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The author is a “Past Grand Master" in the The third edition of “A General Freight and manufacture of surgical instruments, and has Passenger Post," by J. L. Cowles, Esq., and actual and practical knowledge whereof he publisht by G. P. Putnam's Sons, 27 W.234 St., teaches. He commends skill in construction of New York, is at hand. It has grown to nearly instruments designed and manufactured by rival double the size of former editions, containing houses. He does not spare criticism of any in- 312 pages, and is announced at $1 in cloth and strument that seems to him faulty in mechanical 50 cents in paper. construction, or that has proven defective in We need hardly say anything in addition to actual use. This feature will prove valuable to what we have already said about this remarkable physicians and surgeons in the purchase of new book, excepting to say that the additional matter instruments. The author endeavors to aid the is just as instructive as that presented in the first purchaser in selecting from a multitude of ap- edition. Any one reading this book will be surpliances which he thinks he might want (and yet prised many times by the facts here revealed. many of which he will never use) only those Mr. Cowles has a very interesting and spirited wbich have been found well suited to their pur- manner of writing. His book is as interesting pose at the hands of a great mass of the profes- as a novel, and if the voters of this country sion.

should read it, the transportation question would The work commends itself because of its thor

soon be solved. oness—the article on “Needles, Sutures and The “Tri-State Medical Journal and PracNeedle Holders” occupies 32 pages. The use of titioner,” of St. Louis, bas changed its name to "artificial testes of ivory, celluloid or silver," as

the “Interstate Medical Journal." described and illustrated, is surely one of the refined modern surgical achievements. Many

Our Monthly Talk. presumably popular instruments are mentioned only to condemn as “ being too cheaply constructed to be of practical use" : “ Practically

llas your party got its face set toward the past out of use since the principles of asepsis have

or the future? The following news item does been generally accepted and the dangers of pri

one good. It is concerning the action of the

Massachusetts Democratic convention yesterday. mary and mixt infections known.” Articles on “Construction of Instruments,”

I wish I could record the same item concerning “Care of Instruments,” “Honing of Knives,”

the action of every party of every state in the “Microscopy and Microscopical Methods,” etc.,

Union. Will your state and your party come up are well and concisely written and thoroly illus

to this standard ? Here is the item : trated. Truax denies to the phonendoscope

The platform favors direct legislation thru "any advantages not found in the better pat

the initiative and referendum, the election of terns of stethoscopes.” “It is, however, we be

United States Senators by direct vote of the lieve, less definit and accurate than a perfect

people, the enforcement of an eight-hour workbinaural stethoscope." Ten pages are devoted

day, the abolition of the law granting a life

tenure to members of the judiciary, and the to hypodermic syringes, and their perusal and the following of their advice will save the busy

public ownership and operation of street rail

ways, water works and other municipal business practitioner much worry and many “cuss words."

enterprises. Lists of instruments to be used in any special operation are not given, but under the head

A Year of Patriotic Study. "Laparotomy” all the instruments used in any sort of abdominal operation are grouped; and so clergyman that believes in serving God by trying

Rev. W. D. P. Bliss, of Alhambra, Cal., is a on under various general headings. The article

to make the world which we are now living in on the Roentgen ray is somewhat disappointing, better. He is the prime mover of the Social less than two pages being devoted to it. The

Reform Union, a non-partisan organization to various dressings for wounds are discust in de

push education on public questions among all tail as to their respective merits and demerits, 12

classes of people and all political parties. The pages being devoted to this. Six pages are given fact is that the well-to-do and so-called intellito discussion of Hernia and Trusses. Military gent classes need this kind of education much surgery and its appliances cover 12 pages. One of the novelties illustrated under this heading is

more than many of the humble. The following

is the program for the year : Getz's bicycle litter, an ordinary bicycle, so modified as to make a very satisfactory ambu

SUBJECTS FOR MONTHLY STUDIES. lence when such alteration is desired. The October-Direct Legislation. stretcher frame is 6 feet long, and 26 inches

November-Proportional Representation. wide, and weighs 8 pounds, being constructed of December-Public Ownership of Public Utilibicycle tubing. One man can thus handle both ties. bicycle and patient. Fracture and orthopedic January, Municipal Ownership of Public appliances take up 83 pages.

