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gave indications for a serious case of pla
Dr. Brice's Case. centa previa. I asked for consultation, Editor MEDICAL WORLD :-In Dr. K. S. and when my counsel arrived we decided Brice's case I would advise : Have patient that only by podalic version and delivery to avoid eating sweets and all highlycould her life be saved.
spiced foods. Give : I performed version by using diligent
B effort for two hours to introduce my hand
3j and reach the feet, after which the balance
zijss of the work was easily carried out. Per
M. Sig. One dose. Give three times itonitis set in, and the fever ran up to
a day immediately before meals. 1070. There was good recovery after several weeks confinement.
I used antisepticinjections daily, antipyretics and opium.
Hydrochloric acid, dilut. gtt. xii
3ss I. A. WESSON, M. D.
Aqua pura . ;: Wingo, Ky.
M. Sig. One dose. Give three times
a day immediately after meals. To Check Sneezing.-Itchlog Chilblains.
Should these fail, then add the follow
ing: Editor MEDICAL WORLD:—To check
B sneezing. Press the tongue hard against
Bismuth subnitrate . ziv the hard palate, and then hold on. For itching chilblains. Paint them
Aqua pura . . lightly with tincture iodin and carbolic
M. Sig. Two teaspoonfuls fifteen min
utes before meals. acid, equal parts. It acts like magic. J. SULEY WHEELER, M. D.
If all these fail, I would suggest lavage Quincy, Cal.
P. E. GOLD, M. D. [Practical, with the brevity that is "the
Sipe Springs, Comanche Co., Tex. soul of wit." Dr. Wheeler evidently
More About Warts. realizes what is wanted by both editor and reader.-ED.]
Editor MEDICAL WORLD:~Dear Sir:-
If Dr. C. F. Mitchell will prescribe for lodin for Snake Poisoning.
warts a saturated solution of ammonium Editor MEDICAL WORLD :-A short time chlorid, and have his patient to thor
oughly apply this two or three times daily ago I read in a Florida paper an article
on "Snake Bites," by E. T. Brown, M. D.,
with a camel's hair pencil, in a few weeks Leesburg, Fla., a physician well-known
the young lady will have a smooth hand. locally. He says a cup of melted lard is
The beauty of this treatment is that it often recommended for snake bites, and
causes no pain and does not color the sur
face. continues : “A child, four years old, was
W. J. STEVENSON, M. D. bitten by a rattler, and the wrist and arm
Lauderdale, Miss. was much swollen, I applied to the wound iodin, then gave every ten minutes in
Asepsis and Antisepsis in Obstetrics. water one drop of iodin on tongue for Editor MEDICAL WORLD :-In obstetrics about one hour, then every half-hour, the theory of the past and present emabout ten to fifteen drops in all. Tbe braces the extremes of the potent factors, child was well the next day. A boy, fif- cleanliness and rest, respectively. Not teen years old, bitten by rattler in leg, many years ago the professor of obstetrics who could hardly stand up, was also taught that the factor rest was the alltreated in this manner, increasing dose to important consideration after child-birth; two drops. He was well next day. A hence the woman was compelled to remain cow bitten, and unable to get up, was in the filth consequent to the birth of a given ten-drop doses on the tongue. Re- child until the following day. Now it is ported next day as feeding again and taught from the same chair that cleanliabout."
ness is the all-important matter for conI am no doctor, but take interest in sideration, and the woman should be what I think benefits mankind. If phy- made clean as possible, also the bed; else sicians would experiment on this remedy the physician has not performed his proand make results known, it would redound fessional duty in accord with the late or to the benefit of mankind.
modern theory. Palatka, Fla. CH. VAN DUISBURG. No rational physician will attempt to refute the potency of either or both of the last few years I have been using creothese factors; but the ways and means to lin instead of carbolic acid, in the followobtain the best results through these fac- ing solution : One teaspoonful to cup of tors can be questioned. It appears to me water, and teaspoonful of this solution to that the exponent with which to reach the one cup of milk-warm water for vaginal goal is philosophy applied to practice of douch, to be used three or four times in obstetrics. It appears to me to be very twenty-four hours. Order one teaspoonful unwise to-day for a woman to remain in of this solution used in the water when an unclean condition after child-birth the parts are washed, and have done four with the view of giving the nervous sys- times in twenty-four hour. tem an opportunity to regain its spent I also see to it that all soiled clothing force; while, in fact, such condition tends is removed from the woman and bed, and directly to irritate and disturb, and there- have the napkins removed every hour by lower the resisting force of the nervous and clean ones used. I am pleased to say system. Furthermore, the decomposition that I have as yet the the first woman to of the animal matter thrown off tends to lose thru confinement, and have been in produce and generate toxin, with which to general practice nineteen years. contaminate the general system of the I think that many of the antiseptic preperson.
