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out-door exercise in proper wearing ap- inflammations in children. I seldom give parel. Results : Enjoying good health. aconite under ten years of age.. One drop
The corset should be supplanted by a of fluid ext. of veratrum to a child one neat-fitting waist which does not interfere year of age every two hours will soon conwith any of the movements of the body trol any fever.
trol any fever. If it produces nausea, nor restrict any organ. The skirts should stop it, as that is an indication that the be attacht to the waist, as the weight of pulse is below normal. all clothing should be supported by the The only cases of cerebro-spinal-meninshoulders instead of the hips. Some good gitis in which I have been successful are dress forms have been advocated, but they those in which I have kept the pulse down have been adopted only by a few.
to the normal beat with veratrum. Williamsport, Pa. E. N. RITTER. I call to mind now one case in a boy of
ten years. He had all the symptoms. His For Constipation in Children.-Veratrum for pulse ran to 120°. I brought it down to Fevers and Inflammations.
70° and held it at that point for five days Editor MEDICAL WORLD :—The best and nights, and at the end of that time his remedy for constipation in children is delirium began to pass off and he gradually glycerin. Insert a glycerin suppository improved, and at the end of five weeks he once a day at a specified time and keep was well. I figured it this way: I saved this up for an indefinit time. It has not his heart from pumping blood into his failed with me in any case.
brain fifty pulsations a minute, 3,000 an The best treatment in many cases of hour and 72,000 per day, and so on.
Is typhoid fever, especially in robust patients, not that a just calculation, and one worth is fluid extract of veratrum. Several years consideration ? I think it looks reasonable ago I treated a young lady whose pulse and logical. Results justify it. kept at about from 120 to 130 in this way I want to say to Dr. Cooper that I acwith wonderful success. She was very
cept his hand in reference to my misunderrestless and uneasy, and was one of those standing of his sentiments. It's all right. cases that perspire all the time. I gavo About the second call I ever had was a her two drops of the fluid extract every surprise to me in two ways, It was to see three hours, along with one drop of tinct- a child three months old, It had a solid ure of belladonna. This kept her pulse scab all over its head from back to front. at 80 to 85 and controlled the perspiration. Its head lookt just like a horse's hoof, This combination kept her very comfort- and lookt more dead than alive. I able, and she had no delirium. About the thought the child was dead. Having a twentieth day she was so comfortable that box of citrin ointment in my pocket, I she imagined she was not sick. I said to told the friends to apply it twice a day, her, "well, you stop taking those three telling them I would be back in two days. drops of medicine and I will not call until Having no faith in what I did, I went day after to-morrow and we will see how home to read up. Returning in two days you get along."
I was surprised to find that my remedy I called the second morning and saw at had almost cured the patient. The scab once she was worse. Pulse 120, face flusht, was gone, and the child needed no other restless and uneasy, and stated that she treatment. had not slept for two nights and was worse That has been my remedy ever since, than she had ever been. I said, “Well and it is all right. S. C. DUMM, M.D. you need those three little drops of medi- Columbus, Ohio. cine every three hours. We resumed the medicine and the next morning she was
June laughing and happy when I called. She rap
Editor MEDICAL WORLD:-In idly improved and was soon well. Keeping
WORLD, page 230, middle of second column,
should Fead as follows: Some patients the pulse slow kept the temperature and restlessness down and my patient was in
are as able to assume the upright position truth"comfortably sick.”
on the seventh day as others are at the end of a fortnight."
E. N. RITTER. I have used the same treatment in the same kind of cases since and it has afforded
Williamsport, Pa. me the same satisfaction. It will be in order to add the sulfo-carbolates now-a
"I like THE WORLD very much, and your Monthly
Talks' are the right thing in the right place. Keep them days.
up, as they are very instructive, and just wbat many voters
should be instructed in." Veratrum is the treatment for fevers and
W. T. CHINN, M. D. Wellsburgh, Iowa,
Consult Past Volumes.
trusting they may be in the line of the inEditor MEDICAL WORLD :-I have been quiry. looking thru the volumes of THE WORLD The “exposure” is not a matter of suthat I have, 1891-95–96–97–98 and 99, for preme importance so long as you have light information relative to different treatments enuf—you can hardly have too much-but for typhoid fever, diphtheria and pneu- your windows should not look out upon an monia. I find in different localities a dif- unsavory and ill-kept back yard, or anyferent treatment for the diseases and still thing objectionable to good taste.
