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patient in trench and covering him with request Congress to appropriate a sum for loose dirt; 55, tea made from the bark of the purchase of his remedy for piles, and Mesquite bush ; 56, a mixture of olive oil, offers to take the Chief Magistrate into salt and lime juice; 57, green tea and partnership for its manufacture in return Cognac; 58, pint of lime juice after meals; for such action. A man from Michigan 59, “ Antidotum Ultimatum”; 60, treat- desired the contract for supplying slipperyment of the case by a homeopathic physi. elm bark; from California came a letter cian”; 61, "Caldwell Remedy"; 62, hot- urging the adjutant-general to prevent water baths; 63, vapor of "crude oil"; malaria by the medication of the feet' 64, a diet of salt mackerel ; 65, “ Cooper's of the soldiers, and a New York chemical Embrocation”; 66, fluid extract of Euca- company wisht to introduce

to introduce “Liquid lyptus; 67, Amarin"; 68, “Maya Killem,'' a parasiticide, among the troops Indian Cure ; 69, “Gaseo-Chemic Treat- at Chickamauga. One individual surprist ment"; 70, the intravenous injection of the office with a box full of dirty bottles of raw onion juice.

various shapes and sizes, filled with the Many of the above remedies were rec- most unpleasant looking decoctions of ommended by a number of individuals; domestic manufacture, which were warsulfur, in some form or other, being espec- ranted specifics for everything under the ially popular, and its use in the shoes being sun, one bottle “curing tisix, scroffalo, strongly urged upon this office by no less stome ache trubbles and stop that tiard an individual than the president of the fealing." Another specimen is a "Great American Humane Society. Many of these Blood Purerfier," and is stated to "Wark alleged remedles are stated to have been Merricals.'' The box was accompanied by handed down as heirlooms for generations, the following letter: or to have been originally derived from

May 30th 1898 some old sea-captain or some Jesuit priest TO THE SERGEONERAL,—Dear sir I find who had voucht for their efficiency.

that these Medisons that I Send yau, have In regard to typhoid fever, one indi. bean so useful And doing so mutch good, vidual urged the employment of onion that I Would if yau Would per mitme, poultices to the soles of the feet as never that I Would Continure finding that I failing to abort the disease, while another have removed paims And Curered people wrote to call attention to the fact that a Who have been suffering for years but of diet of well-browned peanuts would pre- Course I Want not conflict With the Law vent small-pox. The office was told that And Would be pleased if I could Continthe troops, while in the tropics, must be

ure.'' given a daily ration of Tabasco Sauce;

Another wishes to introduce his prepar. that every light-complexioned man going ations into the army, and sends samples of to Cuba should take a daily dose of sodium phosphate ; that the free use of garlic is convinced that the office has nothing

his villainous compounds. He evidently would ward off all diseases, and that the better to do than to solve the riddles precity water of Orange City, Fla., was a

sented to it, so the following letter is sent febrifuge in malarial fevers. It was urged

by him : to purchase “Lincoln Spring Water" for the cure of insomnia, and to require each

TO THE SURGEON GENERAL'S OFFICE soldier to wear a flannel bag containing Dear Sir,-I Write to Ask some informcamphor to avert malaria.

One woman

tipon, About that Box of Sample Medison wrote to express her surprise and indigna- that I sent in the Month of June 1898. tion that the troops were not provided And you told me that on account of War with houses. A Doctor of Medicine called With Spain that it would be uterly Imattention to his device to make each soldier posible to Anellize, And I thought that I breathe thru his nose and so escape the

Would Ask you When or at what time that inhalation of microbes. A “Doctor of the you thought that the Doctors Would be Laws of Nature" offered her services; the Able to Anellize or wheather that you had maker of the “Wonderful Ten Minute Pile Annellized or not." Cure” askt the best and cheapest way of One enterprising M. D. requests that the bringing his product before the public, and Government obligate itself to pay him the inventor of a patent “ Flea-catching money (sum not specified) in case a thoro Machine" urged that a number be pur- test of his treatment for typhoid fever chast for the comfort of the soldiers in the proves of value, generously leaving a looptropics. Another wrote the President to hole as follows:

“After testing the treatment if it cures an intimate knowledge is entertained of as claimed, then the Gov is due me the first causes. Then their effects are better amount agread up-on, if not she is not due appreciated, and dealt with. The very me anything

obscurity of the first causes of "Leprosy Another approaches the subject from a is perhaps the reason of the previous unreligious standpoint.

discovery of a preventive, or cure. Mar. 21, 1898.