Utilities. This work will be found useful by the recent February- National Ownership of Public graduate in selecting his first stock of instru- Utilities, ments; it will be used by the older men who wish March- The Taxation of Land Values, to keep up with modern advance; it is a por- April—The Taxation of Franchises, Inheritrayal of the Mechanics of the Surgery of to- tances and Incomes. day; and in years to come it will be valuable May-Government Money vs. Bank Money. as the most perfect index of surgical advance. June-Scientific Money. Its good points are many and valuable, and its July-Postal Savings Banks. faults few and of minor importance.-A. L. R. August-Public Ownership the Only Cure for

Trusts. Strikes, Government by Injunction and gressmen to dally along with partisan questions, Government by the Sword.

to the neglect of questions of vital importance to September- Public Ownership, the Key to the common people. Here is the article from the Short Hours and the Employment of the Unem- Chicago Tribune, which will indicate how far we plovel.

are behind England in meeting the wants of the Write to Rev. Bliss for samples of the liter- masses of the people: ature publisht by the Union. Better send fifty

GROWTH OF ENGLISH POSTAL BANKS. cents or $1, while you are at it, to pay for liter

One of the most remarkable instances of the encourage. ature to be sent to you for a year.

ment of national thrift is that furnishi by the posi-cice sar.

ings banks in England. As financial institution, the pa. Gold Certificates.

bank is less than half a century old in the light line

island," having opened its doors in September, 181. The banking interests have complained long

end of the following year there were 180,000 accounts, TE

gating about $8,750,000, and in the five ensuing stars in and bitterly that the greenbacks were an “end- total sum deposited averaged about $80,000,144). From less chain” to take gold out of the treasury in to 1875 the average stood about $90,000,004), and from it times of panic. However, these same interests

1880 it reacht the great annual average of $147,00

Great as was this phenomenal growth in de poslas with corhave finally brought strong enuf pressure upon responding increase in the number of depositors, it was pot the administration to secure the issue (the legal

until Jr. Fawcett became the head of the Post once Iepah

ment that it achieved fully the aim of its prometen in biog authority for which is doubtful) of gold cer- an institution that could gather up every unemployed pency tificates. They want to kill the “soldier's in England and make it the nucleus of further savings. Y: money,” the money that saved the nation ;

Fawcett threw himself into the cause of popularizing the

people's savings bank with an enervy and zeal that is but they want gold certificates. They said mented by his practical methods and sagacity, launchtite that the greenbacks are a danger to the gold

post-otlice bank upon that grander era, the evidence of

which is furnisht in the magnificent buildings, covering tre reserve in times of famine. How about gold acres of ground, now rising at West Kensington, dedicated certificates? The fact is that they need paper by the Prince of Wales this year. Mr. Fawcett interesie!

even the children of England in saving by providieg :De money, and they know that the people prefer

penny stamp slip, by which the school boy might acicpaper money, but they oppose the paper money late the minimum deposit of one shilling by peones &: & which stays at home and fights the country's


The system as developt by Fawcett was logically and ecobattles in time of need, Gold certificates are not nomically complete, and the results are shown in the stair money proper, but only receipts for goods. They and enormous growth of the bank ever since.

in the years enable the bankers to store their gold in the gove

between 1851 and 1885 the deposits rise to an average f

$200,000,000 ; in 1990 they rose to $335,000,000, und in 1 ernment vaults without charge, and use the cer- reacht nearly 8.150,000,000. The annual depositors between tificates as money, saving the express charges on

1896 and 1897 reacht 577,000. In all there are more than

7,000,000 depositors, with an average deposit of something the gold, by sending the certificates on missions

over $80. of trade to “move the crops" instead of sending

Not only has the bank thus become the poor man's repos.

tory, but it has served as banker to small societies, for suidthe gold itself. The government does that for

iers at home or abroad, and small depositors of all kinds. the banker; then why should it not store And the most gratifying feature is that, instead of dimilisblead, zinc, copper, wheat, etc., for the owners of

ing the number of depositors and the amount of deposits in

the other banks, the latter have increast in all brancbes of the same on the same terms? But all must agree the business proportionately, or nearly so. This fact disa that it would be much better for the government poses of the argument in this country against postai savings

banks, that they would tend to diminish the business of to issue, not certificates for gold, lead, wheat, or

other banks. As a matter of fact, the reverse is true. any other kind of product, but it should issue people accumulate sufficient money to open an account in paper money, based on all the leading products