cautions are too extensive and unnecesThe rational way is to clear away from sary. The chief aim is cleanliness, and the woman and her bed all foreign matter; this should be enforced with as little disthru such you will have removed an turbance to the woman as possible. Obirritant to her nervous system; she will servation and practice will in time elimifeel more comfortable ; hence will be more nate the unnecessary from practice, and likely to regain lost energy and resisting leave the abstract water and common force. And not this alone, but you will sense to establish the real theory and have also destroyed the nidus of microbes. practice of obstetrics. But, on the other hand, prolong this
C. W. MUSGROVE. procedure with too much of the ways and McKee's Half Falls, Pa. means, while you obtain extreme cleanliness you tend to disturb and irritate the
Case of Erythema (?) After (Rectal) Saline nervous system, and thereby lower the
Injections. resisting power. Therefore it seems ap- Editor MEDICAL WORLD:- - In case of parent to me that the philosophic plan is menorrhagia, during the menopause, not too much, but simply enuf to reach I
gave an injection
injection of three pints the force and result of both those potent salt solution (three grains of salt factors, cleanliness and rest.
the pint), to fill up the depleted As to experience, nineteen years ago, veins. The solution was retained, and, when I left college, the chair of obstetrics after two hours, my patient was a great taught that the woman should not be dis- deal better. At next visit (eight hours turbed until the day following confine- later) I found her covered with a rash, in ment, but I could not see the logic, and patches, in appearance a cross between in my mind did not accept of the doctrine. erythema and measles, thick in front of However, when I entered the field of the knees, on the buttocks, back of arms, practice, for two years I practised as in- along the spine and on the face. It faded structed at college, but each time I at- in thirty hours. Eight hours after, I retended a case of confinement I left the peated the injections, when the rash replace dissatisfied with the professional ser- appeared in two hours and lasted for fortyvice rendered to the woman. But the third eight hours. Pneumonia complicated the year of practice I had gained sufficient case and the patient died the fifth day. courage to assert my own opinion, and I Did the salt solution dissolve the toxins cleaned the woman and bed thoroly. I in the bowels and so cause the rash by remember very keenly the exclamation absorption, or was it a vaso-motor disfrom the woman : “ Ob, I feel so much turbance? I think both causes workt. I better than when I was confined before." have seen a scarlet rash in children which This remark, of course, encouraged me, lasted about a day, twice after soap eneand from that day to this such has been matas, and which were followed by slight my practice. The following year I began scaling of the cuticle. There was no sore the use of carbolic acid solution to wash throat.
P. H. von ZIEROLSHOFEN. the parts, and as a vaginal douch. But for Croghen, N. Y.
Dr. Harwood's Case.
[The general developing along the line Editor MEDICAL WORLD:-I don't see of internal asepsis and antisepsis, one of where such a prescription as is given by the most rational ideas of modern mediDr. Harwood was indicated in gastro-en- cine, is most gratifying. The above is a teritis unless he wished to kill the child. fair sample of the affirmative argument. From such a dose of quinin would ensue To have the wheat in the matter thresht semi-paralysis of the nerves of the lungs, out to its fullest extent, all sides should be and the child would gasp for reath as in considered, however, and THE WORLD is congestion of the lungs. The abdomen open to those holding negative views, in would be tympanitic, and there would be order that they may convince or be conpalpitation of the heart, great debility, vinced.-Ed.] etc.
J. K. EBERLE, M. D. Pana, Ill.
The Clinical Thermometer vs. Asepsis.
Editor MEDICAL WORLD:-We live in a Points Gained From “ The World." period of antiseptic medicine and surEditor MEDICAL WORLD :-In renewing gery, but is there not much that is inconmy subscription to what I regard as the sistent in theory and practice of antiseptic best medical magazine publisht, I wish to course with many of the advocates of thank you for the many good things it con- asepsis? tains, especially the last few numbers on Especially is this most markt in the use malarial and typhoid fevers.
of the clinical thermometer by the averI have had opportunity to try many of age physician. Altho he may possibly be a the differently expresst modes of treat- religious devotee of asepsis, in ordinary ment in the latter disease this fall, not practice he utterly disregards all aseptic having confined myself to any routine laws by the use of one thermometer, perpractice. In some cases I have used the haps, in the ten thousand and one cases he Woodbridge treatment in a modified form, may be called upon to treat in his general using mostly his No. 2, and not oftener practise. How often do we see the averthan every hour. In some I tried zinc age physician use the thermometer in the sulfocarbolate, listerin, salol, etc.; in nearly mouth of a patient, no matter what the all, turpentine in small doses. To control case may be, and, before placing the instruhigh fevers I used the Brand method, in ment in his pocket, carelessly wipe it some cases either the plunge or the pack, off with his pocket handkerchief, that posbut never so cold as recommended by sibly a moment before he had used to blow some. Where this was used, as well as his nose on. Would this not leave the where the bath was not used, I resorted thermometer in a truly filthy condition for to acetanilid, but with great caution. use in the mouth of his next case?
