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baby was often in intense pain, and there seemed to be no other way. This was my plan of campaign, and I am both thankful and pleased that it was successful. The baby improved from the first, but so slowly that it was scarcely discernible to the parents, but the nurse and myself saw it. After three days the child could take some nourishment per orem. I then gave 2 m. Glyco-Thymoline in one ounce of water every two hours before feeding. It began to have short periods of natural rest, and the discharges were in every way improved. At the end of a week, August 14th, the improvement was quite marked, but we did not relax our vigilance. The hypodermics, except of strychnine, were discontinued. The enemas were continued fifteen days, once every three hours, then at less frequent intervals for a month, then once a day for six weeks. The recovery of the little patient was long and slow, but uneventful. The mother and nurse were devoted and ably seconded my efforts. At this time the baby is a strong, rosy youngster.

It gives me great pleasure to tell you of this case. The experience may be of value, and it certainly proves, to my satisfaction at least, the potential possibilities of Glyco-Thymoline in gastro-intestinal work. May you be speeded in your good work.

The Treatment of Appendicitis.

C. H. Wallace, St. Joseph, Mo. (Journal A. M. A., March 31), divides appendicitis into six stages: 1, Inceptive stage, first fortyeight hours; 2, rapidly progressing stage, third, fourth and fifth days; 3, non-progressing or stationary stage; 4, interval or chronic stage; 5, abscess stage; 6, the diffuse peritonitis stage. In the first of all these all surgeons and many internists agree as to the advisability of operation. In the second, few surgeons favor operation, and observation shows that it increases rather than lessens mortality. Here Ochsner's plan of lavage and peristaltic rest by rectal feeding is sound surgery. In the third, rest and a guarded diet is advised, the case should be allowed to pass on to the interval period. This, the fourth stage, is the time for hopeful and ideal surgery. In the fifth, or abscess stage, he prefers two safe operations rather than one dangerous operation, first opening the abscess and later removing the appendix. In the sixth stage he believes that the least manipulation means the least mortality; simple incision with effective drainage with Fowler's position is the most hopeful treatment. Wallace summarizes his

views as follows: "I believe, with the mind open for conviction and liable to complete reversal by future advancement, that: First. Appendicitis is always a surgical disease. Second. Every patient should have and is entitled to operative measures within the first forty-eight hours. Third. The rapidly progressing stage is the stage of applicabilityy of the Ochsner treatment, and this offers the lowest mortality. Fourth. In cases coming to the surgeon with evidence of gradually subsiding symptoms, operation should be deferred to a more favorable period. Fifth. Operation should be urged in every interval or chronic stage. Sixth. In abscess cases two safe rather than one hazardous operation should be done. Seventh. In diffuse peritonitis all dependent cavities should be carefully incised and drained and not flushed, and, secondarily, the offending organ should be removed.

Averaging Things.

He prided himself on his morality and expected to be saved by it, and was constantly saying, "I am doing pretty well on the whole. I sometimes get mad and swear, but then I am pretty honest; work on Sunday when I am particularly busy, but I give a good deal to the poor, and never got drunk in my life."

This man hired a Scotchman to build a fence around his pasture lot. He gave him very particular directions. In the evening when the Scotchman came in from work the man said:

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"Well, Jack, is the fence built, and is it good and strong "I canna say it is all tight and strong," Jack replied, "but it is a good average fence anyhow. If some parts are a little weak, other parts are extra strong. I do not know but I have left a little gap here and there a yard or so wide, but I have made up for it by doubling the rails on each side of the gap. I dare say the cattle will find it a good fence on the whole, and will like it, though I canna say it is perfect in every part."

"What!" cried the man, not seeing the point; "do you tell me. that you built a fence around my lot with weak places and gaps in it? Why, you might as well have built no fence at all. If there is one opening, or a place where an opening can be made, the cattle. will be sure to find it, and will be sure to go through. Don't you know, man, that a fence must be perfect, or it is worthless?"

"I used to think so," said the man, "but I hear you talk so much about averaging matters with the Lord, it seems to me we might try it with the cattle. If an average fence will not do for

them, I am afraid an average character will not do in the day of judgment."-Selected.

An Inspection Tour.

I saw them kill a beef or two. It was a painful sight-
The man who killed them was so rude and not at all polite;

He did not bow or scrape at all, which seemed to me so queer,
Before he picked the hammer up and slugged the handsome steer.

I saw them take the lives of pigs, alas! they were so rough!
The man who used the knife appeared to me to be a tough;
He was not dressed in latest styles; he was no college man,
And everything he did, you know, was on an uncouth plan.

I saw some blood upon the floor-it was a grewsome sight!
The squealing swine, I must confess, put me in quite a fright;
I did not like the smell I found in fertilizing rooms,

And in the windowsills there were no boxes filled with brooms.

There were no carpets on the floors, nor pictures on the walls,
And lots of men I saw that day were wearing overalls;

And some were spattered up with blood and some with salty brine,
And not one fellow in the lot possessed a decent shine.

