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Where Medical Students Congregate. diagnostic aid, tho their use in this direcAccording to the latest statistics, Chicago tion is obviously limited. (5) Exploratory ranks first in order as a medical center, incision should be ruled out, unless the with over 2,500 medical students; Phila- fracture is of such description as to dedelphia second, with upwards of 2,300 mand or justify a simultaneous osteoplastic students ; New York shows a decrease in operation.-Am. Jour. of Surg. and Gyn. attendance from 1889 of almost 200, giving her the third place, with 1,900 students ; St. Louis ranks fourth, with about 1,400
Class-Room Notes. students, having passt Baltimore, Cin- (From Dunglison's College and Clinical Record.] cinnati and Louisville; Baltimore has -The most successful treatment that I 1,300 students, and occupies the sixth place. have found for Tinea Versicolor, a disease --Med. Age.
which is so often mistaken for syphilis, is
āā f Zss France, has been experimenting with alka- Aqua.
q. s. ad f 3viij M. ine vaginal injections on mares that had SiG.-Apply locally night and morning. been ineffectually covered. He treated
This application, with frequent 436 of them, using 75 grains of sodium change of underclothing, will usually cure bicarbonate to about a quart of water an promptly. Sometimes it is better to add hour before copulation, so as to counteract
lime-water instead of plain water.—Hearn. the hyperacidity of the vaginal mucus,
- In the treatment of Hysteria, nothing which was blamed for the preceding sterility. Two hundred and seventy-seven of helps so much as building up the general them were fecundated, 148 remained sterile health. To accomplish this Prof. Dereum
st cure. Place the and fourteen were lost sight of by him. Old brood-mares that had not been preg- and easily digested food. Use forced feed
patient in bed, give the most nourishing nant for many years—one having gone eight years, and having been unsuccess
ing. Combine massage and electricity. fully covered for three consecutive years
Swedish movements and out-door sports are under the treatment produced fine foals.- often useful. Send your patients away Exchange.
from home among strangers. Have them
read or have an attendant read to them. Diagnosis of Fractures.
-The usual Treatment of Eclampsia in the Dr. Thomas H. Manley, Professor of Jefferson Maternity consists in placing the Surgery in the New York School of Clin patient in bed, inducing sleep, giving ical Medicine, dwelling upon the impor. chloral as the choice of hypnotics, placing tance of accurate diagnosis of fractures,
her on a milk diet, using the compound offers (Virginia Medical Semi-Monthly)
colocynth pill for a purge, and giving a the following conclusions: (1) Fractures,
hot pack at night. In short, all of the difficult or impossible of demonstration,
emunctories are stimulated. To this is those fissured vertically, or those non
often added a tonic of arsenic and gentian. displaced through the cancellous tissue of -In Chronic Indigestion with Diarrhea in the articular ends of long bones, occur, Children where the lesion is in the region without doubt, more frequently than is of the ileo-cecal valve, Prof. E. E. Graham commonly supposed. (2) In injuries of outlines the following treatment: Starve the limbs attended with unusual or doubt- twenty-four hours, clean out the offending ful fracture, nothing can justify the appli- material with a mild calomel purge given cation of violence to demonstrate its in divided doses of 1 or 's of a grain presence, as in no event are the prin- every half-hour until one grain has been ciples of therapy altered in them. (3) In given. Bathe with whisky; practice inthis class of cases the patient should be testinal irrigation, using for this purpose a given the benefit of the doubt, until, at No. 10 or No. 12 catheter, and for the least, time elucidates it-caution only irrigation one gallon of an astringent solubeing observed that the circulation is un- tion, as a teaspoonful to the gallon of a hampered and full muscular relaxation is solution of nitrate of silver (60 gr. per effected. (4) We should never fail, when f3j). If this fails, dilute hydrochloric possible, to utilize the Roentgen rays as a acid and strychnia are tried.
-For the treatment of Ringworm on non- ing caustic. It not only destroys the hairy portions of the body, the best appli- hopelessly diseased tissue, but seems to cation is Tinct. of Iodine. On hairy portions exert a distinct alterative influence in the of the body shave the parts and use- less diseased area. R
-In a case of severe Epistaxis, Prof. J. Naphthol
Chalmers Da Costa used Carnot's formula Olei. cadin (tar)
16 parts M. ft. unguentum.
Gelatin . .
1 part Sig.–Apply locally twice daily.
