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lief of pain only. The patient was at once time for collection is the spring; the best plied with the tincture of digitalis to the parts to use are the roots and stalks with limit of supposed safety. Repeated exam- only half-developed leaves. It may be inations showing no change, about 1 o'clock used as an infusion- a handful to two a. m. Dr. Seymour asked that the physician quarts of water, two or three glasses first casually consulted be called. Just thereof to be taken during the day; but before his arrival, half an hour later, the it is much pleasanter to use in the form of patient said, “It's all right now," and a freshly-prepared soup from the fresh auscultation showed no trace of irregular. herb. ity, nor any of the abnormities of five minutes previously. Soon afterward he
Class Room Notes.
[From DUNGLISON'S COLLEGE AND CLINICAL RECORD.] fell asleep and rested well until daybreak. Under the doctor's restrictions he re
-Dr. Hearn strenuously urges prompt mained in bed the next day, altho he felt
attention to Slight Abrasions. They are fully able to attend to business,
frequently allowed to go on to troublesome At the time of the next visit 8 a. m. the and often dangerous cellulitis. following day, examination found no indi.
-Inflammation of the Iris and Choroid, in cation of the six hours' storm of the night the earlier stages, should be treated with
The condition had evidently been atropin, provided there is no rise in tena rotary twist, but whether from right to sion. If there is increast tension, eserin left, or the reverse, defied most solicitous and cocain may be used. Internally, give diagnostic effort.
the bichlorid of mercury with iron, or the Being intimate friends, as well as main- iodíd of potassium.- De Schweinitz. taining the relation of physician and patient, the doctor met him often for several
- The sluggish type of Eczema often years afterward, but never knew him to
yields to the following, tho it is somewhat have any cardiac difficulty. Both remove heroic, and should be carefully applied : ing from that locality to different cities,
R. Saponis viridis, the doctor and his patient maintained cor
Picis liquidæ, respondence until two years ago, when one
M. morning, after rising at his usual early Sig.–Rub in.
-Stelwagon. hour, the latter went into his parlor. Not -Acne in an oily, dirty skin, requires responding to the breakfast call, he was the following, as well as frequent washing found dead on a lounge, as if he had with hot water and green soap : quietly fallen asleep. It was stated that R. Sulphur precipitat.
3 iss he had died of heart disease.”'
f3 iv It would have been a mournful satisfac
f3 iiiss. M. tion, says Dr. Seymour, to know what
Sig. - Apply as a lotion. -Stelwagon. relation, if any, existed between the accident of twenty-three years before and the
-Immediately after labor, all Lacera
tions of the Genital Tract should be carefully finale.
repaired. Especially should the cervix be The Common Nettle in Anemia.
examined, and, if the tear be very large, Dr. Hjalman Agnér (American Medical
suture it, with a view to favoring involuand Surgical Bulletin), was cured of
tion. It is not enuf merely to look at anemia, when he was seventeen, by tak
the vulva and skin perineum, but the vaging nettle soup. One of his patients, a
inal wall should be everted by inserting girl of twenty, had tried all remedies a finger into the rectum and turning it recommended in anemia, including the
out. Many lacerations will in this
be preparations of iron, but without apparent
discovered which would doubtless pass benefit; he ordered her then nettle soup,
unnoticed in a less systematic examinafirst every second day; then, when she
tion.-Davis. improved, twice a week. The patient was Threatened Abortion, unless the aborcompletely cured. The author treated tion be inevitable, should be treated by many other cases with nettle, but as they rest, hard bed, light covering, iced lemonreceived other treatment besides, he does ade, rectal injections of twenty drops of not care to speak of them in detail. The laudanum to half a cup of warm water, to common or stinging nettle and the dwarf which chloral may be added with the yoke nettle possess the same virtues, but the of an egg, if the patient is very restless.first is used almost exclusively. The best Parvin.
The Treatment of Suppuration by Bicarbonate the subject treated of that constitutes obof Soda.