The discovery that I desire to call to DEAR BRO. McKINLEY

your attention is my discovery of the first Honored Sir,- Jesus says, Whatsoever

causes of " leprosy' and its cure. To be ye shall ask in my name it shall be done.

very brief :---My method is the subcutanWe know that Jesus will fulfil his promixe. eous injection of serum of animal blood. Now I do ask in the name of Jesus that The patients body should enjoy the exposthe soldiers of the l'nited States Army may ure to air and sunlight. The first treathave a medicine that is a sure cure for ment is to be followed by the adoption of rheumatism & many other complaints. the blood baths of the ancients. I may You will see by this circular what it has add in conclusion that the first cause of done & what it will do. I have sold it to leprosy is cannibalism. I prefer its intromany people & there is not one that have duction—and tests—to be made by the Intaken it according to directions but what stitution. I desire no further personal idenspeak very much in its praise. It is man. tity with the discovery nor the honor." ufactured by the Rheumatic Cure Co., A physician residing on Henry Street, Dearborn St., Chicago, Ii., Where you Brooklyn, N.Y., writes : can get it."

" BROOKLYN, N. Y., May 15th 1898. A gentleman from West Virginia who Dear General:—In my forty years of meddesires to sell a remedy for driving away ical experience I have met with nothing flies from the sick for the sum of $50,000 more certain than the curative effect of prefaces his request by :

bean water upon punctured wounds, & in Gents :- Please donte take me to be a

the interest of our soldiers, I feel it my crank in regarde to below as you See I ante duty to inform you of a remedy at once so no college graduate - as i am

amkwarde in simple, attainable, & efficient. my explanation-But I mean Square & Then a note of advice and warning from Honest. Business."

a lady of New Bedford, Mass : From Alleghany, Pa., comes a very ur.

Dear Sir:- Whoever you are, this war gent invitation for the surgeon-general to strikes a wild terror to my heart, and I be present at the exhibition of a new ap

fear that my countrymen will be tortured paratus, of which the inventor says: by the Spaniards. If I were a soldier, and

“ It is said the germ of yellow fever is could get it, I would carry morphine not yet known if so I will say that my in- enough to know nothing more very soon struments will reveal it if it exists in na.

after it became evident that I should be If it is smaller than the smallest captured by the Spaniards, who are very known microci then it will very likely cruel. prove to be one of the ever living Atoms

I fear Blanco's great confidence may which manufactures the poisonous sub- lay in some under water plot similar to stance of gass” that produces the disease." that which caused the destruction of the

Maine. From the State of Maine comes the an

"Were half the power that fills the world with nouncement of the cause of leprosy, with a

terror, modest renunciation of the honor of its Were half the wealth bestowed on camps and discovery as follows:

courts, NAPLES, ME.

Given to redeein the human mind from error, March 25, 1898.

