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No one will assert that there is a College of Medicin on the Gulf Coast such as Rush, or Bellevue, or Jefferson College, or Ann Arbor, and yet a few medical men without even local reputations, often better ward politicians than medical practitioners, are enabled by law to close the doors of a State to good and useful men in any community. We who are fighting these unjust enactments, these blue laws of exclusion, demand a higher standard than now generally prevails; place the standard where the discoveries of the age demand it should and must be, but let us have absolute inter-state medical commerce, and we challenge any man, any set of men, or any State board of health to successfully combat our position with sound arguments in harmony with our federal system, or in the interests of the people whom the law makes our medical wards. It is not now nor has it ever been in the interests of advanced medicin and surgery to put up a Chinese wall by States to exclude medical intercourse. The day will come when such laws will seriously curtail the usefulness of such colleges as Rush and Bellevue and Jefferson, when their students must either practice in Illinois, New York or Pennsylvania. There should be no legal limit to the centers of learning in America or to their usefulness; students who have honorably past such institutions should not be insulted by being called on by some politico-medical state caudal appendage to appear before that body or be barred out of the State; and in the bargain be fined by that body a fee of from $10 to $25, to enable them to requalify. The time has come to move on to Washington and demand a Federal Medical Law; one worthy of the age and in harmony with the foremost nation of the earth, its instincts and advanced learning.

S. EDWARD MCCULLY, M.D.

Topeka, Kansas.

American Doctors Abroad.

Editor MEDICAL WORLD:-In reply to Dr. Allis (November WORLD, page 463), I most respectfully say: First. The best medical men of the world have frequently heard of Buchanan's graduates as M. D's. They have frequently heard of such schools as the "National," "Independent,” "Independent." "Wisconsin Eclectic Medical College," and several other similar institutions. They have heard that the doctorate has been and is given in several other callings where learning is not much demanded.

They know that, until very recently, any one could have practised medicin (without diploma, degree or any attendance at medical college) in every State. They know that the requirements for matriculation or admission to the study of medicin at nine tenths of United States medical colleges are really not equal to those demanded for third class public school certificates. They have learned that until very recently there were many medical colleges that required only two years' attendance for M. D. They are of the opinion that many medical colleges are simply joint stock companies organized by sharpers.

The

They know Chicago is a medical center, such as is described on page 477 in November WORLD, and that from its ten schools "not clast as super-classical" the output is large;-that fifteen schools are accepted as in good or fair standing." If they (the foreign doctors) know these facts concerning medical laws and rulings in the United States, it is evident that their views and knowledge on these subjects should influence and enlighten them and those with whom they associate. ease with which the M. D. can be obtained from many United States medical colleges floods the schools with many very poorly educated men, thus interfering with the honest work in practice of well educated men. The former, looking on practice in a business light, and not meeting with success, frequently leave the practice to engage in the livery business, keep hotels. etc., thus bringing reproach on the profession; for as the M. D. did not cost much labor, many shekels or time to get it, it was not lookt on as a great possession as it is in European countries and in the British colonies, where its possessor never thinks of giving up the profession for which he has workt many long tedious years. In all foreign countries the requirements are greater than those exacted by the majority of United States medical colleges. Universities alone give the M. D. degree in foreign countries.

A thoroly educated M. D. will not write: "An American doctor or diploma in the following countries are no good." Oh! no. No M. D. of Michigan University, Cornell. Harvard, Rush, Jefferson or of six or eight other medical colleges has so forgotten his grammar.

Place each medical degree conferring institution on a level with such as are last named: let State universities alone give the requirements for M. D. degree; require

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[The Editor wishes to ask pardon for allowing the above mentioned grammatical error to appear. It is his business to prevent such errors from appearing. How ever, while the Canadians are the most critical of the faults of others, yet as a rule their manuscript is the worst that comes to this office. Their writing, arrangement, rhetoric, and sometimes their grammar rank with the poorest that we have to deal with. The original manuscript of the above article is no exception to this rule. But the thought contained in the contributions from our Canadian friends is generally good, and more of it would be welcome. The criticism of our institutions contained in the above article is in most respects a wholesome criticism, and despite the badly written manuscript, we are pleased to present it, feeling that we are doing good by so doing.]

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Editor MEDICAL WORLD:-The fatality of tuberculosis and the rapid strides during the last decade, made by the student of medicin, is at this time occupying the attention of the profession, as well as attracting the intense interest of the whole country.

The medical magazines and the press generally are teeming with news and opinions in regard to tuberculosis in both man and beast.

That which interests me most is the fact of which I am convinced after years of doubt, that tuberculosis must be a curable disease, or my daughter would not be living and well to-day.

I feel it my duty to bring certain truths. to the attention of the medical profession, which I, as an old school (regular) physician hesitated in doing for several years.

My daughter, who had contracted pulmonary tuberculosis in 1894 and had undoubtedly inherited the susceptibility from her mother (who died of said dis

ease), became anemic and developt a cough and in every respect reminded me of her mother, as they were as much alike as is possible for mother and daughter to be, in temperament and diathesis, as well as in likeness and general make up.