the other banks than before, and many of them do

There are now ower 12,000 offices in the entire kingdorr, each of the country, or a general average of say 100 of village and town having one, tho all the money is colectal the leading products of the country as a standard into the main bank in London. The latter, tho called a

bank, is not one in the general sense of the woni, as it of value. The book called “Rational Money'' tells

merely keeps accounts and pays out, in a leisurely way, the how this can be done. This is the only way to sums it receives, when demanded, but not doing any of ite finally and permanently settle the gold question

business usually transacted by banks. The post-office benk

is simply a bank of deposit-a place where the smallest sun and the silver question. When money so based can be put where the owner will always be able to find it is issued by the general government in quantities

when he needs it. As an agency in allaying popular disconto maintain a normal average of prices, panics

tent and in inculcating habits of thrift, the value of the

post office bank cannot be overestimated. In its induence it will cease, for falling prices and panics go to- makes for government stability and the happiness and congether, and if a normal average of prices is main

tent of the people. tained, a panic is impossible. This would be a definit, permanent and safe basis for all busi

Walter Hurt's Case. ness. It does seem that we ought to reach such Editors are beginning to wake up to the importance of the a basis some time. Are we not tired of panics persecution of Walter Hurt, editor of The Gatling Gun, of and uncertain business conditions? Is not a per

Cleveland, Ohio, and his case is getting an amount of sted.

tion from the editorial fraternity that no similar case bas manently safe basis worth studying for and previously had. It is beginning to be seriously realized that working for ?

an injury to one is the coucern of all, and that accompany. ing the advance of imperialism tbere is a breaking doire of

the constitutional guarantee of free press which threatens Postal Savings Banks.

the safety of every editor in the land.

Mr. Hurt has been relentless in his criticism of the adminThe American people think they are very pro- istration, and political heelers are trying to ingratis'e thengressive, but as a matter of fact, in many ways

selves with the powers that be by retaliating upon him wib

this groundless prosecution. The infamy of the schelle isso they are very slow and stupid. Some idea of

well understood, however, that no profit will come to any of this can be gotten from the following clipping the conspirators from their attack upon Mr. Hurt. from the Chicago Tribune,and when such a slow

In the July number of The Gatling Gun Mr. Hurt says:

“Under present conditions, freedom is fast becoming s and conservative paper as that begins to move farce. Soon will it be the hollowest of all humburs Toe for the interests of the common people it is time

same spirit of imperialism that is responsible for the attempt

at foreign conquest is seeking to crush the liberty of the that all the people should get the same kind of a

press and suppress free speech. Unless there is soon a rerait "move on them." Yet you will allow your con

(Continued on next leas.)

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.-FBOUDE.

The Medical World thrill of victory at the spelling “ bees,"

the beginning of the annual season of

evening fireside life, with games and C. F. TAYLOR, M. D.

stories and riddles and books and nuts Editor and Publisher and apples, etc., etc., etc., to last the

whole winter thru. How happy we would

be if this period of life would last always! Bubscription to any part of the United States and Canada ONE DOLLAR per year. To England and the British

The reason that it doesn't, we will see Colonies, FIVE SHILLINGS per year. Postage free. Single further on. copies, TEN CENTS. These rates must be paid invariably in advance.

The month that is so happy to the We cannot always supply back numbers. Should a number

youth with bounding vitality, is the oppofail to reach a subscriber, we will supply another, if noti- site to those who have become weakened fled before the end of the month.

by age or disease. To them it is the beginPay no money to agents for the journal unless publisher's receipt is given.

ning of the most trying part of the year.

The whole secret of the matter is in reacADDRESS ALL COMMUNICATIONS TO "THE MEDICAL WORLD,"

tion. The responsive heart of the youth

sends an abundance of blood to his cheek 1520 Chestnut Street

to meet the keen November air, and he PHILADELPHIA, PA.

feels “glorious." The invalid has no

vitality to spare for reaction, and the VOL. XVII. NOVEMBER, 1899.