There were no need of arsenals or forts." ARMY MEDICAL MUSEUM:

The office was in full accordance with Surgeon General's Office, U.S.A.: the sentiments expressed in the following Washington, D. C.

extract, especially the last clause: I have been directed by the Curator of “Fr Madison Iowa the Smithsonian to introduce to your at

Jan 27 1899 tention my recent practical discovery in MR ALGER, Dear sir: physiology. My discovery is perhaps best Dear sir. they sent all through the explained by a review of first causes. If country for Doctors to come and see what

it was and they could not tell whether it States offer their assistance to the departwas smallpex or chickenpox they do not ment: look any more alike than a Hog or Dog “ANACONDA, MONTANA, the 1 April 1898 Why sir as big a fool as i am i can tell the His HIGHNESS MR. ALGER smallpox when it first comes out and as

Secretary of War soon as it shoes on the sirfis i can tell Dear Sir, - Excuse my writing to you, wether the pearson wiil live or die and all but I feel so much for this Country that I your aproved medisons wont change the like to do something too in time of war. condition if you dont bleave it ... i will I can make very good Salf for wounds, Close this by sayind after looking the the and other for burn, (Ointment for burns). thing all over i find i was a dam fool for

If you allow me, I will Sent you a Sample weighting in the first place."

of it. I am born in Belgium) and I no A superintendent of schools suggests :

that you need good Pigeons in time of 6 OFFICE OF COUNTY SUPERINTENDENT

war, for your forts and for your Man of

War. If you need Some, I will go to BelOF EDUCATION,

gium to get some, because I no there are COUNTY. S. C. July 30th 1898

the best flyers in the world. Now is the Hon R. A. ALGER

time to get the best youngones. (England Secretary of War, Hon Sir, -It is painful to the people of get his Pigeons there too)

One's more excuse If I dint Wrong. the country & myself to see how deadly the

Respectfully yours? Typhoid fever has been to our brave soldier boys, and you will pardon me to make just

“ROCHESTER, January the 9 99 this suggestion in its treatment. To wit : Mr. Allgir, Secretary of War Chop up a half dozen onions with a tea

Washington D. C. spoonful of salt, make two small sacks to I. leth you no that I. mak Invention of fit soles of feet, and will vouch that in Experiment for the Yello Fiber, for the from two to twelve hours the fever will Unitat Stats Army, I. rod a letter down to depart. If collapse take place then use Mr. Presendent McKinley he tell me, that stimulants. Dont be in a hurry to take your Business, so I. tell you that Experioff poultices."

ment is the bust, what you can feind in

the World, you no that you self that so A patriotic medical man offers his ser- many Solder going Dead, and get sik vices to his country in the following letter: down Cuba and all ofer the Sout. If you

“ COUNTY, PENNSYLVANIA thak 2-3 draps from that Experiment but March 28, 1898

that in a glas with Watter and den MAGOR WILLIAM MCKINLEY

Drinket, so you by savet from the Yello Presedent of the U. N. S. of america. Fiber, so I wont to have you to tell the Sir as the ought look is at Preasendent it War Department about that, I. will proof Pats me some in Remenbans of 1861 & 1865 that to yo and to the Unitet Stats of as the Nation or our Repuplick Neaded Amerika, If the War Department or the some help and as the way things are Stir. Government give me, some Mony so I ing Round i Wish to ask Wether i coodent going down to Cuba and proof that, I send git a Pointment as. a Doctor to some Rege. you a Sample If you wanted, pleas leth ment or some head quarters i ame a veate- me no so sun is posible for you. ran of 4 Pa Cal of 1861 & 1865 and a mem- If the War Department dont thak that ber of the grand armey to the Repuplick so I give that to England or somewhere of the United States i have seen in former

yours Respectfully days allso. Ex President, R. B. Hays of Guarantet by

E. A. B. the 23, Ohio i lived near freemont ohio for

Rochester N, Y." 10 years. I ame Well a Ware of youre mind being thirly Put to task at the

The conclusion to be drawn from this Preasedent crices as it seems at Preasent article, if any, would seem to be that Carthoe We might have War With spane. lyle's definition of the English nation, Will you Kindly Remmmber me and find

“Thirty million people, chiefly fools," apa Posetion for me

plies also, in some degree, to our own Yours truly

country. (Signed) Dr. J.J. B.

