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has become more rational; but the most im- ment of public transportation would bring proportant step is yet to be taken. The elements of ducers and consumers closer together, to the language and mathematics are necessary as a great advantage of both; yet the attention of basis ; to these the chief facts of geography, voters is kept on questions of far less importance ! history and several of the sciences should be to them, and our educational institutions continue added. [Concerning the study of history, the missing the mark by "pottering about” on best way to get its lessons, many pages could be branches of little practical every day value. written, which I will not enter upon here). We pride ourselves on our schools and colleges, Upon this frame-work a superstructure is built on the universality of education in this country, by our educational institutions, ranging up to the on our newspapers and magazines, and on the most complete classical course given in our unusually high intelligence of our people, as a largest universities.

whole, yet we do not apply the same to our most But one thing, the most important thing in vital interests. Public utilities, such as transour modern life, is completely left out of the portation, the telegraph, banking, etc., are left ordinary education, and only lightly touched in to the management of private coteries, and of any of our educational institutions. It is the course the management is in the interest of subject of economics. When this subject is pre- these private coteries, and, locally, street-car sented in our advanced colleges, it is treated in transportation, telephones, and usually the water an abstract way-a “far away” sort of way, supply, gas, electric lights, etc., are left to private without application to practical needs, and with ownership and operation, of course, in the due regard for existing institutions. The philoso- interest of the owners instead of the public, phy of money, the principles involved in the tho the streets belong to the public. When transportation question, and the many questions will the people waken up to these facts, and concerning land titles, land tenure, taxation, cease to waste the precious school-time of youth etc., are not taught. Yet these questions enter on impractical subjects, and put that time into the daily lives of us all, and they should be on subjects which involve the general good of a part of the common-school education of every all ? When will voters cease to allow their American boy. One objection is that they are attention to be occupied by “flap-doodle," to too difficult. They are not half as difficult as the neglect of the most vital puplic interests, a algebra or Greek. It seems that “the powers proper management of which would vastly im. that be ” wish a veil of mystery to shroud these prove the condition of all ? questions, just as the Indian medicine man Regent Carl Vrooman, of the Kansas Agriwishes to be protected in the monopoly of the cultural College, in a recent address to the incantation business. The people are made to students, said : believe that these questions are “too deep" for "I have been much interested in this college for the good the ordinary mind, yet every college student, work in which it is a pioneer. In Germany we find bootand almost every school boy, solves more difficult

blacks who can speak four languages and Ph. D.'s by the

score waiting upon tables in cheap restaurants. This is problems every day. I now have in mind a man because in former times education was a matter of Latin and who kept a fish stall in a market house who has

Greek, of writing poetry in dead languages; and much of it

now is mere scholasticism. Harvard was the first of the old become immensely wealthy by giving some plain, conservative colleges to decide that Latin was not necessary. every-day business attention to the economics of She must go farther and say that not literature nor science

nor anything requiring mere memory is necessary for educastreet car transportation. And the people are

tion. This younger college can teach the old universities. foolish enough to allow the companies of this “Here the individual is taught to make the most of his man to use the public streets, which belong to the

life, and how to succeed in the stress of modern competition,

China is a monument of the death-like intluence of learning people, and they pay five cent fares while the divorced from life; of that conservatism which is so in love cost is less than two cents. Even school children with the good that it cannot see the better, that will not

change the bad for fear of making it worse. I, too, love to are charged this exorbitant fare. The city bas

grope amid antiquity and bear my tribute of admiration spent millions for a magnificent park, but the before the noble minds of old ; 1, too, love to revel in the old poor, even the children of the poor, must pay a

heroic days and bathe my spirit in the glamor of the times

that are past, but only that therefrom I may gain a deeper tribute to the street car company in order to go inspiration with which to face the mightier problems of to the park. The city would better have spent to-day." less for the park and owned the means for the Dr. Hulbert Fuller, of Chicago, has written people to get to it to enjoy it. But this need not a very entertaining book devoted largely to be an expense, for a slight profit could be made economic problems. It is in the form of a novelat two cent fares.

a novel with a purpose-entitled, “God's Rebel.” The general study of economics would rapidly On page 121 occurs the following: bring better conditions to the masses. The