Saturating the cotton with this solution he -Stelwagon.
plugged the nose in the usual way. The -Percuss the Bladder at each visit in low advantage of this solution is that it forms fevers. - J. C. Wilson.
an aseptic coagulun. A Pessary which is producing discomfort - Professor Brinton has used for many or irritation should be removed immedi- years the following quieting mixture of ately. A woman should be no more con- simple character in cases after operation scious of the presence of the pessary in where there is slight fever and considerher vagina than of the false teeth in her able unrest and nervous complaining: mouth or her false hair on her head. A
R. Liquor. potassii citratis. f3ss pessary should never be introduced until
Spirit. ætheris nitrosi . f3j the uterus has been replaced in its normal
Tinct. aconiti . .. gtt. j position. The physician should no more
Morphinæ sulphat. think of introducing a pessary with the, Sig.-In water, every third or fourth uterus in a retrodisplaced position than he hour. would of placing a truss on an unreduced
- In the children's dispensary the folhernia or of applying a splint before adjusting the fragments of bone. - Krusen. lowing is used as a spray for Cleansing
Adenoids : - For Simple Catarrhal Stomatitis in Chil.
R. Sodii biborat . . dren, Prof. Graham recommends the fol
388 lowing prescription for local treatment:
Syrup. picis . .q.s. ad fziv. M. R
-Professor Graham recommends the Sodii boratis
following tonic pill for Anemic Strumous Glycerini
Children : Aquæ
q. s. ad. f 3iij M. SIG.–Use as a mouth-wash.
R. Acidi arseniosi . This wash is often best used by grasping
Ferri sulphat. exsiccat.,
Potassii carbonat. . äā gr.viij. M. a pledget of cotton between the blades of forceps and swabbing the mouth with the
Fiat pil. xij. fluid.
Sig.-One pill three times daily, after
meals. _“No hand of science can be adorned
-In Opening a "Ganglion," or enlarged with jewels.'' -- Davis.
bursa over a muscle tendon, great care -For the Sleeplessness of Pregnancy a warm should be taken that a general infiltration bath at night is better than any amount of of the intermuscular spaces does not ensue. bromid.—Davis..
Synovitis not infrequently follows this --For Urinary Incontinence sweet spirit simple minor operation. The loss of a of niter is useful. It is well to use a little limb, or even of life, has been known as a belladonna after several days, when the consequence of carelessness in emptying urine has been well diluted.—Hare.
the ganglion. Instead of cutting into the -The late Prof. Parvin often checkt bursa, some operators strike a blow over threatened Abortion by giving a starch-water the spot with a heavy book, thus rupturand laudanum injection, following up the ing the sac. The sac is filled with a thick, treatment by rest in bed, cold acid drinks clear, amber-like substance.—Brinton. and opium suppositories.
-Professor J. C. Wilson prefers to treat - For the Chronic Ulcers of Tertiary Syph- Gastric Ulcer by absolute rest in bed, to ilis Prof. Hearn finds acid nitrate of mer- nourish by rectal enemata, and to keep cold cury, one part to sixteen parts of water, compresses over the stomach. Codein is applied every third day, the best stimulat- given by the mouth, or morphia hypoder
matically, to lessen peristalsis and slightly from the nerve-sheath and then injecting narcotize the patient. Alkaline mineral a solution of antipyrin at several points waters are given, or five to ten grains of along the course of the nerve, 5 grs. being bicarbonate of sodium, followed with a used in all. At the same time the man little whisky and milk. The cold com- was given 80 grs. of citrat of potassium a press is applied by placing cloths wrung day internally. out of cold water over the stomach, cov
-The following method of Sterilizing the ering with oiled silk, and then placing Hands and Forearm has been used during over this an ice-bag. These cloths should be removed and reapplied every three or
the past year in the Jefferson clinical
amphitheatre : four hours.
First. Scrub well with Johnson's ethereal -For Enlarged Glands, where surgical soap, or green soap and water. interference is inadvisable, use the follow- Second. Cleanse the nails. ing ointment night and morning :
Third. Take in the hands one dram of R. Ichthyol. .
chlorinated lime and two drams of bicar. Unguent. hydrargyri,
bonate of soda ; wet and scrub thoroly, Unguent. belladonnæ, āā 3j
working the paste under the nails with Unguent. petrolei . : . Ziv. M. small sticks (orange sticks).
Fourth. W'ash with sterile water.
