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Drug Treatment of Diabetes. In the treatment of diabetes mellitus opium, of course, has long held first place among therapeutic agents. In the hands of many physicians papine (Battle) has produced identical results with those derived from the administration of opium or codeine. The employment of small doses at the beginning, and thereafter increasing until the required effects are produced or until narcotic symptoms are exhibited, when the dose will be held stationary or reduced, is the practice usually followed.

Chronic Catarrhal Diseases.-Chronic catarrh never fails to indicate general constitutional debility. Local treatment is always desirable but for permanent results efforts must be directed toward promoting general functional activity throughout the body, and a general increase of systemic vitality. The notable capacity of Gray's glycerine tonic comp. in this direction readily accounts for the gratifying results that can be accomplished through its use in the treatment of all chronic catarrhal affections, but especially those of the gastro-intestinal canal and respiratory tract. The particular gratifying features in the results accomplished by Gray's glycerine tonic comp. are their substantial and permanent character. This is naturally to be expected since they are brought about through restoring the physiologic balance of the whole organism.

Some Plain Facts About a Soporific.-For nearly forty years we have been making for the medical profession what we believe to be the ideal sedative, soporific agent, and the fact that its use at the hands of physicians steadily grows seems to be the best proof of its therapeutic value. Until within late years we put this product on the market under the name of Daniel's concentrated tincture of passiflora incarnata, but pirates began counterfeiting and forced us to protect the reputation our product had earned, and

PASADYNE accordingly we gave it the dis

tinctive name, pasadyne.

We

grow our own plants on a large acreage and have done so all these years. In the manufacture of our product we draw upon every pharmaceutical advance, for we want to maintain the highest possible standard for pasadyne (Daniel). Hundreds of able clinicians have proven to their own satisfaction that pasadyne (Daniel) is equal in therapeutic power to the older somnifacients, and is free from their disadvantages. Whenever you need a sedative or a soporific, you may prescribe pasadyne (Daniel) with the fullest assurance that it will produce the results you want. It will not, fail you. A sample bottle may be obtained by addressing the laboratory of John B. Daniel, 34 Wall Street, Atlanta, Ga.

Johann Hoff's Extract of Malt with Iron, an Ideal Reconstructive in Anemia and Disorders of Nutrition.-Impaired nutrition and impoverishment of the blood are the constant and logical re

....

Telephone No. Main 1173

3154

1635

6326

5267

sults of protracted disease. So commonly are these concomitants and sequels of disease found among all classes of invalids, and so full are they of peril to multitudes of afflicted humanity, that every new remedy promising relief to the sufferer is eagerly sought and faithfully tried. Anemia implies a deficiency of blood, or deficiency of the relative number of its red corpuscles, or possibly a lack of the normal amount of hemoglobin in the red corpuscles. The question may be asked-what has disease abstracted from the blood to cause its impoverishment? We answer, iron. Iron constitutes an integral part of the red blood corpuscles, and is necessary for their production. When they are deficient, it naturally follows that iron is lacking. For this reason, iron, from time immemorial, has been regarded as a sovereign remedy in the treatment of anemia. It not only supplies the material for manufacturing red corpuscles, but when administered in proper form, and in combination with other correctives of disordered nutrition, it aids the system to appropriate additional iron from food for the upbuilding of red corpuscles. Being required then, for the normal constitution of red blood, iron is practically a food, but as ill-health results from a deficiency in the number or quantity of corpuscles, and iron in substance, will often restore healthy conditions, we are justified in using it as a medicine until the organism recovers its lost ground. This being the case, the next point to settle is the form and combination in which it shall be administered. It is well known that the value of iron, as a hematinic is increased by its association with manganese, not only so, but oxidation is promoted, with elevation of temperature and increase of tissue-change. When these medicinal substances are presented in the form of peptonates, in combination with the nutrition and diastatic properties of malt, as represented by Johann Hoff's extract of malt with iron their therapeutic effects are signally augmented, and it will be conceded that an ideal chalybeate has been found. Any chalybeate which meets the threefold indication of increasing red blood, promoting general nutrition, and augmenting oxidation, answers most completely the wants of the system in anemia and disorders of nutrition. Johann Hoff's extract of malt, with iron, does all of these things, and for that reason constitutes the ideal reconstructive and rebuilder in the above class of disorders. The theory upon which this preparation is based, is logical, but when this theory has been verified by innumerable clinical applications, as evidenced by the testimonials of thousands of medical men, there is no longer a doubt that Johann Hoff's extract of malt with iron deserves the first place among chalybeate tonics. This product is presented in liquid form. It is palatable, readily absorbed and assimilated, and never exerts deleterious effects on the organism. It may be administered in wineglass doses, three times a day after meals.-Medical Era.