Daughter's decline was gradual but so perceptible that I had given up all hope of her recovery. Her cough was severe and expectoration abundant; loss of appetite, loss of weight and loss of strength, month after month, produced general debility. Her condition was in every respect highly unfavorable, especially so after my diagnosis was corroborated by a microscopic examination, showing bacilli in her sputum.

My hesitation to call the attention of the profession to her remarkable recovery was caused principally by the fear that the cure was not permanent. But it is now almost five years and she enjoys better health than ever before, and the cure appears to be permanent.

Eight or nine years ago I remember reading several articles in THE MEDICAL WORLD from the pen of Dr. N. B. Shade of Hagerstown, Md., who is now a resident of this city. I was very forcibly struck with the originality of his argument on the pathology of tuberculosis and its causes, which led me to place my daughter under his care and treatment.

I know personally three physicians and again as many laity in this city who have been cured of tuberculosis by Dr. Shade's methods, and all these cases were diagnosed consumption by Washington physicians. Let me say that Dr. Shade does not claim to have discovered a specific. If he did I should not have faith in him. All the cases cured that I have any knowledge of were cured in five to eight months. My daughter began treatment in November, 1894, and was discharged cured in June, 1895, at the end of seven months, cough gone, expectoration had ceast entirely, her appetite improved and her weight increast. This is the kind of work achieved in Washington, D. C., without a change of climate, which is remarkable.

An investigation should be thoroly made as to every particular in regard to his plan of treatment, which is undoubtedly highly successful when compared to the statistics of other treatments of whatever character. S. A. H. McKIM, M.D.

Washington, D. C.
We sent the above to Dr. Shade, request-

ing an outline of the treatment pursued in this case, and he sends the following:

The first object in the treatment was to arrest malnutrition, which was accomplisht by cleansing the alimentary canal by flushing with a half gallon or more of warm water every other night. Then onetwentieth grain of hydrargyri chloridum mite was prescribed to be taken every night until urine cleared up, and afterwards one-fourth grain of aurum chloridum was given daily until the mild chlorid of mercury was indicated again by scanty or highly-colored urine, loss of appetite, etc. I think she took the gold the most of the time after her secretions acted well and her liver and kidneys performed their functions tolerably well.

A glass valve inhaler, which generates ammonium chlorid and tar vapor, was prescribed, which she used thrice daily. The base of the inhaler contained aqua ammon., distilled water and a few drops of ol. tar. The top vial contained acid

mur.

She took several tonics: Syr. hypophosphites comp., Wampole's emulsion and tinct. gentian comp., equal parts in dessertspoonful doses after meals. After taking treatment for several months, she took three to five grains of hydrargyri chloridum mite occasionally at night, and for many months took a half teaspoonful of a refined magnesia every morning on rising, in a cup of hot water, to flush the stomach and duodenum, which cleansed the folds and convolutions of the stomach

and bowels. Her improvement was very markt after four months, and gradually her health was restored, which seems to be permanent. NEVIN B. SHADE, M.D. Washington, D. C.

Prolonged Lactation.

There are numerous cases of prolonged lactation on record, one of the most remarkable of which is that reported by Kenneday. In his case a woman had milk in her breasts continuously for forty-seven years. The history of a case now in charge of the editor is as follows:

Mary S., aged twenty-two, was pregnant for the first time at the age of seventeen, and has had milk in her breasts continuously since the birth of her first child. She has not nurst a child for two years, but at times the breasts are much enlarged. Her mother, after the birth of her last child, had milk in her breasts continuously for fifteen years.-Exchange.

Quiz Column.

Questions are solicited for this column. Communications not accompanied by the proper name and address of the writer (not necessarily for publication) will not be noticed.

The great number of requests for private answers, for the information and benent of the writer, makes it necessary for us to charge a fee for the time required. This fee will be from one to five dollars, according to the amount of research and writing required.

Treatment of Nevus.

Editor MEDICAL WORLD:-Will any of the WORLD readers give me some of their experience as to the best treatment of nevi. medical or surgical? My own baby, a girl of thirteen months, has three nevi, one on the ear, one on the shoulder, and one on the forehead in the middle of the anterior fontanelle. Help will be greatly appreciated. I am very anxious to relieve her of possible future disfigurement.

McKeesport, Pa. DR. FRIEDLANDER.

[The only successful treatment for nevus that we know of is by electrolysis. The treatment should be given by an expert electrician.- ED.]

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Is it Progressive Muscular Atrophy? Editor MEDICAL WORLD:-Having been a reader of THE MEDICAL WORLD for eight years and a practising physician for fifteen years, I wish to ask help from my brother M. D's. in diagnosis and treatment of myself.

