also, we know that no corporation is anxious to get rid of its stock at less than its real value; and that if it would pay better to sell their oil or ore than to sell stock, they would begin selling oil or ore and quit selling stock, which they would keep for its real value. But the craze of the schemers is to exchange bad stock for good dollars. Corporations which are really making big money out of their legitimate business, and have no reason to load their stock on the public, usually keep still abcut it.
An Instance. I present a concrete instance of " how it is done,” from the Philadelphia Ledger for this morning (Dec. 20). The difference between these people and m similar ones is that these people got caught, and were brought to the bar of justice.
SIX MONTHS FOR MINING SWINDLER. THOUSANDS OF Poor Persons Bought STOCK Not WORTH
ACENT A BUSHEL. F. S. Pusey, of Germantown, one of the promoters of a $3,000,000 mining scheme, in which thousands of poor persons invested their savings, was sentenced to six months' imprisonment yesterday by Judge Davis. He had been convicted of
dling A. S. Moore, of New York, out of $4,000. The jury took only ten minutes to decide that he was guilty.
The concern with which Pusey is connected is known as the North Platte Mining and Copper Smelting Company of Wyoming. William R. Brown, secretary and treasurer of the company, is under indictment in Boston. A fugitiv warrant will be issued to-day for A. L. Seymour, of Orange, N. J., a partner of Pusey. Seymour fled to Nova Scotia when the exposé came. The company is in the hands of a receiver.
Good NAMES IN THE DIRECTORATE. Much of the history of the mining scheme was rehearsed in Judge Davis's court." Witnesses swore that Pusey and Seymour organized the company, and, to give it tone and standing, gave a certain number of shares of stock to several well-known Boston business men. These men allowed themselves to appear as officers and directors of the company Josbua Sears was made presi. dent: John Curtin, vice-president, and Colonel William R. Brown, secretary and treasurer. The directors were Curtin, Sears, Edwin Cass, Louis F. Wood and Gustavus A. Damon. All are of Boston except Wood, who is a resident of Arlington, Mass.
FLOATING THE Stock. Three years ago the compar
to float its stock. Owing to the prominence of the Boston officials, most of the stock was sold in Boston, although many Philadelphians were among the investors. The country was flooded with literature, telling of the company's property in Downey Park, War Bonnet Mountain, Wyoming. The policy of the concern was dictated by Pusey and Seymour, its originators, who, however, did not let their names figure in the prospectuses. They had an effice in the Drexel Building.
Among those who sought to obtain the company's stock was A. S. Moore, of New York. He communicated with Colonel Brown, and was directed to see Pusey. He came here, and after a long interview with Pusey, was convinced that the scheme was good. He invested $4,000.
LORD BERESFORD A Victim. When Moore called at Pusey's be found Charles Myers, an insurance agent, of this city, who was there to demand the restitution of 84,500 invested by Lord Charles Beresford. The latter bad visited this country not long before, and had invested in the Diamond Water Purifying Company, also operated by Pusey. Pusey was arrested at the instance of Myers and refunded the money. It was upon the information furnisht by Myers that Moore acted when he had Pusey arrested.
Fraud EXPOSED. At Pusey's trial a report by Wyoming's State Geologist, Henry C. Beeler, was read, to the effect that the property advertised by the company as valuable mining land, in which shafts had been sunk and rich deposits of ore found, is in reality a bare prairie in which a few shallow holes have been dug.
The "mines" exploited by Pusey and his associates are advertised as the "Mrddy Creek," "Georgetown," " Pennsylvania," " Scranton," " Wilkesbarre," "Fairmount," "Connection" and " Bijou."
The Corporation Trust Company, of New York, acted as registrar and transfer agent for the mining concern.
