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THE MEDICAL WORLD
The knowledge that a man can use is the only real knowledge; the only knowledge that has life and growth in it and converts itself into practical power. The rest hangs like
dust about the brain, or dries like raindrops of the stones.-FROUDE.
The Medical World
C. F. TAYLOR, M.D., Editor
A. L. RUSSELL, M.D., Assistant Editor PUBLISHT BY THE MEDICAL WORLD Co. Entered at the Philadelphia Post-Office as Second-Class Matter. SUBSCRIPTION RATES: To any part of the United States,
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"THE MEDICAL WORLD". 1920 Chestnut Street
Language is a growth rather than a creation. The growth of our vocabulary is seen in the vast increase in the size of our diction. aries during the past century. This growth is not only in amount, but among other elements of growth the written forms of words are becoming simpler and more uniform For example, compare Eng. lish spelling of a centnry or two centuries ago with that of to-day! It is our duty to encourage and advance the movement toward simple, uniform and rational spelling. See the recommendations of the Philological Society of London, and of the American Philo. logical Association, and list of amended spellings, publisht in the Century Dictionary (following the letter 2) and also in the Standurd Dictionary, Webster's Dictionary, and other authoritativ works on language. The tendency is to drop silent letters in some of the most flagrant instances, as ugh from though, etc., change ed tot in most places where so pronounced (where it does not affect the preceding sound), etc.
The National Educational Association, consisting of ten thousand teachers, recommends the following:
“At a meeting of the Board of Directors of the National Educational Association held in Washington, D, C., July 7, 1898, the action of the Department of Superintendence was approved, and the list of words with simplified spelling adopted for use in all pub Ucations of the National Educational Association as follows: tho (though);
program (programme); altbo (although);
catalog (catalogue); thoro (thorough):
prolog (prologue); thorofare (thoroughfare); decalog (decalogue); chru (through);
demagog (demagogue); chruout (throughout);
pedagog (pedagogue). "You are invited to extend codice of this action and to join la securing the general adoption of the suggested amendmenca IRVING SHEPARD, Secretary."
We feel it a duty to recognize the above tendency, and to adop. it in a reasonable degree. We are also disposed to add enna (enough) to the above list, and to conservativly adopt the follow ing rule recommended by the American Philological Association :
Drop finale" in such words as “ definite," “ infinite," “ favorite," etc., when the preceding vowel is short. Thus, spell ** opposit," “preterit," "hypocrit," " requisit," etc. When the preceding vowel is long as in polite," "finite,
4 unite," etc., retain present forms unchanged. We simply wish to do our duty in aiding to simplify and radion elize our universal instrument-language.
Doctors Should Stand Together.
The goal should be membership in the The first of the year is a good time to make American Medical Association; but that is by resolutions. It is a time to branch out into no means the whole kernel, for one gets much new avenues of thought-to broaden. In this more direct benefit from his local and state connection there is one thing we want to say. societies. The door to the National AssociaWe suspect that many of our readers, perhaps tion is membership in your State Association ; very many, are not members of the organized and the door to your State Association is memprofession-are not members of any medical bership in your county society. So the first society. Perhaps some are even opposed to step is, to gain membership in your county organization of the medical profession. We society. If your county has no society, you wish here to state that we believe in an organ- are the one to begin a movement among the ized profession ; we believe that every doctor physicians of your county toward the organiowes it to himself and the work which he has zation of a county society. Talk to your medchosen, to make himself a part of the organ- ical neighbors about it, and write to Dr. Geo. ized profession. Why should not a man H. Simmons, Secretary American Medical identify himself with his profession ? Not to Association, 103 Dearborn Ave., Chicago, Ill., do so seems to indicate that the outsider is not for instructions for the organization of a worthy of a seat with his fellows.
county society. Affiliation with your medical
co-workers will make a batér man and a better large at heart, will allow his private and perdoctor of you. Perhaps it will also be a bene- sonal interests to swerve him from his journalfit to them ; but more probably the benefit will istic duties and obligations. It is better that be mutual. Why not try it anyway?