Fifth. Wash with alcohol, -The Ptyalism of Pregnancy was treated
Sixth. Wash with bichlorid solution, by Professor Parvin by having the woman
1:1000. smoke a cigar. The trouble is due to an
In addition to this precaution, Prof. atonic condition of the oral and buccal
Keen and his assistants have used, the glands, and Dr. Parvin asserted that the latter half of the year, sterile cotton cigar smoke stimulates these glands to gloves, similar to those used in the Micutheir normal secretory state.
licz clinic. These he finds particularly - Chapping, occurring at any place on useful in abdominal operations, not only the body, is relieved by the following: prophylactic, but as being mechanically of R. Oxidi hydrargyri flavi, gr. ij great advantage in handling the viscera, Balsam. peruvian
. gr. x
especially the intestines. Vaselin.
-Hysteria is as much a bona fide affec-. Sig.–Apply to the parts. -Hearn.
tion as any of the other neuroses.- Dercum. If there is itching, two grains of car
-In all well markt cases of Scabies. bolic acid may be added to the above.
some eruption will be found on the shaft -In women who are good milk givers, of the penis.- Stelwagon. and who often secrete and discharge milk -Prof. Davis has never during the latter months of pregnancy, brought on by a purgative unless it was
seen Abortion milk sugаr may be found in the urine.
given in a poisonous dose. Serum albumin and milk sugar are abnormal substances found in the pregnant
-Prof. Wilson begins the treatment of woman's urine, which should cause
his Enteric Fever cases by giving preferably alarm.-Davis.
calomel in large doses, or castor oil and a In treating Mumps never use poultices. those cases which are seen before the tenth
saline. This treatment is used only in For the pain, inunctions of warm olive oil
day. may be used, or, if the pain be severe, use an ointment:
-In the Diarrhea of Typhoid Ferer Prof. B
Hare frequently prescribes-
Acidi sulfurici aromatici . .f3ij
Ext. hamatoxylin, fluid. . . f3ss Apply several times a day.-J. C. Wil- Spirit. camphoræ
f3ss Syrup. zingiberis q. 8. ad fziij
M. -In treating a case of Acute Sciatica, Prof. Hare obtained excellent results by exceed four in twenty-four hours.
Sig.--Two teaspoonfuls when the stools placing the leg on a long splint running exceed four in twenty-four hours. well up the side, by performing acupunc- ---My advice to you is, when the sight ture to withdraw the accumulated fluid of one eye is lost and the sound eye gives
pain, enucleate the blind eye at once. In
Our Monthly Talk that way you avoid sympathetic loss of vision in the sound eye. When Sympathetic Mr. R. E. Diffenderfer, of this city, has spent Inflammation once develops in the uninjured much of the last few years in China, giving a eye, enucleation will rarely ever save the start to western methods of doing business sight.-Hansell.
among the celestials. He has built the first
woolen mill ever constructed in the Celestial Em. Prof. J. C. Wilson says he cannot under- pire. When he comes back this country he occastand why phosphate of sodium should be sionally drops in at my office to chat awhile, and given in Catarrhal Jaundice.“ Why should
I am always glad to see him, for he always has you increase the elimination of bile when
something interesting to say. He recently favored
me with one of these calls, and perhaps the there is an obstruction to its outflow?"
WORLD readers would be interested in the conHe purges with calomel every two or three versation, days, gives milk and lime-water or Vichy, C. F. T. “How do you do, Mr. Diffenderfer; and also large draughts of hot water several glad to see you. The far East seems to agree times daily.
with you " (he is a man of magnificent propor.
tions). “How are you getting along with Li -For Venous Thrombosis in the left leg Hung Chang and his people?” of a convalescent enteric fever patient,
Mr. D. “I have nothing to complain of, exProfessor Wilson directed that the leg be
cepting that I get more and more out of patience
with the indifference of the people of this country elevated, that elastic flannel bandages be
to their best interests. China is prosperous, and applied from the foot to the groin, and to the extent that I have gone into business that morphin be given hypodermically p. there, I am prosperous, also." r. n. Later he removed the bandage every C. F. T. “You always have something interday or two, bathed the leg carefully, and
esting to say every time we meet. Have your used the light upward massage, being espe
experiences and observations in the far East
caused you to change your opinions concerning cially careful with manipulation near the
any important public questions?' groin, lest some portion of the clot become Mr. D. “Well, you know I was always a very disengaged ; and still later in the case an strong protectionist. A Pennsylvania Republielastic rubber bandage was given for daily can of the old-fashioned sort believes that a high
protective tariff is not only the corner-stone, but wear.
the entire structure of political economy; and I Combined Synergists.
was a Pennsylvania Republican of that kind.
Are you acquainted with the New Home sewing Dr. B. Scheinkman contends that the machine? The selling price of them in this modern antipyretics can be most advan- country is $50 or $60. I have seen them landed tageously given in combination, because
in China for $8.25, to sell for $15.80, our money.
