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The Medical World

The knowledge that a man can use is the only real knowledge ; the only knowledge that has
life and growth in it and converts itself into practical power. The rest hangs

like dust about the brain, or dries like raindrops of the stones.-FROUDE.

The Medical World go intestinal antisepsis, and the treatment

fied before the end of the month.


is complete and uniformly successful.

Keeping these general principles in mind, C. F. TAYLOR, M. D.

treatment of these formerly perplexing Editor and Publisher cases is not only easy, but it would be

hard to go astray. The first step is, no

food at all until better, then nature's Subscription to any part of the United States and Canada

ONE DOLLAR per year. To England and the British food, the mother's milk if the child is Colonies, FIVE SHILLINGS per year. Postage free. Single

nursing, the mother being in proper condicopies, TEN CENTS. These rates must be paid invariably in advance.

tion, or good, wholesome milk or milk food. We cannot always supply back numbers. Should a number The second step is probably best achieved

fall to reach a subscriber, we will supply another, if noti- . by castor oil, and slightly antisepticised Pay no money to agents for the journal unless publisher's but large injections high up into the colon. receipt is given.

The third step has been fully discust in ADDRESS ALL COMMUNICATIONS TO

these çolumns in the past few years. Per"THE MEDICAL WORLD,"

haps the sulfocarbolates are the best in1520 Chestnut Street

testinal antiseptics. Have not the discusPHILADELPHIA, PA. sions in these columns done much to sup

plant frequent failure by uniform success VOL. XVII. SEPTEMBER, 1899.

No. 9.

in these cases ? Write your notes now on your experience during the season just

passing, and send them to us next May The Dread of Summer Mitigated.

for publication; or send them to us now Only a few years ago

and we will keep them till next May. plaint” among the children was the dread both of parents and physicians. It

The Culprit Has Been Found. doesn't seem to be so now. How is it It is reported that the following cablewith you in your practice? Intelligent gram has been received at Liverpool, from care as to the diet, and proper correction Major Ross, the head of the malarial exof the same when necessary, combined pedition sent out by the Liverpool School with gentle intestinal drainage and intes- of Tropical Diseases : " The malarial tinal antisepsis, have workt wonders mosquito has been found.” among the children. This is simple, isn't The Major went out to West Africa on it? Most things are simple after we learn the theory that malaria is disseminated them. A diseased intestinal tract should by the swamp frequenting mosquito. The first have rest. No food should be put cablegram comes from Sierra Leone. into it until it is put in a condition for the The British Government will be askt to reception of food. Next, it should be

Next, it should be send a scientific force to work in conjuncdrained of poisonous matters which irri- tion with Major Ross. tate locally and poison the general system This is “important if true." The when absorbed. Along with this should causes of malaria, like the remedies for

summer com

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it, are so numerous that we will be slow wishes to move into another state to again to put our confidence in one alone, until undergo examination, and it is also a it is proven very conclusively. If this great inconvenience for those who live interesting bird, the “ malarial mosquito,'' near the borders of states, and also to could be caged, it would be a stronger at consultants or operators who may be traction than Barnum's white elephant. called into adjoining states. The liberties Torpedo boats are called the “wasps of of American citizens should not have to the navy." They make necessary a be readjusted at each State boundary. special naval craft, the torpedo-boat de. The flag should mean equal liberty to all stroyers. When we learn to recognize the wherever "old Glory" floats. We should malarial mosquito, there will be a very spell Nation with a capital N. This means great demand for a malarial mosquito de- that we should have a National medical stroyer. We will anxiously await further law, and a National board or boards of news concerning the “varmint."

examiners, and a license from such a body

should give the right to practice medicine A National Medical Law Needed. anywhere under the stars and stripes. It now requires much more time, labor and money to fit one's self for entrance