scenity, but it is in the circumstances un. Brucker has made a study (These de der which, the manner in which, and the Bordeaux) of a fact observed by bim- purpose for which the thing is done or the namely, the influence of the reaction of subject treated that obscenity lies, or does the blood in the healing of certain condi- not lie, as the case may be. A really pure tions. Bearing in mind that the normal system of morals would treat not of acts alkilinity of the blood shows important but of the motives which prompt them. If variations according to sex, age, and as to this truth were more fully realized society whether the blood is arterial or venous in would be less full of viciousuess luxuriatorigin, and the diet to which the patient ing broadcast and unmolested under the has been addicted, so in certain pathologi. cloak of virtue, by complying with the letcal conditions these variations are very ter of conventional law, and of virtue markt, and a reduction in the normal driven into byways, from which it would alkalinity is observed in certain cases of gladly escape, to be howled down as vicious febrile reaction due to bacterial intoxica- by the whited sepulcher of a hypocritical tion. It has been found that certain arti- conventionality.-N. Y. Med. Journal. ficial intoxications can be combated by raising the alkalinity of the blood by the
The Alcohol Neurosis. injection of alkaline serum. Going on Dr. J. Strachan (British Medical Jourthese grounds, Brucker bas principally nal), says that it must be borne in upon investigated the influence of alkaline the mind of everyone who has any lengthdressings in the treatment of local inflam- ened experience in medical practice that matory affections, and, according to his there is a disease of alcoholic intemperance observations, such a dressing, whether that there are men and women who moist or dry, very rapidly reduces the have no more power to resist "drinking imflammation suppurative or otherwise, to excess," if they • drink" at all, than and causes rapid healing of wounds. This they have to prevent the symptoms and seems independent of any antiseptic the course of any other disease, the poison property in the proper sense of the word. of which has entered and is working in The method employed by him is to apply the blood. the dressing of absorbent wool on ordinary This neurotic intemperance possesses principles, using merely a two-per-cent. several features which serve to distinguish solution of bicarbonate of soda, or in some it from the common vice of occasional and cases vaseline and bicarbonate (1 in 25), deliberate drunkenness, and it is of great or the soda may be applied directly in the importance that the distinction should be form of a powder. He finds that strong fully recognized. solutions do not act more quickly than a 1. Whereas the vice, once so prevalent two-per-cent., showing that the chief agent and even fashionable among the men of is the alkali and not any antiseptic princi- all classes, is now all but confined to what ple. The same method may be applied for are called the lower orders, and is being purulent otitis, etc.-Gaillard's Med. Jour. driven ever lower in the social scale, th
disease is oonfined to no class and to neither What Is Obscenity?
sex, and instead of diminishing seems Nothing that is in accordance with the decidedly on the increase, as is shown not normal habits of man can be of essence only by the number of cases to be seen in either improper or impure. It is the at- every community, but also by the increastendant circumstances, the manner, and ing number of “retreats” and homes for above all the motive of the consideration, inebriates, and the more and more pressing which alone can be impure and improper, calls for legislative restraint for those so or otherwise.
afflicted. And so we may ask, What is obscenity ? 2. While the vice of drunkenness is Conventionality in this as in most other very much a matter of occasion and oppor• things is the rottenest of rotten reeds to tunity, and is perfectly under control
It substitutes shadow for sub- when a sufficiently strong motive is operstance and form for matter. It judges of ative, the disease is to a great extent things and acts, instead of motives. There periodic in its onset, and quite unaccountis no subject that exists, the consideration able in its course. The occasional drunkard or investigation of which constitutes in it- is, as a rule, a habitual drinker, and self obscenity. It is not the thing done or indulges to excess only on occasions of
sunny in every
conviviality; the neuro-inebriate may
The Country Doctor. have long intervals when he has no desire The choice of the location in which he is for and does not take stimulants, but has to settle down for his life-work is not inperiods of resistless craving which run a frequently predetermined for the young more or less definite course. As the dis- graduate in medicine by circumstances ease progresses, however, such intervals over which he has no control. The family tend to become shorter, and the intox- influence in his old home, an opportunity ication more or less continuous, culmi. to succeed in practice a father or uncle or nating at times in delirium tremens or some such consideration may practically convulsions.
determine the question of location long 3. The occasional drunkard seeks com- before graduation, and may even have panionship in his cups, and is generally been the chief factor in causing the selecmore or less noisy and uproarious in his tion of medicine as a vocation. Where no intoxication, but the victim of this dis- such conditions exist, however, where the ease inclines rather to shrink from obser- newly-fledged physician has no ties which vation, and is generally quiet and morose bind him to any particular locality and under the influence of alcohol.