About half the cases had more or less Possibly that nose may have been the hemorrhage, regardless of treatment. In nose of a catarrhal victim, or even worse, every case I used calomel in small doses, may have had the poisons of syphilis filland followed all cases of hemorrhage with ing it. calomel in doses sufficient to arouse the Even if the handkerchief is that of liver and get an action from the upper a perfectly healthy man, the custom bowels. If the hemorrhage was severe, I of thus cleaning it is filthy in the expreceded this with bismuth subnitrate, lead treme, when the instrument is to be acetate and opium, and in all cases got placed in the mouth of a patient. Then good results.
when we know that the fever thermometer The fever has run from four to nine is used recklessly in the mouths of any and weeks, and I cannot say that any special all patients, careless of the condition, treatment acted as an abortive; but, in the
whether of disease or health, how strange main, where the Woodbridge tablets were that this is done, reckless of all regard to used the disease ran a rather shorter course. simple decency, to say nothing of health or
To those who think calomel and ace- cleanliness, to be considered in general practanilid will kill typhoid patients, I wish tise. Possibly one mouth may be of a putrid to say that my patients are all either well condition, or the throat ulcerated, akin to or convalescent under the above treatment. it, yet with the simple rubbing of the therI lost my first case last year, and with this mometer with the handkerchief, too freI used no intestinal antiseptic. I then quently contaminated, or else with a carebegan as above, with better results.
lessly-picked-up rag, it is ready for the Ashburn, Tenn.
H. S. TAYLOR, mouth of the next poor helpless sick one,
regardless of the dangers that lurk on this argument, but it seems as if the adoption thermometer, and which may mean conta- of individual thermometers, individual gion and death for its victim.
communion cups, etc., was a carrying of Sometimes scarlet fever or diphtheritic the plea for asepsis to the reductio ad patients are given the thermometer to hold absurdum. All that the profession demands in their poisoned thoats and befoul it to the is that we should be as clean as possible, point of the vilest contagion, and within not that we should be impossibly clean, a few moments it is placed in the mouth The fact that it is not possible to carry any of an innocent sufferer from a simple ail- admirable measure out to its fullest lines, ment, who, being thus inoculated by does not imply that we should neglect to the thermometer, may die of the dread do what we can along these lines. The disease communicated by the reckless use use of the thermometer in diagnosis is conof a clinical thermometer, an agent that sidered necessary by all the leading modern is of very doubtful practical value in authorities in this line, and probably more ninety-nine cases out of the one hundred harm would be done thru a discontinuance cases treated by the physician in ordinary of its use than would be gained in a possipractise.
bly more thoro asepsis. Care in its use is True, this instrument has its values in a what is necessary.-Ed.] specially few cases, but used in every case a physician examines, it is simply a fad,
For Grip Pains. and too dangerous to be constantly resorted
Editor MEDICAL WORLD: - For grip to when so utterly unnecessary to the wellqualified clinician. All intelligent practic pains I use : tioners will admit this in their own minds,
gttsxxx. if not to the gullible public, who are to be
gttsxxx. so impressed by the use of the clinical
Water thermometer. Isn't this too true?
Sig.–Teaspoonful every hour. Now, if the thermometer is to be used in practice, in all cases, necessary and un
This has had a very fine effect for me. necessary, will it not be well that a I use the green root tinctures.
Geneva, Ill., law be passed by every legislature in all
J. H. CORY, M. D. Christendom that shall compel the physician to have an individual thermometer
La Grippe-Carbuncles. for every case he uses it in, so as to pre- Editor MEDICAL WORLD :-The continvent carrying contagion, and sometimes ued presence of this by no means trifling death, to a patient who would be a victim disease has called forth the benefit of our of reckless, indiscriminate use of the clin- '92 experience, with additions. Our one ical thermometer in all cases, necessary week of continuous fog in December, so or not, as is now done by so many of our unusual in this locality, seemed to be the practitioners of medicine of to-day, and exciting cause of our wholesale trouble. more especially by the recent graduate? Blood tests proved that the grip was in
If every case is to be supplied with a tensified with so-called malarial poison. thermometer, as one has his own individ- The prolonged cough paroxysms, not ameual tooth brush, what a falling off in the nable to the usual cough or expectorant use of the thermometer will be observed, remedies, proved it of a nervous characand it would, doubtless, be astounding to ter, acting like the whooping-cough. the world how much such a practice will If any lung complications occurred, limit contagion and infection.
which they frequently did, the left lung Just as a disgusting finis I will add that seemed especially selected, either in part one of the Indiana board of pension ex- or whole, but noticeably in the lower secaminers has been known to have one tion, next the diaphragm. thermometer that he uses, indiscriminate- In my practise if when the case was ly, for the rectum or the mouth. Whether first seen the bowels were loose, a tenalways so in private practice, deponent grain dose of blue mass was given, sayeth nothing.
followed by a dose of some saline caThis should convince all of the necessity thartic. If the bowels were torpid a fullof a law for providing individual thermom- dose of calomel was given, followed also eters.