There were no parlors for the men to rest them in at noon,
Which you should every one admit would be a precious boon;
There were no rocking chairs for girls, no footstools for the men,
I also looked in vain to find a cozy corner den.

I saw no toilet soap and such, and powder for the girls,

No mirrors on the walls where they might go and fix their curls,

It was a barren place, indeed; quite crude I must declare,

I nearly fainted when some blood got spattered on my hair.

Some rooms were chilly as could be and others very warm,
Such things as this it seems to me are ripe for much reform;
If college men were put to work as bosses I am sure
These packing houses would soon be all spick and span and pure.

They'd chloroform the steers, you know; electrocute the sheep,
And just before they killed the sheep, they'd put them all to sleep;
If college men were at the helm, I solemnly repeat,
They'd have good surgeons in the house to cut up all the meat.

-Will Reed Dunroy, in Chicago Chronicle.

SUPPRESSION of urine in infants is extremely rare, and in any case in which the child is unable to pass its urine it is far more likely that there is some congenital source of obstruction. The existence of this should be determined by the prompt introduction of a soft rubber catheter.-Int. Jour. of Surg.

Publisher's Notes.

Eusoma (Echinacea Compound).

In eczema, dermatitis, and all irritable conditions of the skin, the local application of Eusoma is very comforting to the patient; relief of the intolerable itching is almost immediate and aids materially in effecting a cure.

Clean wounds always heal without suppuration and infected wounds quickly become clean wounds when Eusoma is used as a dressing. Internally, Eusoma is indicated in all conditions of dyspepsia.

Write for sample and descriptive matter with formula.

THE EUSOMA PHARMACEUTICAL CO.,
Cincinnati, O., U. S. A.

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NEW ORLEANS POLYCLINIC. The twentieth annual session opens November 5, 1906, and closes May 18, 1907. This school is intended for practitioners only. All instruction aims to be clinical and practical, and to this end, use will be made of the vast facilities offered at the great Charity Hospital, at the Eye, Ear, Nose and Throat Hospital, and at the special clinics to be held at the Polyclinic.

Physicians in the interior, who, by reason of their isolation, have been deprived of all hospital facilities, will find the Polyclinic an excellent means for posting themselves upon the status of the science of medicine and surgery of the day.

Those desirous of perfecting themselves in any special department or of becoming familiar with the use of any of the allied branches, such as electricity or microscopy, will be afforded every facility.

For information, address NEW ORLEANS POLYCLINIC, P. O. Box 797, New Orleans, La.

The Rationale of the Use of Iron in the Treatment

of Phthisis.

It is a singular, yet significant, fact that, with the exception of a single disease, there is always a slight diversity of opinion among

physicians as to which one of a number of agents exercises the greatest curative influence upon a given disorder.

The one exception is phthisis. The entire profession is united in the conviction that pure air, more than any other one factor, exerts a controlling influence upon the development of phthisical manifestations. Indeed, physicians concur in the opinion that, with the proper quality and quantity of atmosphere, this most widespread and fatal of all human maladies can oftentimes be cured.

While the beneficial influences of climate upon phthisical individuals has long been recognized by the profession, a perfect understanding of the exact manner in which atmosphere arrests the progress of the disease is a comparatively recent acquisition.

The opinion at one time obtained that mountainous and elevated districts were beneficial to phthisical subjects on account of the elevation alone. Recent investigations have disproved this theory. It is now an accepted fact that elevation, per se, is of little or no importance. On the contrary, the seashore is ofttimes better adapted to phthisical individuals than regions of a much higher altitude.

While it is true that the higher the altitude, the less prevalent is phthisis, the explanation is that atmospheric impurities are less abundant and ozone is more plentious in such regions than elsewhere. In other words, it is conceded that the absence of atmospheric impurities and the presence of ozone are the chief elements in the cure of phthisis, and that any section, high or low, which affords these elements is advantageous to the phthisical individual.

The benefits derived by consumptives from living in or near forests, is a matter of common observation. The turpentine exhaled from pine trees converts oxygen into ozone, and the atmosphere is thus purified by the process of oxidation.

Having repeatedly proved that the direct inhalation of ozone is of little, if any, benefit, we are forced to the conclusion that it is not ozone which arrests the progress of phthisis, but the systemic oxidation which is brought to the maximum by the inhalation of a perfectly pure atmosphere.

In fine, we are now agreed that if systemic oxidation can, in any manner, be maintained at the proper standard of activity without exhausting the vital forces of the subject, the progress of phthisis can be checked, and very frequently completely cured.

Although the benefits derivable by phthisical individuals from an atmosphere that is conducive to a full measure of systemic oxidation are immeasurably great, the fact remains that it is not always within the power of the physician to induce the patient to move to a region affording such an atmosphere. The patient may, through inability to pursue his vocation, be financially unable to make a change of residence, or he may be influenced by the optimism peculiar to phthisical subjects, to postpone the change until the disease has progressed too far.

When, for any reason whatever, it is not possible to change the abode of these subjects, it is within the power of the physician to

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