the true interests of the profession be served · However, when I sat down to write these than that THE MEDICAL WORLD or its Editor lines, it was for the purpose of again urging should prosper. If the practise of medicin is any who may not have read the Principles of an unselfish profession, then medical journalEthics of the American Medical Association, ism should also be an unselfish profession. His to immediately, as a good beginning of the work is narrow and temporary who works for new year, send five cents to the secretary of self and selfish interests. the association above given, for a copy of the If the evolution of the medical profession Principles of Ethics, and read it carefully should demand or involve the death of THE We know that many doctors were violently MEDICAL WORLD and the financial discomfiture opposed to the old "code.” The most viru- of its Editor, the Editor of this publication lent opposition came from those who had never will nevertheless work for the evolution of the seen a copy of the code. They imagined it to medical profession. be an instrument of torture; whereas, if they So I say again, and emphatically: Get and had gotten a copy and quietly read it, they read the Principles of Ethics; join the organ. would not have found it to be such a dreadful ized ranks of medical workers; and if, by vir. thing after all. The Principles of Ethics are tue of belonging to medical societies, the litera modification and modernization of the old ature of such societies should crowd The MEDcode. It is an important document, with pos- ICAL WORLD from your table, I will bid you sibilities for much good. No doctor has a a cordial adieu, conscious of having workt for right to oppose it, nor can he form an intelli- the highest good of yourself and of your and gent opinion concerning it, until he has read it. my (our) profession.
Fortunately we have the privilege of However, this is not a valedictory, for I addressing many young members of the pro- have no doubt that there is yet much work for fession, and many students about to enter the THE MEDICAL WORLD to do for the profession, profession. To these the above is opportune. and it will proceed to do it with the same We have the privilege of addressing, also, courage and disregard to consequences to itself many who are not in affiliation with the regu- that has characterized it in the past. lar profession, but who are adherents to the so called “ irregular" schools. While reminding these of the warm welcome which they
The Treatment of Acute Rheumatism. have received in the World “family," we We have no new drug nor any wonderful wish to say that the above applies no less to discovery to herald in this connection, but we them, for now the doors of the organized pro- believe the method of administration of the fession are open to all legal practicians. The drugs in common use may well be reviewed old "regulars" who have wandered away with profit. Practically but two classes of under false leadership, with a false understand- drugs need be discust in this connection; for ing of “independence," and who have be- the overwhelming majority of the profession come professional nondescripts—with these par- the world over have narrowed their treatment ticularly we wish to plead. Don't be misled down to these two classes : i. e., the salicylates any longer. Get the document above referred and the alkalies. Within the last two or three to and see that it is a charter of dignified years, the unanimity of such decision is surliberty, and not the instrument that you have prising; practicians of all schools in all imagined it to be. Round out your profes- countries, and practically all the great hospitals sional life within the ranks and in harmonious of Europe and America being united in their affiliation with your fellow workers, and not as views and practise. The greater number of a “kicker.”
these experienced observers adhere to the beWhile I am earnest and sincere in the above lief that in the salicylates lies the greatest virremarks, at the same time I realize that organi- tue, but a considerable class assert their belief zation, with consequent organization journals, in the theory that the alkalies have an influence means death to many now prosperous inde in obviating cardiac complications and in pendent journals. For example, a doctor who shortening convalescence not possest by the receives the excellent, able and enterprising salicylates. Journal of the American Medical Association There is no potent objection to the alkalies will have less need for THE MEDICAL WORLD on the part of those pinning their faith to the than one who does not receive the Association salicylates, and recent observers of note exJournal. But no true journalist, with the good press the belief that the alkalies (in some cases, of each individual doctor and the profession at at least) have power to ward off complications and shorten convalescence, tho being devoid We admit, in threatening cases, we have not of influence upon fever curve or pain. It is had the courage to rely upon alkalies, alone. admitted by those who use the alkalies most, Don't forget to have all rheumatism patients that the salicylates have a definit pain relieving drink plenty of pure water; “ plenty" means power which the alkalies cannot induce. We from two to four quarts every 24 hours. know that the salicylates have no power to prevent relapse, while it is possible that the alkalies, temporarily, may have such action. Such A Method of Shortening the Quarantine in consensus of opinion would suggest a combina
Diphtheria. tion of the two great lines of drugs in the The quarantine period in diphtheria is commedication of all grave cases.