him no definit information about the case. When Dr. H. got there, he said, he found that the woman had been delivered of the child, but the husband's mother told him that the afterbirth had not been delivered. The old woman had been in charge of the case, and she said she had taken care of many cases before, but this one had gotten beyond her skill. On examination of the patient by Dr. H. he found an arm protruding into the vagina, and informed the family that a twin was yet to be born. On attempting to deliver the babe the Doctor found that it was wedged into the pelvis so tightly that he must administer an anesthetic, and proceeded to do so, but on account of the nervousness and apprehension of the woman he had to call in help. On my arrival and getting the above account from the
giving the anesthetic, ether, and I to try to turn the child. I found the child wedged into the pelvis as described by the Doctor. After working for more than an hour a foot was secured and the delivery accomplisht. Before succeeding in getting hold of a foot the woman's condition became serious, the Doctor announcing that the pulse was failing, and before I had succeeded in delivering the body Dr. Huber commenced to get ready a hypodermic of strychnin and injected it into the patient's arm. She continued to fail in spite of more stimulants of ammonia, nitroglycerin, digitalis, camphor, &c. She began to raise and lower the lower limbs, and to toss the arms, roll from side to side, and would not
allow Dr. Huber to remove the afterbirth ; was did not return till night, consequently she was not fully conscious; began to mutter; would left alone all day, except when a neighbor sit up in bed and squirm around on the but happened to call. About the middle of the tocks; throw herself down again upon the bed; afternoon one day a lady called and found would thrash the arms around like a windmill; Mrs. Sullivan lying on the floor, senseless and would moan piteously, and continue to thrash having almost continuous convulsions. No one around on the bed, now turning her head of course knew how long she had been in that toward the foot of the bed and then almost condition, as no one had seen her since her immediately reversing toward the head of the husband left her in the morning. I saw her bed. It was endeavored to arouse her to con- first about 4 o'clock p. m.; found her on the sciousness, to recognize her husband, children bed where the women who had collected placed or friends, but to no purpose. She gradually her. She was scarcely out of one convulsion sank; the thrashing about on the bed became till another appeared, and was utterly senseless more feeble; the pulse left the wrist and respira- all the time. The first thing I did was to take tion became less and less. The Doctor and I a full quart of blood from the arm; this checkt recognized that as soon as she got quiet she the spasm ; then I gave ten grains of calomel would die. She died without ever regaining with half a teaspoonful of sodium bi-carbonany degree of consciousness. The afterbirth ate. Made an examination, and found that was not delivered. The second babe was born the labor was making some progress. I did dead and the right humerus was broken at or not interfere, leaving the case to nature. Then near the shoulder. I am certain I did not I made a mixture of Epsom salt and cream of break it myself. There was some considerable tartar, equal parts, and gave all we could get flattening of the arch of the pubes, and the into her stomach, which was not very much most prominent sacral promontory I ever had because of her senseless condition. In two anything to do with. Why, it was what might hours another terrible convulsion came, and be called a shelving projection of the sacrum. again a large quantity of blood was taken. This was a most heart-rending case. We This ended the spasms, but she lay perfectly were powerless to save either the mother or motionless and comatose till a pain would second babe. The mother was a stout, robust come (which was about every half hour), when woman and this was her fourth pregnancy. she became terribly agitated, and it required
I need not point out to physicians the lesson three or four strong persons to keep her on the here taught. The husband's mother had bed, but she did not seem to know what she “taken care" of several cases of labor and was doing at any time. This continued till everything had gone well, but here in an un- four o'clock the next morning, when a dead expected hour fatality loomed up in her path. girl baby was born. “I will laugh, sayeth the Lord, in the day of Till this time no medicin was given except your calamity;" but this was no laughing as above stated, but now I began to give matter to the helpless physicians and to the quinin, as every one in this region at that sorrowing young husband and to the conscience time was full of malaria, and it was necessary stricken old woman who had essayed to do to give quinin in every sort of case. I conthat which the law prohibited her from doing. tinued the above named mixture to keep the Will these doctors who are howling against the bowels well relaxt. She still remained perfectly laws enacted to prevent such incompetents comatose for twenty-four hours after the comfrom “taking care" of women and to pro pletion of labor, when semiconsciousness aptect the lives of confiding puerperae continue peared ; but for three days from this time she to say that they are solely in the interest of was utterly insane, then gradually regained “ a few self-seeking political doctors"'? Oh, her senses and made a good recovery, and was come off!
J. J. CONNER, M.D. in bed but one week. Pana, Ill., Dec. 10, 1905.
Have seen a number of cases since that
time and have made it a rule to bleed in every Puerperal Convulsions.
case when the convulsion came before the comEditor MEDICAL WORLD:-The article of pletion of labor, and never give morphin or Dr. Paul F. Ela in the December WORLD, page opium in any form till after the termination of 489, calls to mind some similar cases in my labor, and not then unless the mind is clear experience, and his reckless use of morphin in between convulsions. those cases induces me to state how I managed Was called to a lady who had been in the them. The first case I ever saw occurred in care of an old midwife for forty-eight hours the summer of 1856. Mrs. P. Sullivan was a and should have been delivered hours before, stout, young, married woman, whose husband and would have been had she had proper attenwas a track laborer on the railroad. He left tion. Found nothing serious the matter, but his home at six o'clock in the morning, and the woman much exhausted. Soon delivered
a babe with the forceps; then found another, Interference should be postponed until the which followed in a very short time. The parts are completely dilated, so that the operapatient seemed all right, and I was about to tion may be performed without injury to the leave, when a violent convulsion seized her. mother. I at once gave her a hypodermic of one third Labor should be induced in those cases only of a grain of morphin, which was all that was in which medical treatment has completely necessary; no trouble followed, and she with failed. Incisions of the cervix for the purpose the babies got on all right.
of inducing labor, should never be attempted. Have used veratrum viride in some cases Eclampsia depends upon the association of with good effect, and since the introduction of two elements : Toxemia and heightened rethe bromids and chloral hydrate, have used flexes. Many cases in which reflex influences them quite extensivly with satisfactory results. are the preponderating cause are relieved by Chloroform is all right to modify the spasms, delivery; others suffer from genuin toxemia, but it don't cure the patient. My formula for and die in spite of all treatment. the bromids and chloral is : Potass. brom. 3 3, There is another class between these two in chloral hyd. 32, camphor water q. s. f} 4. Mix. which treatment may be very efficacious. UnSig. Give a tablespoonful in water as required. fortunately the symptoms are not easily differ
I have never seen but one woman die with entiated. Chloroform is an important remedy puerperal convulsions, and I shall always be when the convulsions are caused by reflex lieve she would have recovered if she had been action ; but its prolonged use may be dangerproperly bled.
ous when they are due to toxemia. Light, Was called in consultation ; found the case noise and cutaneous irritation should be like several others I had seen-no worse ; had avoided, and blisters, leeches, and bleeding been having spasms frequently for ten hours. are not recommended by some. I advised bleeding at once, but the attending Milk is a great preventiv, and a curativ when physician and friends objected and the woman the danger of convulsions is not imminent. died.
As soon as the presence of albumin is recogTo repeat, I say bleed in all cases when the nized, milk diet should be instituted and fit comes before the termination of labor, and maintained until after delivery, even when the after, if the wasting has not been very free symptom does not persist. Albuminuria is but and if the patient remains comatose. I have a danger signal, and the danger may remain sometimes bled the third time and have never after the signal disappears. had occasion to regret it. I believe the Epsom St. Meinrad, Ind. N. A. JAMES, M.D. salt and cream of tartar mixture an excellent adjuvant, given to free the bowels thoroly, and
Faulty Treatment of Pneumonia. it undoubtedly has a good effect on the kid Editor MEDICAL WORLD :--I have just finisht neys.
L. L. SILVERTHORN. reading THE WORLD for November. This Charleston, Ill.
issue of THE WORLD has caused me to think.
What a help it is to one of us little fellows to Treatment of Eclampsia.
get a journal once a month that sets us thinking Editor MEDICAL WORLD:—Every pregnant and helps us to think. I am now 52 years of woman whose urin gives the slightest indication age, have practised 30 years, hoping all that of albumin should be immediately put upon an time that I should some day be a doctor ; but exclusiv milk diet. This regimen is the pre- I am yet a student. Several pages of the Noventiv treatment par excellence of eclampsia. vember WORLD are devoted to pneumonia, a
When a patient attackt by eclampsia is vig- very interesting subject to me. It seems that orous and cyanotic, bleeding from four to five no age, or sex, or environment, is exempt from hundred centigrams is indicated, and should be this dreadful scourge. I am unable to give followed by the administration of chloral. She statistics as to deaths or recoveries from this should be put upon a milk diet as soon as pos- disease for two reasons : First, I have kept no sible.
record of my cases; second, I may have been When the patient is delicate, the cyanosis mistaken as to some of the cases being pneuless markt, the convulsions less frequent, monia. I am sometimes called to see a patient, chloral alone may be sufficient.
find face flusht, respiration hurried, fever high, Labor should be allowed to begin spontane intense pain in one, sometimes both sides of ously, and to pursue its natural course when the chest, tongue coated, urin scanty and ever possible. If the contractions are insuffi- highly colored, and troublesome cough. Becient, delivery may be accomplisht by version gan with a severe chill or rigor. At this time or by the forceps, if the child is living; if there is some resonance in all parts of the dead, by cephalotripsy, basiotripsy or cranio- lungs, tho I hear crepitant rales. Expectoraclasis.
tion principally mucus, tough, ropy, and tena