No. 11

chilling cold creeps in farther and farther

until the very marrow seems about to conNovember.

geal, and the vitality sinks to a lower and November brings red cheeks to the lower level. This is the kind that physirobust urchin; but to the aged, or to the cians meet in their daily work. We can't advanced consumptive, it makes pale say “harden yourself to it” to this class. cheeks more pallid, unless great care is If any “hardening” process is possible, it taken. The crisp morning air is stimulat- is only applicable to those who have plenty ing to the youth, but chilling to the aged of vitality for recreation. Perhaps they or to the invalid. Why this difference? can go into the snow with bare feet, or It is all in the ability to react. The elastic take a cold plunge on a frosty morning and abundant vitality of the young and with impunity, but the degree to which robust immediately responds to the cold such things can be safely indulged in is winds, and the November days are glori. entirely in proportion to the ability to ous days. We can all look back in memory react. Those who have no vitality to and see in each November of our youth spare cannot indulge in such things. the red cheekt apples, the cider-press, the Ample protection from cold is the only “frost on the pumpkin and the fodder in safety for them. Under safe conditions the shock," the great yellow ears of corn they should exercise judiciously, take in the crib, the nuts in the woods, the baths, followed by brisk rubbing, etc., but

they would better under-do than over-do. I do not wish to disparage regular and The physician must measure the limits of systematic college work, but I wish to their vital force, and instruct them accord- emphasize the fact that such work should ingly.

be done for the knowledge-the increast If we were askt what vital force is, we power to serve humanity-and not for the would be compelled to say that we don't diploma to hang on your office wall. know. It is the one difference between a People will judge you by the work you do. rosy, frollicking boy or girl, and one wrapt and not by the blue ribbon, gold seal and in its shroud--a lump of clay only fit to be Latin text of your diploma. True, some returned to mother earth. While we people may be dazzled by such display, but physicians know little about its essence, they are usually people whose patronage is yet we know the importance of protecting not worth having, and you must bave the and fostering the flame while it exists. intrinsic merit to meet the expectations The management must all depend upon based on such display. the amount and condition of the flame. It is a sad fact that there are some soA strong wind will make a vigorous flame called doctors who are so anxious for cheap crackle and roar all the more; but it may tinsel that they will buy anything that blow a weak and flickering flame entirely looks like it may be a diploma, if it is out. What may give increast vigor and gotten up so as to present a dazzling life to one may be death to the other. We appearance. The latest fraud of this kind physicians must decide as to the cases that has showed its brazen head is the folwhich need protection and building up lowing: An old residence in an inland before exposing to the winter now near at town was secured, which was then pamed hand. This depends more on judgment “St. Luke's Hospital.” The cut of this than on learning, but judgment and learn- old residence presents an imposing appear- . ing combined are much better than either ance on a circular. Very cleverly-comalone. In fact, only those with good posed letters and circulars are sent out to natural judgment should ever become doctors, offering an appointment upon physicians, and they should become their “staff,"conditioned, however, upon learned ones.

the purchase of a "certificate of member

ship.” The prices of the certificate are The Latest Fraud.

as follows: "Heavy Royal Linen Paper, When Noah Webster graduated, he tore

$5; Imitation of Parchment, $7.50; Genuhis diploma up on his way home, saying, if

ine Sheepskin, only $10." The following

quotation, immediately following this I have gained knowledge, it is in me, and

scale of prices, is significant: not in this sheet of paper--or words to

* We send out all of our Certificates with your name bandthat effect. By his long, laborious and

somely engrossed thereon in an old round band style of let.

ters, with dark blue ribbon and a large corporate gold seal useful literary life he amply proved this.

atlixed thereto, giving it the general appearance of a regular

Medical College Diploma." The diploma does not make the man, nor

Also notice the following quotations : does it indicate that there is much in the

"QUALIFICATIONS FOR JOINING OUR MEDICAL STAFF: man, There are men who could paper “The necessary qualifications required for proper admistheir room with their various diplomas,

sion to membership on our Medical Staff shall be:

“ FIRST.-Every graduate of any legally authorized medical certificates, etc., and whose various de

college in any State or territory of the United States, or in any other country, shall be deemed qualified to join our

Medical Staff : provided, tbey have been duly registered grees would extend across a page, and yet within their own respective State or Territory. who have never been of any signal service

"SECOND.— Every person who has received a legal license

to practice medicin, surgery, obstetrics, or any branch to the world, and never will be. On the

thereof, from tbeir own respective State or Territorial Medi

cal Examining Board. other hand, there are men who care little

* THIRD. Every person who shall have actually practised

medicin or surgery continuously for at least five years, and for diplomas or degrees, but whose actual

who are properly registered under the years of the Practice service to humanity and to the world is Please note the following possibilities of 6known of all men."

this scheme: There are upwards of 100,



cannot be returned.