Don't Get Rusty. into the profession than formerly. If we We have made it a special point to prelook back ten years we find quite a dif- sent from time to time, the examination ference; if we look back twenty years, the questions askt by various state examining difference is much greater. Then a ma

boards. In this issue are those of two leadjority of the states had no medical law at ing states. The Association of Medical Ex. all. Those that did only required a dip- amining Boards, which meets annually to loma from some medical college, and the compare notes and experiences, with a requirements of medical colleges were not view to establishing a uniformity of rescrutinized by the officers of said states. quirements, is performing a very importAs early as the early eighties we ad- ant function. We hope that it is paving vocated vigorously and repeatedly, that a the way for a National Board of Examindiploma from a medical college should not ers, whose certificate will give the right carry with it the right to practice. The to practise any place under our flag. arguments were apparent. Colleges are These questions will give prospective private teaching institutions; therefore, medical students an idea of what will be they should not at the same time be public required of them. But our chief object in licensing institutions. The incentive for presenting them is that they may serve as colleges to license as many students as a text to inspire older practitioners to bepossible, for profit, should not exist. It ware of becoming "rusty." A medical is much better that the teaching institu- man should be a student always. The tion and the licensing institution be older students should keep up with the entirely separate. Then the colleges that young students. The questions publisht do the best teaching (their true sphere), in this issue could serve as the text for an will receive the most patronage, as they entire winter's study. We have known should. These arguments, made years some doctors in small towns to be loafers a ago in these columns, are now pretty large part of their time. Frequently the generally accepted and realized. The nearest drug store is the favorite loafing state boards do the examining and licens- place. Let these realize what they do ing.

not know by reading these questions. A still further step we have advocated, This may make them ashamed to waste and hope some time to see realized. It is any more time in loafing. a great inconvenience for a physician who However, a better way is to lay out a





course of reading for every winter. Take ORIGINAL COMMUNICATIONS up a certain line of thought and master it

Short stories on the treatment of diseases and experience with before you leave it. Thus you will grada- new remedies are solicited from the profession for this ally acquire a leadership in your commu

department; also difficult cases for diagnosis and treatnity. Dr. J. G. Holland used to say that

Articles accepted must be contributed to this journal only.

The editors are not responsible for views expressed by the manner in which a young professional


Copy must be received on or before the twelfth of the month man used the first ten years of his pro- for publication in the next month. Unused manuscript

cannot be returned. fessional life determined the degree of his

Certainly it is excellent discipline for an author to feel that he must success or failure. But this does not

say all he has to say in the fewest possible words, or his reader

is sure to skip them; and in the plainest possible words, or his apply only to young men and beginners. reader will certainly misunderstand them. Generally, also, a

downright fact may be told in a plain way; and we want Those who may have been wasting pre

downright facts at present more than anything else.-RUSKIN. cious time can yet redeem themselves by

RECORD, settling down to close, systematic study, and they will soon see this in the firmer grasp

Medical Reminiscences.

No. 1 they will have on the principles and practice of medicine. The best teachers are

MY FIRST PRESCRIPTION. not the instructors, but the inspirers. If

Editor MEDICAL WORLD :-My first pre

scription was not a very complicated one we could inspire every practitioner who

nor did it call for a great amount of reads these columns to become a close, knowledge to write it or skill to compound systematic student, the instruction would it. It spite of its simplicity, however, it take care of itself—as we were told in our

caused me much mental anxiety and trep

idation. school days, “take care of the minutes

It was not my first case. I had been and the hours will take care of them.

giving medical advice and consolation, selves; and “ "take care of the cents and sometimes with and sometimes without the dollars will take care of themselves." medicine, for some months, in a charitable

institution, under my father's watchful

supervision. Correction.

I had fitted up a small dispensary there In, the prescription given in August

and dispensed all kinds of concoctions, WORLD, page 313, second column, “fi. ex. the more bitter and nauseating, I soon amarae " should read “fl. ex. krameriae,''

found the better. It was this way; the the prescription then being as follows: women were mostly from the courts and Plumb. acetas

on probation; that is sufficient descrip

• gr. xxx Zinc. sulf....

tion of the character of their mind and

gr. XV Fl. ex. krameriae

body. I soon found that advice wasn't Tr. opii .

aa oz. j

appreciated, unless medicine went with it Aque.

q. s. oz. Vj

and pills didn't count as medicine. M. Sig.-Inject morning and evening.