has the world to choose from, he is freThe craving is for relief from suffering. quently led to take up his residence in the Persons presenting the alcohol neurosis city largely on account of college assoare very susceptible to the alcoholic stim- ciations and without sufficiently careful ulus; a comparatively small amount pro- consideration of the task before him. duces exhilaration. This is followed by While the great prizes are won in the city, reaction amounting to an extreme degree great obstacles must be overcome to win of nervous depression. A repetition of them, and many of the leaders in metrothe stimulus gives immediate relief, but politan practice laid the foundations of at the expense of further reaction and still their success while country doctors. It greater depression and more urgent crav- is true that the young physician who is ing for relief. More and more is required attached to a city hospital sees a larger to keep off, as it has been expressed by a number and variety of cases than he would sufferer, “the horror of getting sober." see during the first years of practice in Here it is the first glass of whisky, which the country, and for that reason a year of does not carry with it any moral delin post-graduate study or a hospital appointquency, and according to the usual drink- ment for the first year after graduation is ing customs of the country, is very difficult a most desirable thing. After this year to avoid, which does the mischief. The of hospital work, the young graduate of attack usually culminates in severe gas- only moderate means will find his best tric irritation and complete
opening in a country town. Judgment is prostration, perhaps delirium tremens, on of course required in selecting a town recovery from which the craving is found where the profession is not particularly to have passt off, and the patient is full crowded with young and well-informed of good resolutions. For a longer or physicians. shorter time all goes well, and there is Having made a judicious selection, the not even any desire for stimulants. Then young physician will, if he be gifted with the patient-he still is a patient, although a fair degree of tact, be surprised to find he does not know it — feeling himself how rapidly his practice grows. To the stronger, or feeling dull and low-spirited, young man of limited means this feature for such neurotics are subject to fits of is one of almost paramount importance, depression quite apart from the use of and he will find himself at the end of five stimulants, and are easily upset by busi- years of country practice very much better ness worries, etc., thinks that a glass will off financially than he could have hoped set 'him up and let him get on with his to be had he remained in the city. His work. An attack follows and runs its character will also have developed more, course as certainly as an attack of fever and he will have become much more selfwhen the poison enters the system.
reliant than he would have been had he remained in the city. He will probably
have seen as wide a variety of, if not as Dr. F. P. Blake, of Canon City, Colo., many, cases as he would have seen had he uses sweet spirits of niter with success in remained in the city, save under unusually insect bites, and has also lately used it favorable conditions. with satisfaction in senile pruritus.
The young physician entering upon
country practice is launched into a field to a pinch of snuff. As for hiding the where he may be called upon any moment knowledge of the drug from the patient, to administer to every form of disease. and the advantage to patients traveling As stated by Dr. Ellis : “It is in the pre- abroad, the facts need only to be lookt cipitate and constant exercise of his facul- squarely in the face, and the argument for ties in the contemplation of these prob- Latin becomes a bad boomerang. The lems and their various solutions, unaided, practice is a pompous bit of humbug, which and with great paucity of literature, that should be left to medievalists and not his training proceeds, and his success or scientists. So soon as we get our therafailure depends not only on his educational peutics out into the daylight of common equipment, which is too often inadequate, sense and genuine science we shall surely but quite as much upon his mental and dispense with the sorry jumble of bad moral fibre. If he is honest with himself, Latin and poor English illustrated by conscientious and diligent, bis develop- nine-tenths of the actual prescriptions on ment is rapid and mainly thru the culti- file to-day at the drug-stores.-Phila. Med. vation of habits of self-reliance which his Jour. surroundings do so much to engender and encourage. And it is this habit of self
“ Diplomas" While You Wait. reliance that goes so far to mould, to mar St. Luke's Hospital, Niles, Michigan, is his character. A capable man grows in getting itself in disrepute with the State strength and adaptability. In a less board of health by the manner in which it capable man, if he is not confessedly and is disposing of certificates or diplomas. conspicuously beaten, there is frequently The institution was incorporated last Nothe growth of a provincial egotism and a vember by Dr. A. C. Probert of St. Paul, self-sufficiency that is as discouraging to Minn., and Dr. C. W. H. B. Granville of further growth as it is deforming to his South Bend, Ind., who are its president personality.”
and secretary The concern has done
some advertising in papers of general cirYellow Palms as a sign of Typhoid fever. culation and from all reports has done a
lucrative business. Filopowicz (American Journal of the Med.
A number of stenogical Sciences) calls attention (for the second raphers are employed and an enormous time] to a symptom of typhoid fever not correspondence is done, principally with generally lookt for. The palms and soles physicians who are offered a certificate or acquire a yellow color, which is more diploma entitling them to membership on markt in proportion as the skin is thickened the visiting staff of the hospital. by toil, but present even when the skin is
The cost of these blue-ribbon gold-sealthin, This change comes on in the early bedecked certificates, diplomas or memberdays of the disease, and lasts until the ship cards is from three to five dollars, and end, disa ppearing in convalescence. The are claimed by the institution to be a great author thinks the sign due to the changes attraction to any physician's office. in the circulation, especially the anemia
The holders of the diplomas or certifiof the skin, as the result of which the
cates are entitled to bring their patients to subcutaneous fat shows thru.
the hospital for treatment, they receiving 50 per cent. of the fee for treatment or op
eration. As the certificates are issued all Should Prescriptions be Written in Latin or
over the United States this privilege seems English?