A consome of the sheet anchors are used by all. venient size for a room is about 12 ft. The treatment I have used in pneumonia square. This to some is small, but it is with good success was not approximated cosy and compact, and brings you into only by one or two. I depend on muriate closer relation with your patient. Larger of ammonia, from the start, and with that, rooms lack this feature and cost more to aconite 1 and belladonna 3, given in about furnish. gtts. 6 to 10 for adults every 3 hours, alter- Taking the reception room first, the nate with muriate of ammonia and Dover's most costly item is your desk. This should powder gr. 2 to 3, with camphor gum io to be a high, roll-top, about four feet long,
grain to allay cough and pain. Also double pedestal, with drawers on both poultice, or oiled cloth, over chest, as cir- sides. You will need all the drawer room cumstances indicate.
you can get, and will find it a most desiraIn typhoid fever, I have aborted cases ble piece of furniture. In oak it will cost with a good cleansing out of the alimentary from $18 to $24. It should be so placed as to canal, but never formulated a treatment, secure a left hand light. If you have two as the means I used were not always re- windows and the light is not interfered liable in controlling temperature. Also in with, it may be set between them. To acdiphtheria, tho I have had good results, I company this you should have a revolving have no formulated treatment, but in the office chair, similar wood, upholstered in two last-named diseases I have received leather, costing some $7. Your carpet some good thoughts from THE MEDICAL should be a bright red, or largely of that World, and I feel stronger than ever for color, of as good a grade as you can afford. the fight against disease as we meet it in To seat your visitors the cheapest article our work.
is one of those four-piece suites which may Long live The World and success go be had in any large city for $15. It comwith it is the wish of
prises a sofa, an arm chair and two plain Plymouth, Ills. D. F. BURTON, M.D. chairs, or possibly two arm chairs. All Rush Medical College, Chicago, Class of '78.
are gorgeous in plush, add much to the [The above note is publisht to ho the finish of the room, and are fairly durable advantage of consulting past volumes, and as they are not likely to be overtaxed. A to encourage all our readers to do the small rug in front of the desk and another same.-Ed.]
in front of the sofa will not be out of place.
A modest center table, or preferably a The Physician's Office.
strong side table, is needed. On this, on Editor MEDICAL WORLD :-In your Feb- a tray, should rest a pitcher of cold water ruary issue J. A. Ellute asks some advice and a couple of glasses. On the table on the furnishing of a physician's office should also be found a few numbers of the which will be applicable to the needs of latest magazines, and the daily papers for the young practitioner. So few physi- male visitors. Medical books and novels cians “build” offices specially for them- should not be exposed. Elaborate curtains selves that I imagine the inquiry relates to on your windows are not necessary; a good young men just starting in the profession fringed shade will be sufficient. A couple of and who are compelled to accept such ac- china cuspidors will have suggestion in commodations as are available, whether it them for some of your callers. be over a country store, in a private house, Turning next to the walls, and preor in the more pretentious city oflice build- suming that they are neatly papered, you ing. And further, that it is desired to will need some pictures. These should secure satisfactory results with the least preferably be water colors, or a good cash expenditure. Having had a varied imitation, in plain white and gold frames. and expensive experience in this line my- Landscapes and marine views have a restself, and having visited the offices of many ful effect upon the spectator. If the doctor in the profession, I offer some suggestions, is a recent graduate he may desire to make a prominent feature of his diploma in a blinds and collects less dust. Near the massive frame. Generally, however, it window should hang your irrigator, prefreposes more comfortably in its tin case at erably of glass, graduated, with books at the bottom of a trunk. His State cer- different elevations to regulate the force tificate, if he has one, in a modest oak of flow. If this room has no closet, one frame, would satisfy the inquisitive and should be provided-a simple corner one allay all doubts as to his standing, and will do-for the convenient storage of yet not be obtrusive. A neat china clock broom, mop and slop pail, and these should on mantel or bracket will serve to warn be in frequent requisition. Two canethe visitor of the flight of time, and should seated chairs will complete the equipment. have a place. A good mirror, of generous I have made no provision in the above size, easy of access and placed in a good for an elaborate instrument cabinet. It light, is an absolute necessity. On a con- may be some years before the recent gradvenient bracket should be a brush and uate requires such an outfit, and the drawer comb, and in a rack near by a dampened space I have provided will answer all sponge. This must not be forgotten, as reasonable demands. It is related of a lady callers will bear waiting patiently if distinguished professor of surgery in Chithey can utilize the time in adjusting their cago, now deceased, that some of his toilet.