A.C. MATCHETTE, M. D. by a saline. For the coryza, inhalations Bourbon, Ind.
of strongest alcohol were used frequently [There are some good points in this and continued for ten minutes at a time.
Constitutionally a No. 1 capsule filled with
This may not be new to some, but equal parts of salicylic acid and the bisul- those who have not tried it will find the fate of quinia with one-tenth grain ex- quick curative results gratifying. tract cannabis indica, was given every Some doctors are great for pinning three hours until the specific ringing in their faith on poultices of various kinds. the ears occurred.
I look upon them as nasty things. In '52, For the intense frontal headache, which when I listened to Dr. Willard Parker at often occurred, I gave five-grain doses the College of Physicians and Surgeons of hourly, if necessary, of antikamnia, either New York City, at a time when poultices alone or with a fractional dose of codein. were much in vogue, he tersely told us that Painting the sides of the neck over the there were only three kinds of poultices course of the pneumo-gastric nerves fre- in existence: 1. Simple, consisting of heat quently with equal parts of menthol, gum and moisture; we could get that best and camphor and chloral hydrate, rubbed up cleanest from hot water, 2, anodyne together, relieved the spasmodic cough. poultices; and, 3, antiseptic. Laudanum The only cough preparation used was the or other anodynes added to the simple old-time muriate of ammonia and Brown made the anodyne poultice. — charcoal, mixture, with one grain of chlorodyne to yeast or other antiseptics with the first each ounce, given in teaspoonful doses constituted the antiseptic poultices. .
If every two or three hours.
necessary all could be united, making a To sum up the whole modus operandi simple anodyne and antiseptic poultice. was to unlock the portal system-antisep- I do not use poultices on carbuncles. ticize the blood-eliminate thru the skin When I have a colicky child and want and kidneys what remained of the poison, warm fomentations I use thick spongeline, with the happy sequel, even with compli- with the outside coating of rubber, now 80 cations, of saving our patients time and happily manufactured. It can be wet suffering.
quickly, and will hold the heat for a long Lately, it has fallen to my lot to see an time. It is always ready, always cleanly. unusual number of cases of the carbuncles, The laity are welcome to flaxseed, slipmostly in middle-aged persons, the lesion pery elm, mush and other poultices. occurring upon the side of the neck, as
ELIHU B. SILVERS. well as on the back of it. Locally I ap- Rahway City, N. J. plied over the center of the carbuncle, if large, a bunion plaster; if small, a corn- Practical Experience with Pneumatic Treat.
ment in Tonsillitis. plaster, the inner edge of which was smeared with lard. A piece of caustic Editor MEDICAL WORLD :-My experipotash, one-quarter of an inch in thick
treating tonsillitis may appear ness, large enough to fill the opening, was unique, as no internal remedy has been introduced, this covered with antiseptic resorted to nor have any “weeks," much cotton. The patient for an hour, if not less “months,” been passt treating any too painful, was instructed to so lie that acute case. the top of the sore was uppermost.
My first pay case was treated December After taking off, the part was washed 25, 1892, at 6 p. m., and three hours later thoroly with carbolated soap-suds, and the the patient, a lady of fifty years, was opening dressed with an ointment made sleeping sweetly, tho an intense sufferer with one dram of solid extract belladona, for many days previously, under other four drops of carbolic acid and one ounce treatment. of basilicon ointment.
The second treatment was given at my Internally the patient was given a one- office the following day, and the patient grain pellet of calcium sulfid every was advised to return for one more applithree hours, and I had quick and good cation. This advice was ignored, the paresults in all cases. One case, a drummer tient believing berself cured. A little in a band, was about three days after the later, however, another cold brought on a caustic was applied. The surrounding new attack of tonsillitis, which was cured swelling, which was immense, began to permanently in two treatments. At least subside as soon as the caustic potash had there has been no return since, tho the eaten a hole.
trouble was frequently recurrent before. The old plan of making crucial incisions Two years ago, a young man of twentyis too slow. A quick deep suppurative five or six came to me, whose tonsils had surface is what you want to get rapid been enlarged for fourteen years, suffering