About two years ago I began to loose the use of my legs. They would tire easily. My ankles would sprain easily. My general health was good excepting some anemia and emaciation. Soon I noticed atrophy of anterior tibial muscles with foot-drop and abolition of patellar tendoreflex. Soon the anterior muscles of thighs and also gluteal muscles began to atrophy. Had muscular tremens of same and sometimes fibritory twitchings, especially after exertion, also twitching of muscles of both arms. Am becoming weaker in

left arm. Also have the twitching of muscles of back and abdomen. Yet my health is good. Have been confined to invalid chair for eight months. My legs are greatly reduced. Have some dull pains in hip joints at night. Am tender along the sciatic nerve for four or five inches near the hip joint. Am of late restless at night unless I take bromids.

Family history clear of any nervous trouble, so far as I know. Never had any specific trouble. Was, until disease set in two years ago, a tolerable free user of beer and whisky; also tobacco. My bladder and bowels are in perfect condition. Sexual powers greatly reduced. Eyesight perfect. Memory as good as ever. Have

almost no pain except nocturnal dull pains of hips. Have done most of my work horseback, and have been exposed to all kinds of weather. I am forty-five years old. My mother. died of phthisis at the age of forty-nine. Extreme flexion of arms will cause cramps. If any brother who has had any experience with anything of a similar nature will answer me personally, or thru THE WORLD, I will be under lasting obligations to him. I graduated at the Missouri Medical College, of St. Louis, in the class of 1885.

L. C. NEIL, M.D.

Aldrich, Polk Co., Mo.

[Read up on progressive muscular atrophy. If your disease is not in the spinal cord, massage and passive exercise of the affected parts would promise benefit; also the vacuum treatment. The latter is done as follows: A leg is put into a metallic receiver which is made to fasten air-tight about the upper part of the thigh. Then a partial vacuum is produced in the receiver, and later steam may be introduced. It is not difficult to understand that this treatment brings an increast supply of blood to the limb, greatly improving its nutrition. Such treatment is best gotten in a sanitarium, which has suitable apparatus and trained assistants.-ED.]

We have all heard of the little boy who had to go to bed to have his shirt washt. When a companion who one day found him in bed exprest surprise at him having only one shirt, the boy in bed sat straight upright and said: "Do you expect a feller to have a hundred shirts?"

Some doctors subscribe for only one medical magazine and think that they are thereby doing their full duty to themselves in that line. What is a better investment for the price than a practical medical magazine? Can you think of any better investment? Suppose you pay $1 for a medical magazine, and only get time to read a quarter of them; out of that quarter you will get information worth to you many times the yearly subscription price. You should make as many such investments as possible, and your list should include as many different kinds as possible. THE WORLD is unlike any other medical magazine. Therefore you will want it, even tho you are taking fifty others.

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Griffith recommends that one ounce of lime and two of sulfur, with a quart of water, be boiled in a porcelain-lined vessel for some twenty minutes. After standing, pour off the clear liquid. This is not a solution of pure sulfur, but resembles those in the market. One to two ounces of this solution, when diluted, form a sulfur bath, and a few drops in a tumbler of water make a sulfur water. Recently this solution has been highly recommended as a cough remedy.-M. Billier, in the Practical Druggist.

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ounces of the solution. The wrapper is lithographt in plain black on white. Examination showed it to contain a fluorescent principle, extracted from alkalin solution by amyl alcohol (wild cherry), an alkaloid soluble in amyl alcohol and precipitated by Mayer's reagent (probable presence of ipecac, tho opium may also be present), tartar emetic, coloring matter, oil anis, sugar-house syrup, and possibly other substances of less importance. The following formula makes a preparation which is substantially the same as the proprietary article:

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2 fl. dr.

Water to make...

2 fl. dr.

1 dr.

2 gr.

3 fl. oz.

6 fl. dr.

20 m.

2 dr. 8 fl. oz. -New Idea.

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100 gr.

Wood naphtha......

25 gr.

liters. liters.

-Secret Nostrums and Systems.

12 gr.

60 gr.

10 gr.

.3000 gr.

Potash......

Arsenious acid.. Boiling water.

Mix. The solution is then allowed to cool and filter.

To 10 parts of this solution, which is neutral, colorless and odorless, add 4 parts of glycerin and 1 part of methylic alcohol.

From 1 to 5 liters of the fluid to be used on each body, according to size. Saturate and impregnate the body with it.-F. C. E. Mattison, M.D.

EMBALMING.

The following was given in Scientific American in 1878:

Saturate two pints of water with chlorid of zinc, and add one pint more of water and two pints of methylated spirit or alcohol. This amount is sufficient for an adult. Tie the injecting nozzle in the vein. If a catarrh bottle is used with long pipe the fluid will gravitate over the body; if not, slight pressure may be made, as by blowing in it. This makes the skin white and firm, but mottled for a short time.

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DOUBLE CHLORID OF GOLD AND SODIUM CURE FOR DRUNKENNESS.

Prof. Edmund Andrews gives the following in regard to this treatment in an interview publisht in the Chicago Daily News:

About three years ago a young physician in Chicago named Dr. J. L. Gray, who now has a sanitarium for the treatment of drunkenness and nervous diseases at La Porte, Ind., without any knowledge of what was being done at Dwight, began to treat drunkards by a combination of medicins, of which the principal ingredients were strychnia, atropin, and the double

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