monly distressing because the children are inDifferences, however, as to mode of admin- fectious for a long period after all symptoms istration and as to choice of salt are notable. have disappeared, and after they feel as well as Most of those employing the salicylates prefer ever. All that is necessary to shorten this the sodium salt, perhaps more from force of period is to secure a disappearance of the habit than from any valid reason. Many of Klebs. Loeffler bacillus from the secretions of the users of the alkalies prefer the potassium the nose and throat. Recently French obserysalt, but this practise is not unanimous, by any ers have been experimenting along this line, means. Wood (University Medical Magazine, and it is now announced that by means of dried January, 1895) favored the ammonium salicyl. serum the germs may be banisht from the secreate for reasons which we believe well taken: tions of the throat within a period averaging i. e., (1) It is freely soluble. (2) It is rapidly six days subsequent to the disappearance of the absorbed (3) It speedily produces the char- membrane. acteristic action of the salicylates when admin The dried serum is prepared with gum in istered in sufficient amount. (4) It is less de cachets, and directions are given that one pressing than are the other salts. The point cachet be slowly dissolved in the mouth every where many have failed in the use of the salicyl. hour. It is important that it is not quickly ates is that they have not given enuf of the chewed and swallowed, but that it be dissolved drug at the outset. Two or three grains, even slowly, so that the effect be maintained as long given hourly, will not do in grave cases. You a time as possible. In case of involvement of must get the effect of the salicylate at the very the nasal passages, the dried serum may be inoutset, and it often takes 120 grains in the sufflated. 24 hours to do this. The total daily amount No possible harm can follow the trial of the is more important than is the method of ad- plan, and as it cannot provoke error in the bacministration, or the size and frequency of the teriological test, we can see no objection to it, dose. We prefer giving 10 grains every two and there is certainly much to commend it. hours until we have a pronounced effect upon the pain, then less frequently, unless an exacerbation is threatened. Many practicians em- Ne
Need of Caution in the Use of the X-ray. ploy 15 and 20 grains, until they get the effect. As with every new thing in medicin, the use Quite a number of able clinicians stop the of the x-ray has been “overdone,” or at least salicylates as soon as the pain is controled, done injudiciously and without sufficient invesbut it has been our practise to continue the tigation. General practicians all over the world drug in progressivly lessening amounts for a have not hesitated to use the ray in every considerable time. If one gives it too long imaginable and demonstrable form of malady. or in too great quantity, it will cause profuse The first untoward results were manifested sweating and aggravate the inevitable anemia. by severe burns and x-ray dermatitis, and for a Then, too, one must expect to occasionally long time this was supposed to be an ineradimeet, in susceptible patients, such untoward cable drawback to the treatment. No expert symptoms as severe vomiting, vertigo, aggra operator now deliberately allows his patient to vated tinnitus aurium, even actual deafness, be burned. Then epilation was noted in many epistaxis, and in rare cases activ delirium. We instances, and this feature is yet to be positivly believe, in some susceptible cases, such symp- eliminated. Other objectionable symptoms toms can be controled, and yet the effect of have been frequently noted, such as brittleness the drug be obtained quite as readily, by ad- of the hair, dry and thin skin, loss in weight, ministering it per rectum. And, if the gravity vasomotor and digestiv symptoms, nausea, and of the case demand heavy dosage for many general neurasthenia. These symptoms dehours, one should not forget to add a few 20 velopt in patient and operator alike and imgrain doses of sodium bromid.
partially. Lately numerous cases of necroGiven as above, we do not think many prac- spermia and azoospermia have been reported in ticians will find the salicylates disappointing both physicians and patients, and this even in