earlier triumphs were achieved with a no The operating room, as we may term it, more elaborate armament than his dissectdiffers entirely from its companion. This ing case. I would not so limit the aspiring room may be severely plain, as it is used youth of to-day, but when he finds the for business purposes only. It should, if boundaries I have meted out to him too possible, be a little larger and better “cabin'd, cribb’d, confined,” he will no lighted. For floor covering use a good longer need the advice of World readers. grade of linoleum, of small pattern, as it Should this expenditure be beyond the will need to be washed frequently. Here means of the beginner, it is possible to rewill stand the gynecological chair-pref- duce it and still retain a good degree of erably the “Yale,” if it can be afforded; efficiency. The book-case and roll-top if not, the “McDannold," costing one- desk may be omitted, substituting therefor third less. Tables are useful in their way, a combination desk and case. This is orbut for operations on the head they are namental, and the book section will hold not available, while an ordinary chair some fifty volumes. Select one with drawdoes not give the elevation necessary to ers rather than a closet beneath the desk. the operator's comfort. If the room has This combination costs about $12. Even running water and a stationary basin, so a “Chautauqua " desk, costing $5, will be much the better; if not, the ordinary convenient. It affords nearly as much three-drawers-and-closet commode
book space as the other, but is not enclosed. answer. Provide with this a neat and The revolving chair may be cheapened, or full toilet set and an abundance of clean arm chair in oak substituted. The towels. A good five or six-drawer chiffon- plush suite may be replaced by a couple of ier, costing from $8 to $12, is necessary easy chairs, saving a few dollars. An infor storage purposes. If the latter has no ferior grade of carpet and pictures may be mirror on top, a small glass should be had, but preserve the color scheme. Should kept in this room for the convenience of the gynecological chair prove too much of the physician. Here, too, his library a luxury, you might replace it with the should be housed. A book case in three Acme Hygienic Couch" advertised in compartments is especially convenient. THE WORLD. The largest size, price $12.50, One side section might hold his medical will prove the cheapest in the end. Any works, the other his miscellaneous books, carpenter can attach a set of folding legs while the middle section could be used as to the bottom of it, so that when required a cabinet for medicines. Such a case will for examination purposes or surgical work range in price from $12 to $20. A small it can be raised to the proper height. If but strong table with an under shelf is necessary an adjustable foot rest may be necessary. If gas is not available, a two- attached to the lower end, easily removburner oil stove will be convenient for able when not in use. A blacksmith can heating water on occasions. If you have make this for you at small expense. Belight enuf, the lower sash of the window sides, its advantages as a bed in cases of nearest your examining table may be ren- emergency should not be overlookt. A dered opaque.
This is better than half- home-made wall cabinet for medicines
will be useful if you have no other con- forces of the economy. Besides this, these venient space available. Instead of lino- enemas clean out the intestines, removing leum, use the cheaper oilcloth, and you toxins and the poison that bacteria encan save a few dollars in the cost of the gender. In the opinion of many distinchiffonier. The changes suggested mean guisht men who have studied bacteria, a reduction of about $100 from my original the high temperatures arise in consequence estimate, which will doubtless appeal to of the poisonous matters they engender in many. While urging the better equip- the processes of living being absorbed ment, the inferior one will answer a good into the blood; and they also act on the purpose, and be far in advance of that in nerve centers as depressing poisons. I use in many offices.
have seen two cases of pneumonia which This reply has already reached inordi- were attended by a tremendous rise of nate limits, and I must stop. To others temperature, a decided depression of the I leave the task of recommending the force of the heart and increase of frenecessary implements, appliances, splints quency, great engorgement of the lungs, and drugs," and I hope they will not neg. which caused suffocating dyspnea, delect it, as it is a matter in which I am lirium and much restlessness, bettered in sorely in need of instruction myself. an hour by cold enemas. I believe the Toronto, Ont. J. H. GRAHAM, M.D. cold encmas saved these two cases.
Buttermilk is a valuable food in many Chips From an Old Physician's Workshop. diseases, acute and chronic. I have known Reduction of High Temperature by Cold cases of chronic cystitis that were not Enemas.-The Virtues of Butter- amenable to any treatment, existing for milk.-Uses of Oil of Turpen
two years, get well under a strict butter. tine.- A Valuable Formula.