000 physicians in this country. It is easy ORIGINAL COMMUNICATIONS to see that if each one of these would take a "sheepskin " at $10 each, a million dol- Short stories on the treatment of diseases and experience with lars would be in sight. But suppose that

new remedies are solicited from the profession for this

department; also difficult cases for diagnosis and treatonly 5,000 per year are sold, and at $7.50

Articles accepted must be contributed to this journal only. as the average price. Here we have an

The editors are not responsible for views expressed by income of $37,500, about nine-tenths of


Copy must be received on or before the twelfth of the month which would be profit. Is not this rather

for publication in the next month. Unused manuscript better, from a financial point of view, than practising medicin—with long night rides,

Certainly it is excellent discipline for an author to feel that he must

8ay all he has to say in the fewest possible words, or his reader few undisturbed nights, and income only is sure to skip them; and in the plainest possible words, or his

reader will certainly misunderstand them. Generally, also, a sufficient to make ends meet, and this fre- downright fact may be told in a plain way; and we want quently with difficulty ? Their side of the downright facts at present more than anything else. ---RUSKIN. picture is the raking in of a fortune every


RECORD, year, with ease and comfort-with luxury instead of hardship.

Notes and Comments. The question is, whose fault is it? Men

Editor MEDICAL WORLD:-If any reader are always looking for opportunities to

is in danger of accepting Dr. Cooper's make a fortune in ease and comfort. If views in regard to the uselessness of iron none were gullible enuf to become their in anemia, I would suggest that the said victims, this would be impossible. Those

doctor first answer in a manner satisfacwho patronize such schemes as the above tory to himself the following questions: make them possible. If they were not

If his cider barrel has lost its contents by possible, the schemers would go to work leakage, will mending the leak fill up the like you and the rest of us. They are bright barrel again? Does the removal of a men to see the weak points of those whose cause necessarily remove its effects, and patronage they expect. If the entire pro

restore the situation to what it was before fession were bright enuf to see thru their the cause was put in operation ? Will the scheme, they would have no patrons. study of authorities, such as Niemeyer, “Don't be a clam."

and your own experience if based on his

priceless observations, show any medicaDuring the hot months a physician's attention tion, in any disease, as successful as the is called chiefly to the region below the dia- use of iron, when intelligently adminisphragm ; during the cold months his attention is tered, after due regard has been paid to called chiefly to the region above the diaphragm.

the causal indication ? Niemeyer proCan you make the transition easily and gracefully

nounced the iron medication in anemia

one of the most brilliant manifestations of There seems to be a popular impression that the physician's art. Get a grip on the leg the general health is better, and consequently and tail of the elephant, brother Cooper, physicians are more free from professional cares, as well as on his trunk. By all means during May than during any other month of the year. Is this correct? If not, what month is

remove the cause, and then take a crack -the healthiest ??? Many state and other medical

at the effects. societies have their annual meetings in May for That great man, Samuel D. Gross, used the supposed reason that there is less sickness to say that the tincture of iron contained then than at any other time in the year.

something more than the chalybeate During what month are your collections the best? This will vary according to the occupa

element, possibly from the action of the tions and customs of the people in different sec

acid on the alcohol. At any rate it postions of the country. You can succeed best in sesses the greatest powers as a reconstruccollecting when your debtors have the most tive of any ferruginous preparation. In money. That is the time to make your efforts- 1874, while in a man-of-war off the coast before it is all distributed to "the butcher, the

of Africa, I was attackt with anthrax on baker and the candle-stick maker." It is important to watch just such little practical points,

the lip, the legacy of some wandering fly for you want to be successful financially as well

that had been feeding on

an infected as professionally, in your profession. If you are animal, I suppose. My life was saved by too busy to look after the financial side of your the use of tincture of iron in teaspoonful work, employ a young man, or possibly a young doses every four hours, alternated with woman, to act as clerk, book-keeper and col

aromatic sulfuric acid in like doses. Ten lector. It will pay you. Many a worthy practitioner has workt hard for years, and died leav.

years later, my mother was seized with ing nothing for his family but old, neglected and asthenic erysipelas, she then being in an now uncollectible bills.

advanced state of heart disease, of which

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