These probationers wanted something This difference is not of much practical

to drink, whisky if they could get it, but

something bitter and in large quantities, importance, however, as the metallic astringents in the prescription are

anyway, something that would leave a

more powerful than the vegetable astringent.

lingering taste in the mouth and be filling. A subscriber asks where the one grain

That experience was very useful to me in methylin blue tablets can be obtained.

later practice; when I was called to a paAny tablet maker can make them.

tient, of poor but honest means, I knew I The

would make more of an impression in reUpjohn Pill and Granule Co. list in their catalog among their regular goods one

gard to the appreciation of my talents as a grain pills of methylin blue, c. p.

doctor, if I gave the bitterest medicine possible in the largest amount of liquid

menstrum, for such people judge of the A busy doctor doesn't want to be bothered to send a dollar efficacy of medicine, to a great degree, by for THE WORLD every year. For this reason we establisht the rate of four years for $3. This is a saving of both time and

the material taste. Spiced syrups and money to our busy patrons. We have received a greater number of four-year subscriptions this year than ever before.

elixirs and wines don't appeal to their They have been coming all summer, and now that the taste, for if they taste good they think refreshing days of September have come, our four-year subscriptions will boom." Hurrah for the four-year inen they have no medicinal power.

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My first prescription, to return to the Incidentally, it pleased me to think that subject, called for a powder of bromid of the man had gone to the aforesaid drug. soda and pepsin with a dash of Dover's gist, as that druggist had put up my powder. I have forgotten the propor father's first prescription, some thirty odd tions, but they were small enuf to do no

years before. harm, and as I look at it to-day, no good After all, I came out with flying colors either. Besides it made rather a messy with my first prescription, and had many powder that didn't keep very well, as the a laugh afterwards with my father and the bromid of soda absorbed water and made druggist and my friends who had also a paste.

written first prescriptions and who had After I had duly imprest the family worried more or less over them. with my prescription writing ability I The "old man," the father of the little went home to consider. As my bump of child, who didn't take my first prescripcaution is rather large, I began to doubt tion, had a jumping toothache when I my knowledge of things in general and of made my first call, and as I had some prescription-writing in particular. I began crystals of chloral in my case I put one to think I might have written ten ounces into the hollow of the tooth and stuffed of Dover's powder instead of grains and I some cotton over it. That was a lucky hit pictured to myself the “poppy” sleep of of mine and there was nothing too good the little one for whom I had written it. for me in that family afterward.

Then I imagined a funeral, and latter The old man's gratitude gave me an inquiry, and then the dock, and then a pointer, and altho I didn't need mercenary blasted name and a long sojourn in a little prompting to take an interest in all sufferroom with a grated door and no conveni- ing, I gave my helpful advice with added ences.

encouragement, and I have always found As I lookt around at my cosily fitted that it pays to make friends with the office I thought it would be a good idea to grandmother and pat the baby on the head stop the prescription in transit. I hunted and treat all generations between with bearound in the closets and found a sample coming and heartfelt sympathy, and it bottle of some fluid preparation of pepsin, even pays to say “ How do you do?” to and with that in my hand I hastened to the cook and the chambermaid. my own rescue,

The old man was poor, but his gratitude I have forgotten what excuse I made for was abounding; and thru him I was recsubstituting on my own prescription, but ommended to his employer, who was a altho it was doubtless a lame one, it sufferer from dyspepsia, and every one past. Altho my doubts said to myself knows what kind of a trouble that is to that the child had probably taken a dose, treat. You can put that man's name on my hope encouraged me to trust that he your first page the first day of January as had not, and hope was right.

a New Year's offering, and it will be on I wrote that prescription on a blank the last page the thirty-first of December, kindly furnisht me by a druggist. The and every day in the year between. covers were of sealskin and the perforated After my experience with my first preblanks were beautifully printed with my scription, I got my father to write out a name at the bottom in small type and the series of about fifty sets of symptoms. kind druggist's name in somewhat larger These were such as would be met with in letters at the top. That saved me. daily practice, but were not named. I

The father of the family went about pasted these in a book, and having diagthree miles to that drug store because he nosed the disease, I wrote several prethought that was the only place he could scriptions opposite each to meet the rehave the prescription filled. As he was quirements in each. Then I bad my poor, he walked, and ere he had covered father criticise them and find all the faults the six miles I was at hand to welcome he could. Then before I knew it I was an him home.