milk diet, to almost entire exclusion of Editor MEDICAL WORLD:~Last fall, any other food. Some cases of melituria while in social conversation with a young recover entirely under a strict buttermilk physician, the question came up, “How diet, while others are not the least benecan I reduce high temperature with least fited. I have known buttermilk to con. disturbance of the patient?" Of course stitute the only diet of many-typhoid every reading doctor is aware of the fever patients, from beginning to end, facility with which the coal-tar antipy- without a death or any untoward sympretics will cause high temperature to fall. tom. I believe buttermilk acts as an We all know the dangerous symptoms that antidote to the toxic agents that are frequently follow the administration of prominent in this fever. these preparations, even in moderate I have often administered the whey of doses, especially in those patients who buttermilk to children sick with summer come readily under their influence. complaints, with excellent effect in chang
All these points were hastily reviewed ing the character and frequency of the and practical objections referred to. The alvine evacuations and moderating the question in the most proper light would fever. The whey is obtained by heating then be, How can we reduce high tem- the buttermilk to about 130° F., when the perature with least disturbance of the casein separates. The whey is obtained patient and a minimum of danger to the by decantation. The dose is from two organic reacting forces of the economy?” teaspoonfuls to a wineglassful, repeated at Viewing the matter from this standpoint, intervals of thirty to sixty minutes. I remarkt that the systematic application Buttermilk, when it agrees with the of cold to the body, either in the form of patient, may be alternated with sweet cold baths, ice bags or enemas. Then I milk, with benefit. In some cases of alalluded to the fact that cold enemas, buminuria it is the best food because it is thrown high up in the lower bowel, in easily digested and does in some cases fever cases, will reduce high temperature diminish the quanity of abumin. Some in many cases, with salutary results, if patients relish it very much when it is repeated at proper intervals. I have several days old. It should be kept in a known cold water enemas to reduce high cool place. Other patients prefer it entemperature in almost all diseases in which tirely fresh, and, in this state, it agrees the force of the heart was not very much best with the larger number of sick chil. diminisht, in an hour, and by judicious dren, who, after a day or two, relish it repetitions the effect can be kept up with very much. In measles, scarlet fever, out doing any damage to the resisting small.pox, etc., it is a most valuable food, oy
not excelled by any other. The lactic diarrhea, tympanites, restlessness, and acid and other chemical changes that abolishes the appetite. I am not in favor occur improve the food properties of the of too much proteid food in acute diseases. milk and make it a curative food in chronic These foods soon cause catarrh and conBright's disease and in some cases of heart gest the kidneys and liver, besides prodisease, especially those of the fatty kind. voking diarrhea. Always mix some fresh It is one of the best diuretics I know of, cream with them, and better feed a little and is to be preferred often to medicines at a time, then ou will not be liable to in many kidney and liver diseases, es- over feed or to cause catarrh or congestion pecially when
the urine is scanty and the of the liver and kidneys. It is well to liver is weakened by previous modes of remember that every atom of albuminoid improper living and dram drinking. food that is assimilated leaves the organ
A person who has been well fed, housed ism as urea, and must pass thru the liver and clothed, not worked beyond ordinary and kidneys. Too much of this food exstrength, sleeps and eats well, lives a hausts and depresses the eliminating orfairly rational life all around—when such gans, and what remains in the blood a person becomes sick, from almost any poisons the tissues as uric acid, or it uncause, that person's chances to recover are dergoes' fermentation in the alimentary very good, with hardly any thing more canal, and there toxins are formed, which than good nursing, good hygienic environ. enter the blood by absorption and poison ments and a little good food properly pre- the whole organism. Probably 20 per pared and fed at stated intervals, in cent. of the deaths in acute diseases occur moderate quantities. The less medicines
from this cause. given, and the better attention paid to When sick people have lived hard, have correct nursing, the better are the chances. not had sufficient food or the kind best I have seen some very fierce symptoms adapted to make good blood and nerves subside after twenty-four hours under and muscles, have workt hard and underproper hygienic care and nursing, without gone many privations in one way and medicines. Such patients have sufficient another, such people present symptoms of life in the system to sustain the body if noted depression of the organic forces. In not deprest or illy used by medicines. them the protective forces of the economy A little strychnin to steady the heart, and are deficient and they are likely to sucsmall doses of belladonna to steady and cumb to causes that the other class will stimulate the regenerating forces are de- readily override. I have seen such people sirable, but only at times, and should suffering with acute diseases of the thornever be carried too far.
acic and abdominal organs at first present The food should be fluid, mostly milk symptoms of great force, quick hard pulse, and lime water. Often, a broth made of great nervous excitement, heavily coated chicken is both stimulating and refreshing, tongue; apparently the congestions are of A pound of chicken is pounded and the acute aetive type; however, in a few crushed with a mallet, then is put to soak hours all these apparently acute, active in 30 ozs, of tepid water a couple of hours, symptoms melt away into the beginning stirred every now and then ; then put of a typhoid type, the resisting forces are this in a crock and set over a coal oil weai and unable to protect, the tongue stove, keep heat down to below boiling, becomes red, dry, tending to crack, and in cook slowly three or four hours, add hot a few days all the symptoms are of the tywater (not boiling) from time to time to phoid type. Large numbers of these cases make up for evaporation. If the heat is are killed by the “ treatment.” Especially kept below the coagulating point of albu- are the coal tar antipyretics inimical to min, the broth when cookt will contain them, as the protective forces of the 25 to 40 per cent. of albuminoids in solu- economy are much lowered. I am sure tion.
the first mistakes made in the treatment Beef and mutton may be minced and are the fatal ones, from which there are treated in the same way; beef broth made slim chances to recuperate. A large share
will contain 6 to 8 per cent, of albu- of the deaths in this class of cases is owing minoids and mutton some more. Let the to this kind of treatment. Even some broth cool and skim off all the visible fat; eclectics fly at once to small doses of aconite about 2 per cent. of fat will remain. That to reduce high temperature and slow the
causes gastric and duodenal catarrh, The saving grace of this treatment is, if