--Edward L. Munson, M.A., M.D., Captain County, Pennsylvania.' and Assistant Surgeon, U. S. A., Surgeon-GenA Criticism of Whitehead's Operation for snipped and the hemorrhoids brought bePiles.

eral's Office, Washington, D. C., in Boston Med. Two naturalized citizens of the United and Surg. Jour.

low the margin of the skin. The mucous For a long time past I have had many membrane above the hemorrhoids is now patients each year who came to be treated divided transversely in successive stages. for permanent stricture, incurable ulcera- and the free margin of the severed memtion, and unbearable pruritus, caused by brane above is attached as soon as divided their having been operated upon for hem- to the free margin below by a suitable orrhoids by the excision method. On in- number of silk sutures, after the hemorquiry, I find that other rectal specialists rhage has been arrested by torsion." have had a similar experience. On the Mr. Whitehead claims the following adother hand, I have never seen or heard of vantages for his operation : such unpleasant sequela following the 1. That it is the most natural method, clamp and cautery or ligature operations, and is in perfect harmony with surin spite of the fact that they are made daily gery. by the specialist, general surgeon and

2. Excision, in addition to its simgeneral practitioner. Such being the case, plicity, requires no instrument not found something must be wrong with the opera- in an ordinary pocket case. tion, and it should be discarded or rele- 3. It is a radical cure. It removes the gated to its proper sphere. It is my peculiar pile bearing area. opinion that during the past 10 years quite 4. It is not more dangerous than other as many of our countrymen have been ren methods recommended for the removal of dered permanent invalids by it as bave re- piles. ceived lasting injuries during our war with 5. Pain is less severe than that following Spain.

any other operation. Under the term excision, it is my inten- ö. The loss of blood during the operation tion to include all operations upon the probably exceeds that of the ligature or bowel where the lower one, two or three clamp and cautery, but the dangers of secinches of the mucous membrane of the ondary hemorrhage are unquestionably rectum is excised in order to destroy the less. 80 called pile bearing area. Operations I shall discuss these claims in rotation : made with this purpose in view should 1. Excision is not more than natural, bear Mr. Whitehead's name. I mention neither is it more in harmony with surgery, this because Pratt, of Chicago, has modi- tban are other operations. fied and named it “The American Opera

2. Instead of being a simple operation. tion,” and has led many to believe it it requires a longer time, more ingenuity original with him and of recent origin. on the part of the surgeon, and the best inAlthough my practice has been confined, struments. for a number of years, to surgery of the 3. Granting it is radical, just as good rerectum, I have not reacht the high stand- sults can be obtained quicker, with less ard of some writers, who claim they can pain, fewer complications, by less difficult cure asthma, lung and other chronic dis- operations, eases by this operation, and I cannot help 4. It is equally, if not more dangerous but think that patients deceived and robbed than the clamp and cautery or ligature, and by such deceptions should hold their mu- is certainly more often accompanied by tilators criminally liable.

complications. Before discussing the subject further, I 5. Bleeding is profuse during the operawish to describe the operation of excision tion, and secondary hemorrhage is not in Mr. Whitehead's own words:

lessened by it. "By the aid of scissors and a pair of Mr. Whitehead's operation is original, dissecting forceps, the mucous membrane and will always hold a prominent place in is divided at its junction with the skin surgery of the bowel. It is not, however. around the entire circumference of the a suitable one for ordinary or bad cases of bowel-every irregularity of the skin be- piles, for two reasons: ing carefully followed. The external and First. Piles can be permanently cured internal sphincters are then exposed by by less difficult operations. rapid dissection of the mucous membrane Second. It is accompanied and followed and attached hemorrhoids. Thus separated by many complications and sequelæ. from the submucous bed upon which they It is fitted only for those cases where rested, they are pulled bodily down-any there is a prolapsus of the entire circumundivided points of resistance being ference of the buwel, accompanied by fre

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quent and profuse hemorrhages. Here the rapidity with which the rent in the one has no distinct piles, but a condition vessel heals. where spongy angiomatous masses coalesce I ask the question, Does Whitehead's so as to include the entire lower rectum. operation insure the patient against hemExcision is just the thing here, for noth- orrhoids in the future?