expert prescription writer. I could write That episode was an eye-opener, for I them as easily as I could say my letters or found at the send-off that prescription the multiplication table. To tell the truth, blanks with the druggist’s pame at the I had learned many of them by heart, just head were of some value to the druggist, like the alphabet. and I considered that he had probably Before I had completed my education more than made up for the cost of the in the prescription line I wrote my second pretty book on that one prescription. real kill or cure prescription. It was for “ Five gal

a girl about 17 years of age who had the nothing was needed beyond mental ensummer complaint. I had a prescription couragement and soothing words of reasthat I workt out in college that I thought surance. The face wash contained sulwas strong enuf to tie up the east wind. fur, glycerin and rose water, and needless

I learned a lesson from that, too. The to say, was not dangerous but simply a directions said, take as required; but the little cathartic. girl didn't consider the requirements of

In still another case that prescription any account. She kept at it until she played a very important part. On the had taken four ounces of the mixture at face of my father's prescription blanks intervals of three hours, and even got up was the caution to the druggist against in the night to avoid skipping a dose. Her refilling the same. A certain druggist put zeal was commendable, but the result was up the prescription for a lady once. Some annoying.

months later, when my father was not at This girl was not an inmate of the home, the druggist came to me and said Home, but I had gone to see her at the that Mrs. Blank was making a great ado suggestion of the Matron, it being the because he wouldn't give her a copy of the custom at that time to attend to those prescription. A few hours later Mrs. who were worthy and had any claim on Blank came to me herself, and after the Home thru having relatives or friends maligning the druggist, askt me for a there.

copy, and she took me so by surprise that The Matron told me one morning that I gave it to her. she thought I ought to call on Annie S., A few days later a druggist in another as she had got over the summer complaint part of the town said: “Mrs. Blank had and was suffering badly from the opposite quite a quantity of that face lotion of condition. I did call and wrote no pre- yours put up yesterday.” scription, I furnisht her with heroic “Is that so ?” said I. “Yes, it is,” said doses of all the cathartics and purgatives he. “How much?” said J. that I could think of with no effect, but lons," said he. "Good Lord !” said I, finally a liberal draught from the spiced "what is she going to do with it ?” “Sell syrup of rhubarb bottle did the work, and it, I guess," said he, sentitiously. “What Annie resumed her wonted good health makes you think so ?'' said I. "Because,” and normal functions.

said he, "she wanted to know where she That taught me another lesson—never could buy four-ounce bottles by wholesale, to write for large quantities of a medicine and she wanted to know where she could to be taken as required. When I wrote get labels printed cheaply. I recomthe prescription I told Annie she could mended her to go to Typo's." I went to keep what remained for time of need, but Typo's, too, and there I saw the rise, if not Annie thought it was too good to keep, the progress, of a patent medicine. Typo with the results just described.

was printing some beautiful labels with a Doubtless many other physicians have full-length figure of Venus adorning them, had amusing experiences in their early and he was preparing a lurid circular, and days, and many have had amusing ex- told me that when the paper came out for periences with prescriptions in later days. that week it would have an advertisement

My father had a prescription for a face in it. Sure enuf, the advertisement duly lotion which was very good to remove appeared, and Mrs. Blank's face lotion sun burn and whiten the skin. During was launched on the market. summer or winter vacations he would oc- There's the history of many a patent casionally give this to some young lady at medicine in that, for many people think a hotel. He gave it to a young lady in they can do what they please with a docFlorida one day, and heard from it that tor's prescription when they get hold of it, night about the time when church yards and if they can cheat the doctor, so much yawn.

the better. This young lady's father was under my Of course, all these stories about prefather's care and took a dose of medicine scriptions (which are true) have their every night just before retiring. Mabel, morals, but you will be obliged to pick as she may be called for convenience, had those out yourself. I could tell a number obtained the face wash and her father took of tales about the adventures and misada dose by mistake. The taste betrayed

The taste betrayed ventures of numerous other prescriptions, the mistake, and he ran across the corri- but they and the morals will have to wait dor to my room to get an antidote, but while some one else takes up the thread of

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