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Besredka's sensitized bacterins are becoming very popular in France, but are only just beginning to attract attention in this country. It is claimed that they cause no local or general reaction, act more quickly than other bacterins, and maintain their action for a longer time. Mulford is the agency for America.

MEDICAL HERALD ADVERTISERS

A Temporary Diet for Infants

in

Summer Diarrhea

Mellin's Food

4 level tablespoonfuls

Water (boiled, then cooled)
16 fluidounces

Each ounce of this mixture has a food value of 6.2
calories - affording sufficient nourishment and in a form
readily assimilable.

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No physician can afford to be indifferent regarding the accurate filling of his prescription. —75—

The Medical Herald

Incorporating the

Kansas City Medical Inder-Lancet

Under the Editorial Direction of

Chas. Wood Fassett and S. Grover Burnett

OUR SLOGAN:

"Fewer and Better Medical Journals.”

EMERSON'S FAMOUS EPIGRAM

"If a man can write a better book, preach a better Jermon, or make a better mouse-trap than his neighbor, though he builds his house in the woods, the world will make a beaten path to his door."-Ralph Waldo Emerson.

"THE OPEN DOOR."

We have no latch-string; our door is always open to those who would add aught of scientific interest to our readers, and the pathway to the door of The Medical Herald is not difficult to find.

Subscription, $1.00 a year, in advance, including postage to any part of the United States, Mexico and Canada. Postage to foreign countries in the Universal Postal Union, including Newfoundland, 50 cents a year additional.

The Medical Herald aims to reflect the progress in the sciences of medicine and surgery, especially throughout the Missouri Valley and Southwest, the territory of its greatest distribution.

Concise and practical articles, news and reports of Interesting cases invited, and should be type-written.

The privilege of rejecting any communication is reserved, and all papers accepted must be for exclusive publication in this magazine, unless otherwise arranged.

To contributors of original articles a liberal number of copies of the Herald will be given (or mailed free of expense if addresses are furnished) and the publishers will furnish reprints at printers' cost, application for same to be made when proof is returned.

The editors are not responsible for the utterances of contributors or correspondents. Illustrations will be furnished at reasonable rates, if drawings or photos are furnished.

Address all remittances, correspondence, articles for publication, books for review and exchanges to the Managing Editor.

Subscribers changing their addresses, will please notify us promptly, as magazines cannot be forwarded without adding postage.

Advertising forms close on the 20th of each month. Time should be allowed for correction of proof.

Advertising rates on application to the Managing

Editor.

Poetic Reprints-Do not mutilate your Medical Herald by tearing out any piece of poetry that may strike your fancy. Write to the Managing Editor, and he will send you a reprint. Reprints are made of all verse appearing in this magazine.

Wanted Salesmen and detail men who call on physicians, and would like to learn of a proposition to increase their income, may do so by addressing "Proposition,' care Medical Herald.

To Our Subscribers-You will confer a favor on the publishers by remitting promptly on receipt of statement. The amount is very small to each one, but the expense of sending out duplicate bills is quite heavy. Kindly report change of address promptly, giving old address as well as the new location.

(Entered at the St. Joseph P. O. as second class matter.)

For Sale.-Instruments, books, and office equipment. Address "Retired," care of Medical Herald, St. Joseph, Mo.

Wanted. Partnership, to do eye and ear work exclusively; or with a general surgeon. Address, Oculist, care Medical Herald, St. Joseph, Mo.

Partnership Wanted. -A physician of experience, specializing in gynecology and obstetrics, would buy a partnership with some well established general practician in Kansas City. Can give best of references as to ethical standing. Address W. A. G., care of Medical Herald.

Wanted. Second-hand surgical chair. State price and condition. L. W. D., care of Medical Herald.

For Sale.-X-ray equipment recently purchased, will be sold at a great reduction for cash. Address for particulars, P. B. F., care Medical Herald.

Important. Physicians desiring new instruments, a surgical chair or cabinet, or any office equipment, may learn something of advantage by addressing "Removing," care Medical Herald.

For Sale.-Hospital equipment for 50 patients for sale at a bargain. Includes beds, mattress, linen, operating furniture, high pressure sterilizer, combination range, dining room furniture. For particulars address, 501 Sharp Bldg., Kansas City, Mo.

Hay Fever, both acute and chronic, is being successfully combated with respirazone. Those of the profession not familiar with the article may obtain a free sample by writing to The Tilden Company, New Lebanon, N. Y., or St. Louis, Mo. This is one of the very reliable prescriptions in hay fever and asthma, and has rendered valuable service.

CAUTION!—Whenever the true merit of

a preparation is authoritatively established, imitation is sure to make its pernicious appearance. To counteract the injurious results of another of these fraudulent proceedings in this instance affecting firm name and reputation-Sander & Sons have been compelled to appeal to law, and in the action tried before the Supreme Court of Victoria, the testimony of a sworn witness revealed the fact that this witness suffered intense irritation from the application to an ulcer of the defendant's product, which was palmed off as "just as good as Sander's Eucalyptol." Sander & Sons had the satisfaction to obtain a verdict with costs against this imitator, who is perpetually restrained from continuing his malpractice. Dr. Owen, in a report to the Medical Society of Victoria, and Dr. J. Benjamin, in the Lancet, London, both denounced, as others did before, on the strength of negative results, the application of unspecified eucalyptus products.

This forms convincing proof that only an authoritatively sanctioned article can be relied on.

SANDER & SONS' EUCALYPTOL (Ecalypti Extract)

1. Has stood the test of Government investigation.

2. It was proved at the Supreme Court of Victoria by experts to be an absolutely pure and scientifically standardized preparation.

3. It is honored by royal patronage. 4. It always produces definite therapeutic results.

Therefore, to safegaurd the physicians' interest and to protect their patients, we earnestly request you to specify "Sander's Eucalyptol" when prescribing eucalyptus.

The Meyer Bros. Drug Co., St. Louis, Mo., agents, will forward one original package (1 oz.) on receipt on One Dollar.

Incorporating

The Kansas City Medical Index-Lancet

An Independent Monthly Magazine

Vol. XXXIII

SEPTEMBER, 1914

Organized at Council Bluffs, Iowa, September 27, 1888. Objects: "The objects of this society shall be to foster, advance and disseminate medical knowledge; to uphold and maintain the dignity of the profession; and to encourage social and harmonious relations within its ranks."-Constitution

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No. 9

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Original Contributions

[EXCLUSIVELY FOR THE MEDICAL HERALD.]

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W. H. MICK, M. D., Omaha, Neb.

Our investigation in plate reading, is based on, accounting for the change of the impression recorded on an X-ray plate, an X-ray plate, when compared with the normal.

To have an atlas of normal shadows, cast by the X-ray, of every part of the normal body, would be just about as valuable as if you had the same microscopic slides and looked at the same through the microscope without an instructor. To the physician who has had little or no experience in reading X-ray plates, let me say this, that you must not get discouraged because you see very little on an X-ray plate. an X-ray plate. I know a number of men who are very clever surgeons and likewise physicians who say that they see but little in an X-ray plate, and the funny part about it is that some of these men believe that there is very little in X-ray plates. I am sure that if they had given themselves a more extensive study

*Read before the Medical Society of the Missouri Valley, at Lincoln, Neb., March 26, 1914.

and had based their observations on looking at more than the few plates that they have seen elsewhere and of there own patients, they would see a great many valuable diagnostic changes which would reveal hidden pathology of a living subject, which is of equal value to the confirmative diagnostic evidence received by other methods. I do not think that a doctor is to be criticized because he does not see all there is to an X-ray plate at a glance, because radiographers generally have been increasing there knowledge of plate reading by constantly reading the plates that come under the observations in the literature and other X-ray laboratories.

The method I use to teach physicians to recognize normal shadows, was based on the following: I have a doctor start and learn how to load and develop plates of a hand first. Now there is nothing simpler to take than a hand. The only way to learn radiography to eventually become thorough all the way through is to learn the handling of plates and simpler things first. While it is very simple to take the toes and top of the foot, I still contend that if each step is

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Fig. 1.-A represents a film of a tooth which has been crowned, the root and bone of which are necrotic and filled with pus B represents a film of the same root after the crown has been removed. C represents the same condition after the cavity had been amputated. D represents the same condition after the cavity had been filled with bismuth paste and allowed to heal. X, in film C, is a finger mark, which came on the film by being handled before the film was dry. This is an excellent method of the surgeon, who keeps records of his cases, which show the pathology before operation. the result of the operation, and also the condition when the patient is dismissed. Giving him an indisputable record.

becomes fairly proficient in handling and developing plates and can get a clear image of a hand, arm, foot and leg, I will allow him to take an elbow and this should be ordinarily done without failure. Without taking any more time, a man who makes a radiograph of an elbow from the different directions, I have him make a radiograph of a knee joint. The shoulder can be taken intermittently with the knee. Having mastered the taking of a normal, broken, or dislocated limb we were ready to begin the making of radiograph of the chest. After making a successful picture of the chest, it is well to allow the student radiographer to compare normal chest with the shadows and movements on the screen of a chest. After your chest is taken fairly well you

to study radiography of the head and then begin the study of gastro-intestinal diag. nosis. If you have made a study of the normal and the departure from the normal by fracture, etc., you are ready to begin the studying of plates, made by other radiographers and show pathology. If you have had the experience of making one thousand X-ray plates under the supervision of a radiographer and examining other plates, you will be able to see more in an X-ray plate than if you have simply looked at plates of other portions of the body or plates that you may have seen of your own patients; without any system of study you must not expect to be able to interpret changes of pathology from an X-ray plate. While your pathology is recorded on

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