"With algebra, geometry and many branches of proverbial farmer is the original producer, and consequently uselessness, the very children of the poor were stuffed to the the foundation of society. He has to contend point of idiocy; the binomial theorem and nebular hypothe

sis fed and consumed their grey matter: any one of them against two things—uncertain crops and unstable was capable of finding the locus of a point in space equi. prices. A proper solution of the money question, distant from three given points not in a straighi line; but as outlined in the book called “Rational Money,"

anything as simple as A, B, C, which directly concerned

their economic intelligence and was invaluable in fitting would render prices comparatively stable; yet them for nisefulness as citizens of a republic, was neither to the average farmer is caught by “jingoism,” be thought of nor taught. In a monarchy, the professor and cares more about the American flag floating

reflected, there might be sufficient reason for putting all

studies under the ban which tend to dispute the fact of the over distant islands than for his pressing and divinity of kings; to the Roman superstition science bad

been a stab in the heart; but why, under a republic whose legitimate interests at home.

government is the people, these fundamental principles A proper solution of the railroad question hich go to insure its continuance should pass untaught, unwould not force coal miners in Pennsylvania to

honored, aye, even dishonored, was beyond Kenneth's

power to fathom. Was it dry? was it upinteresting? was starve while the farmers of Nebraska are burn

it infamous? On every hand public discussion obtained, and ing their corn to keep warm. A rational arrange

(Continued over next leaf.)

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 off the stones.-FBOUDE.

per .
other professions ; 10 per cent. will die in

the next ten years; 65 per cent. will be-
Editor and Publisher

come ordinary practitioners, making a liv. ing, some of them in comfort, some becom

ing well-to-do, more barely existing. In Subscription to any part of the United States and Canada ONE DOLLAR per year. To England and the British

the rest are included those who attain Colonies, FIVE SHILLINGS per year. Postage free. Single copies, TEN CENTS. These rates must be paid invariably various professorial or literary emoluin advance.

ments and who will rise above the ruck We cannot always supply back numbers. Should a number

fail to reach a subscriber, we will supply another, if noti- in a more or less degree. Five per cent.

fied before the end of the month. Pay no money to agents for the journal unless publishers for the noteworthy successes seems a small receipt is given.

proportion at the first glance, but that it ADDRESS ALL COMMUNICATIONS TO

is rather large than small, brief thought "THE MEDICAL WORLD,"

will convince. 1520 Chestnut Street

The future course of many of these PHILADELPHIA, PA.

graduates can be predicated from their

attitude during the college course. To VOL. XVII. MAY, 1899.

No. 5.

most the attaining of the degree has been

the sole object, and they have acquired ALLIED PRINTING

the minimum of knowledge necessary to UNION TRADES COUNCIL

pass the final examinations-only this and PHILADELPHIA

no more. They are looking forward to a period of


" and then an easy sucNew Medical Graduates.

cess gained by liberal spoutings in medical The season is at hand when medical societies, and methods with the laity and

toward their brothers in the profession not schools are ready to send forth their an

altogether correct, even when judged by nual out-put of graduates, beaming with

lenient systems of ethics. From this class hope, filled to the brim with all sorts of will be recruited the quacks who practise theoretic knowledge, but alas ! so sadly with a bonafide degree, and the so-called lacking the hard experience that Time

vethical" advertiser who gets his name

here and there in newspapers always with alone can give. Speculation will be made

relation of wonderful skill, and always of as to the ultimate fate of the thousands of

course without his connivance or knowl. young men and women who now begin to

edge. He never has the slightest idea face the battle of life.

that the reporter to whom he confidingly It may safely be said that about 20 unbosoms himself will“ put it in the



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Oh, no! and he never, never,

Doctors and the Birth-rate. climbs the back stairs to the editorial sanc

There seems at present a lively and tum. Far be it from him.

salutary interest in the matter of the To most the obtaining of the degree is

birth-rate of the various civilized countries, the initial step to a life of hard work, and these enter at once into the practice of notably in France, where for some years medicine, waiting for patients and gaining there has been a steady decrease, to such step by step the prominence of successful extent as to awaken grave fears as to the general practitioners. They have been decadence of the country in importance faithful, plodding students, conscientiously

among the powers of the world. The bent on getting the most practical knowl

decrease during 1897, according to statisedge available for the money they have invested in their education, and altho one

tics recently completed and publisht, was seldom hears of them afterward, save in 6,479 over that of the previous year, when the most unassuming manner, they, after the rate was so low as to attract worldall, perhaps most notably represent the

wide attention. Investigations have been profession, the rank and file—the practical made at various times to determine the men. Again, there is the brilliant man, whose

cause of this falling-off, and the chief quizzes are pyrotechnic in matter and

result seems to have been a falling out manner, the men “ with a pull” who seek among the investigators. A noted authorhospital positions, win them, branch out ity claims that it is solely due to the extenin some specialty, and become the quoted sion of various venereal diseases, and anmen of the profession, sometimes justly other laughs him to scorn, saying that so, sometimes alas! merely because of a nothing save alcoholism can be blamedshowy skill in dealing with glittering gen- that if the use of wine, absinthe and eralities that impresses and disinclines for liqueurs was not so common, the old birthcriticism. These are on the border-line, rate would soon be restored. and if they step to the one side will have A claim that seems more inherently it in their power to cast the greatest pos. plausible is that the decrease is due to sible discredit upon the profession, because general knowledge of means of prevention they, “ in the light that beats upon the of conception, and also of ways to produce throne" should, like Cæsar's wife, be abortion at different times during the above all suspicion of unworthy methods. period of pregnancy.

The particular Last, least in numbers, but greatest of method in use thruout France seems to be all, are the true scientists, the ardent un- coitus frustratus, or "withdrawal,'' a pracselfish students, the true specialists, the tice affecting the health and development men who learn thru and by their own mis- of individuals and thus causing the postakes, who possess the rare attribute of sible degeneration of a once mighty nation genius, the Virchows, the Pasteurs, the in other respects than that of mere numHutchinsons, the McDowells, the Listers, bers. all those whose names truly belong on the It has long been known that preventive roll of fame. How many of this year's practices were in common use among the graduates will attain a place in that roll? well-to-do classes not only in France, but How many will strive for it? The road is thruout the world ; but in the country thorny, the rewards are few and far, and named the practice is not thus confined, the gold obtained is too often solely as a even the peasantry being adepts. A reahalo after death, too seldom as a lining to son for this seems to be found in the fact pockets. Yet it is, after all, highest and that in that country heads of families are best.

taxed in proportion to the number of liv



ing offspring, thus not only increasing formed, a rather improbable thing. The expenses proportionately but disproportion- statement has been made that the exist- . ately. A vigorous plea is being made to ence of this condition should be considered obtain amendment of the laws to a differ- in certain instances as constituting just ent state of affairs, taxing the childless in grounds for divorce, and it is curious to. proportion to their means, instead of put- note that a case has recently come before ting a premium upon the gratification of the Supreme Court of New York, with a lust at the expense of society.

rather odd result. The suit was brought In this connection it is an interesting on the ground that the hope and intent of fact that the doctors, who are chief among having children is a paramount reason for the advocates for reform and for the en- entering upon the marital state, and that couraging of child-bearing, are themselves incapability for performing this function, among the heaviest offenders, very few when artificially produced, is a just cause physicians having more than one child, and impediment to entering upon the con-. many none, a small proportion so many as tract of marriage. The court holds that two, and still less performing their duty the having undergone an operation causing to the State by producing three children. inability to bear children does not con

stitute a bar to marriage, reasoning from Marriage of Asexualized Women. the fact that women who have past the. The question of marriage in its relation

menopause are also incapable of being imto sociology has for some years occupied pregnated, and it has never been claimed to sociology has for some years occupied that such marriages should be annulled. the attention of the medical profession, The judge said that in his opinion there and various considerations of mental and

essential difference between a physical health have been debated upon, woman who thru no fault of her own had settled, and the discussion again opened. lost her ovaries, and one whose ovaries Considering the furor that at one time

have become functionally inactive from the prevailed for the removing of the sexual lapse of time. If one is incapable of marry

ing so is the other. The possession of organs of woman for any neurosis that

organs necessary to the production of manifested itself, it is scarcely to be children is

children is in his opinion not necessary for wondered at that the matter of the posses- marriage, so long as there is no impedision of the power of procreation has formed

ment to the indulgence of the sexual a part of recent debates upon

The matter of the ignorance of one of questions. A clever parody shows how

the contracting parties as to the existence the fever of operation possessed the pro- of the mutilation is not toucht upon, and fession. A gynecologist is represented this is of some interest. There seems a : addressing his class :

reversion to the Jewish idea that sterility Count that day lost whose total operative sum

constitutes or should constitute one of the Shows not two ovaries removed, an hysterec- few lawful grounds for the abrogation of tomy done.

the marriage contract. A point that also Such operation has been frequently done seems to be overlookt is that by such upon virgins, and as they yet possess the discussions women seem, in a manner, natural desire for a human mate and a placed between the two unenviable posihome, they occasionally marry. It has tions of being, in the married state, rebeen suggested that such marriage is in garded as either legalized handmaids of the nature of a fraud upon the prospective lust or as performing the functions of bridegroom, unless he has been informed brood animals. We suspect that many as to the mutilation which had been per- have higher ideals.

these passion.

A New Treatment for Phthisis in the Incipi- advanced one the injections had a good ent Stage.

and in some instances an exceptional beneIn the preliminary report, based upon

ficial effect; and in the far-advanced cases close observation of 40 phthisical patients, they ameliorated the worst symptoms,

contributing much to the comfort of the Dr. Thomas J. Mays of this city presents

patient. In his conclusions Dr. Mays to the profession a new and apparently

states that whether these effects are lasteffective treatment of phthisis or pulmo. ing, time alone can tell; but the histories nary tuberculosis in the earlier stages of the given show that they are at least of decided affection. Dr. Mays claims that the temporary value.

There seems little possibility of harm rational therapeusis of the affection rests

resulting from the treatment as outlined, upon a nervous pathology, the vagi being

and every possibility of good when it is seriously implicated in the neurotic basis,

combined with other good hygienic, diepossibly from lack of sufficient stimulation. tetic and medicinal treatment. In the Hence he reasons that a measure calculated present stage of investigation concerning to arouse the nerves out of this ab- lung-tuberculosis, any measure so promisnormal condition should produce markt ing as this cannot help but be received

with interest by the profession, and we effect upon the general and local condition.

recommend the measure as outlined for In pursuance of these ideas he experi- general experimentation and investigation, mented with various conservative irritants inviting reports from all who give it trial, immediately over the course of the nerves

as to their results, whether favorable or

the reverse. in the neck, determining finally that from four to seven minims of a 23-per cent. solu

Night-sweats of Phthisis. tion of pure silver nitrate best served the Possibly the most annoying feature conpurpose

nected with the average case of pulmonary Dr. Mays begins by giving one injection consumption is the lack of definite knowl. on the side of the neck on which the edge as to the best means of handling the affected lung is situated, repeating this night-sweats without causing reactions ordinarily in a week or ten days, sooner if

that would be in other ways of unfavorcoughing is excessive. The point selected for the injection is immediately over or

able effect upon the health of the patient slightly behind the pulsating carotid artery and the course of the disease. These in the region of the neck, midway between sweats are so exhausting to the patient the angle of the lower jaw and the clavi. and so usually resistant to all therapeutic cle. Care should be taken to avoid punc- agents that investigation in this line, with turing the blood vessels. To relieve the

the obtaining of definite results, cannot pain which sometimes follows the injection, it is sometimes well to precede its

fail but be of great benefit to the prouse by the injection of a few drops of a 21

fession. per cent solution of cocain.

A comparatively new agent is camphoric In the analysis of the results there is acid, for which excellent results in the shown a surprising increase of weight, ap. treatment of this condition have been petite and general strength, and an im- claimed. The claim is made that its beneprovement in the physical signs, more ficial results are lasting, not requiring markt in the cases treated in the earlier repetition of the dose for several days, stages than in those representing later de. never the same night. velopment. Even when the case was an The dose usually is about a half-dram,

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