orrhoids in the future? I unhesitatingly ing short of amputation of the involved answer that it does not do so more than area would effect a cure.

other recognized operations properly perIf the operation was confined to selected formed.

formed. I recently saw a patient who had cases, I would have only words of com- been operated on several years before by mendation for it, Unfortunately, it is the excision method and primary union being done promiscuously by surgeons to obtained. He now has three large tumors the exclusion of more simple and better op- that I shall remove by the clamp and erations irrespective of the number and size cautery. I mention this to show that exof the piles. As a result, rectal specialists cision is not infallible under the most favare constantly besieged by their victims orable circumstances. Hence, I think for whom they can do nothing to cure and that that method should be discarded for little to alleviate.

the treatment of piles in general. It is, Failure to get primary union is the prin. however, the operation par excellence for cipal difficulty. There are several reasons angiomatous masses involving the entire for this : (a) The tension is great, the circumference of the lower two or three membrane delicate, and the stitches cut inches of the rectum. their way out; (b) the straining from In conclusion I will briefly state my coughing and vomiting after anesthesia is criticisms of the Whitehead operation : greatest at the anus; (c) infection is of 1. It is not suited for ordinary or bad frequent occurrence because of the feces. cases of piles.

When primary union is obtained, these 2. It is difficult and bloody. patients assume their vocation at the end 3. Patients are detained in bed from six of two or three weeks. When non-union to fifteen days longer than after the clamp follows, the membrane retracts, expos. and cautery or ligature operation ing the submucous tissue around the rec- 4. Owing to tension, the post operative tum for one or two inches above the pains are severe and may continue for anus. A stricture and ulceration fol- several days. low, and the suffering is made worse by 5. Infection is frequent and terminates an irresistible pruritus, aggravated by the in a stitch or deep abscess and fistula. consequent discharge. Other operations 6. Because of non-union, ulceration, are never followed by such unhappy re- stricture, and pruritus are common sults, because the exposed surface is in quelæ. patches or islands, surrounded by healthy 7. The portion of bowel between the mucous membrane, whose elasticity and anus and the end of the retracted intes. dilatability suffice to compensate for any tine looses its sensitiveness, and there is citcatricial tissue left.

also an absence of the normal secretion. Mr. Whitehead claims that where one 8. The nervous and mental state of these vein of the rectum becomes dilated or dis- sufferers is pitiable to behold, and many eased, all will soon become similarly in. contract the morphin habit, while others volved. Hence, they must all, even down turn up as chronic invalids in some sanito the smallest radical, be excised. Such tarium or asylum.-S. G. Gant, M. D., teaching to me appears absurd. Surgeons in Va. Med. Semi-Mo. when operating for varicosities in other portions of the body never remove sound College of Physicians of Philadelphia, veins and tissues for their prophylactic

N. E. Corner Thirteenth and Locust Streets. effect. Again, I have seen hundreds of

The William F. Jenks Memorial Prize. patients who have suffered for years with The Fifth Triennial Prize of Fire Hundred Dollars, under the distinct pile tumors, and yet the interven

Deed of Trust of Mrs. William F. Jenks will be awarded

to the author of the best essay on ing veins were normal. Further, all piles “The Various Manifestations of Lithæmia in Infancy and are not the result of dilated veins, but Childhood with the Etiology and Treatment." frequently are formed by the rupturing of The conditions annexed by the founder of this prize are,

that the “prize or award must always be for some subject a healthy vein during a strain, and the connected with Obstetrics, or the Diseases of Women, or the emptying of blood into the neighboring

Diseases of Children;" and that "the Trustees, under this

deed for the time being, can, in their discretion, publish the tissues, thus forming a tumor that will be successful essay, or any paper written upon any subject for

which they may otler a reward, provided the income in their temporary or permanent, depending upon

hands may, in their judgment, be sufficient for that purpose

se

whue then

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