Such facts have caused me to think that the " while their respective characteristic ther
tariff is a burden and an injustice rather than a apeutic properties are acting conjointly in
blessing to our people.” perfect harmony, their toxic properties are C. F. T. “What do you think of the 'surplus either individually too insignificant, being stock'argument so often given as a reason for in small doses, or they neutralize one selling goods to a foreign trade at a much lower another more or less effectively."
figure than the ruling price at home. The idea The following is recommended as a typi- sufficient to supply the domestic demand, the
is that if a factory can produce more goods than cal combination :
surplus' must be 'worked off' at almost any R
price, in order to keep all the hands constantly Antipyrin.
employed, which is not only desirable, but Phenacetin
necessary in order to secure the full economies of Quinin sulfate .
production." Powdered ginger
Mr. D. “There is nothing in it. If prices in
this country were put down to the point which Caffein
seems necessary to secure foreign trade, the doM. Divide into fifteen capsules.
mestic demand would increase many fold, the Sig.-One every two hours.
increase far exceeding the total present foreign
trade, and our own people would get the benefit There is logic in the suggestion.-Med. of the same. The tariff makes possible abnorStandard.
mally high prices to home cousumers. It is also
a breeder of trusts. In some ways the tariff has Editor MEDICAL WORLD :-Enclosed please find $1 for your
been a good thing in the past, and should, in some valuable journal. I have all the numbers bound except two instances, be still maintained ; but it should not or three early issues. Would not like to do without it. I hope
be a political, much less a partisan question. The you will keep hammering away at economic questions. You are right and bound to succeed. The profession owes you a
tariff is a business question, and should be condeep debt of gratitude for the many reforms you have intro- trolled by a commission, and be increast, reduced into medical journalism. Long may you live and
duced, suspended, or abolisht, according to prosper in your good work. Yours truly, Collingwood, Ont., Can.
W. F. PETERS.
(Continued over next leaf.)
dr. 4 dr. } dr.
The Medical World
The knowledge that a man can use is the only real knowledge ; the only knowledge that has
like dust about the brain, or dries like raindrops off the stones. — FROUDE.
The Medical World
1520 Chestnut Street
his discovery of the tubercle bacillus. So great was the interest in this discovery
that it over-shadowed every other feature C. F. TAYLOR, M. D.
of the meeting, and it echoed around the Editor and Publisher world for years afterward. But still peo
ple in great numbers die of consumption ! Subscription to any part of the United States and Canada Koch's discovery was not therapeuticsONE DOLLAR per year. To England and the British
only pathologic; but we all hoped that it Colonies, FIVE SHILLINGS per year. Postage free. Single copies, TEN CENTS. These rates must be paid invariably
would lead to a vastly improved, or possiin advance.
bly a specific, therapeusis. But still the We cannot always supply back numbers. Should a number
hollow cough and sunken cheek are soon fail to reach a subscriber, we will supply another, if notified before the end of the month.
followed by the shroud and coffin. Koch Pay no money to agents for the journal unless publisher's
exhausted his skill in the direction of a receipt is given,
therapeusis suggested by his first discovADDRESS ALL COMMUNICATIONS TO
ery, but his hopes were not realized. “THE MEDICAL WORLD,”
Other experimenters along the same line
could be numbered by the hundreds, all PHILADELPHIA, PA.
with the same result. Many vaunted
cures have appeared only to soon disapVOL. XVII. JULY, 1899.
pear. Sulfuretted hydrogen gas by rectum was the cure that arose perhaps more
rapidly than any of the others, only to ALLIED PRINTING
soon seek the completest oblivion. VariTRADES COUNCIL
ous antiseptic treatments based upon PHILADELPHIA
Koch's discovery have been suggested and
used with varying success. The latest Consumption.
treatment is that brought forward by Dr. In view of the prominence given to the Murphy, of Chicago, consisting of mechanabove subject at the recent meeting of the ically compressing the diseased lung by American Medical Association, I am spe- hydrogen gas until it heals—a purely surcially requested to say something about it gical procedure. editorially in this issue. In the first place, The problem is still with us—and the the recent meeting at Columbus is not un- deaths are still with us. Allow me to usual in the prominence given to the dis- here impress a few thoughts concerning cussion of tuberculosis. This subject is this disease. Consumption-a consuming. brought to equal or greater prominence by Why is there a consuming? Because the at least half of the important medical con- vital force is insufficient to resist the tenventions. We all remember the memor- dency to decay. The lungs are usually able meeting of the International Medical attackt because that tissue is the least reCongress at which Koch brought forward sistent. Death is the withdrawal of vital