to be one that will not be taken advantage We think it time that Latin should not of by those located in towns far distant be used any longer in writing prescriptions. from Niles. There is not one in a hundred physicians Dr. Nicholas Senn of Chicago, and other who can write Latin correctly, and a pre- physicians of note are named as being on scription that is one-half or one-fourth in the staff of the hospital, which statement Latin and the rest in English is bastardly is refuted, they claiming that they have ridiculous. We all hide our philologic been imposed upon, and have demanded ignorance under contractions that lead to that their names shall not be used. ambiguity and even danger, and when we Secretary Baker of the State board of can no longer hold out with our wretched health of Michigan, has asked the attorney sham we are compelled to plunge into general to annul the articles of association English for the directions. All arguments of the hospital. for this medieval nonsense do not amount Charles W. H. B. Granville, M. D., president of St. Luke's Hospital, at Niles, says themselves with remedies? of unknown he challenges impartial investigation of composition, and this death under such the methods of that institution, and dares sad circumstances, may be taken as an Secretary Baker to come out openly over indication that the custom is not one wbich his signature and accuse him of running a can be indulged in with safety.-British bogus M. D. factory.—Commercial Union. Medical Journal.
Physician's Blessings. Two things are essential for the good of of the aged, in consequence of its action
Digitalis impairs the general nutrition the family life of the physician-patients
on the arterioles, and hence should not be for the husband and patience for the wife.
prescribed for old people.-Med. Brief. -Pa. Med. Jour.
Buttercup Poisoning.-A short time ago Headache Powders,
an English boy died within a few hours An inquest was held recently on the
from eating a number of thes. common
flowers. body of a young man who died from the effects of taking two "headache powders." The Maryland Medical Journal asserts From the analysis of the contents of the that turpentine in usual doses, according stomach it appears that the powders in' to age, is a specific against mumps. question were composed of antifebrin, but
For eczema of the hands Duhring recomthe exact quantity administered was not
mends a continuous dressing with a tar ascertained. Antifebrin, like most anilin and compound tincture of benzoin or colderivatives, is a drug which should be em- lodion. ployed with especial caution. It is official under the name of acetanilid, and its potency is sufficiently indicated by the
Our Monthly Talk fact that the maximum dose assigned to it is only 3 grains. There have been many cases
I well remember when we used to stand up in
a long row every day at school and spell all sorts of poisoning from the injudicious admin
of words-long, short, easy and hard, but we istration of this remedy, the symptoms bad not the faintest idea of the meaning produced by it being of the anilin type of the majority of them. To know their The patient usually complains of giddi- meaning seemed to be of no value. The ness, noises in the ears, throbbing in the
one object of our school life seemed to be temples, and a dull, heavy pain in the
able to spell correctly, and without hesitation, head. The face becomes livid, the lips are
every word in the dictionary. This seemed to
constitute the chief part of an education, accordblue and the pupils are contracted. This ing to the ideals then prevalent. One school is followed by symptoms of collapse, the would challenge another, and long winter evenface and extremities are cyanosed, the skin ings would be spent in the parrot-like pronouncis covered with cold, clammy perspiration, ing and spelling of column after column of the pulse is feeble and respiration becomes
words, but never a thought nor suggestion of their shallow and frequent. There is no specific "spelling bees” the “ brilliant” pupils (parrots
meaning. At these numerous (and delightful) antidote, and after the administration of a were pitted against one another until all were brisk emetic the sufferer should be kept in "spelled down” but the last remaining one, a strictly recumbent position, and plied who was the champion. vigorously with stimulants. The effects I know whereof I speak, for I can turn back
the pages of memory and find many of these are usually of considerable duration, and
occasions-enjoyable, but mistaken; enjoyable in one case the patient was not out of
as an amusement, but mistaken as to educational danger for fourteen hours. We are in- value. I will readily grant that, as an amuseformed that there is a considerable demand ment, these affairs were as good, and perhaps for powders of this description, the pur- better, than the progressive euchres and other chasers being chiefly young women of the
amusements of the present time; but no one
claims that euchre playing is educational. Eduseamstress class. Whether the sale of
cators finally realized that the actual use of these drugs should be in some way re- spelling was in writing; and they also found stricted may be an open question, but it is that the most brilliant of these oral spellers made quite clear that some intimation should be frequent errors in written spelling, so they congiven that they are not free from danger, cluded that the best way to teach spelling was to
require the pupil to write the words, then correct and that they cannot be taken in unlim
them if errors were made, rather than give oral ited quantities with impunity. Many peo- exercises. ple acquire an unfortunate habit of dosing In many other ways the process of educating: