required acetanilid and soda to modify it, or it would reach 104°-105°. I continued this treatment until Saturday, the fifth day after patient took to bed, when I was summoned in haste to attend a very sick relative (child) twelve miles distant. I called on the other doctor here, and asked if he would do me the kindness to care for my patients here until I returned. Upon my return two days later, this patient informed me that the other doctor pronounced his case typhoid fever, upon his first visit, Saturday afternoon, and as he felt satisfied with his treatment desired that he should con tinue treating him. Without commenting upon the pleasantness and beauty of medical courtesy or ethics, I ask the ever bright and ready WORLD family to give us an honest diag nosis of this case. The following history and symptoms are absolutely correct: There has not been a single case of typhoid or remittent fever in this immediate neighborhood during all the past summer, autumn and winter up to this date. This teacher and his assistant teacher board with our postmaster here, who has, besides, a large family of his own and two clerks, all using, of course, the same drinking water. The school well has been used by some one hundred to one hundred and twenty school children, and up to this date there has occurred no typhoid or other form of continued fever among them. During his early sickness and up to the day I placed him under the other doctor's care, he had not the slightest derangement of the bowels, or any tendency to even a mild diarrhea. Had no epistaxis, or other hemorrhage; no tympanitis, or gurgling in the bowels; nor the slightest illiac, or abdominal tenderness, even upon hard pressure; no cough, ataxia, or other tendency to delirium. The doctor bases his diagnosis upon the one single symptom of the characteristic "rosecolored spots" which are present. These I did not look for before, because there had been no symptoms which aroused my suspicion. I have examined the eruption, however, since my return, and it appears quite characteristic. This evening, which is just ten days since the patient took to bed, there is still not the slightest illiac tenderness, tympanitis or gurgling; no epistaxis, or other hemorrhage; not the slightest ataxia; in fact the single symptom of the presence of rose colored spots disappearing and reappearing-which seems to prove them characteristic-is the only evi dence of typhoid fever. I had diagnosed his case as catarrhal fever-or, in other words, remittent fever with a complication of catarrh. Considering the above history, season of the year, the comparative rarity of the disease in this country, the complete absence of abdominal and other strictly characteristic symptoms of typhoid fever, could we feel justified, honestly, in diagnosing typhoid fever, with only the eruption as a basis? The patient is now clear of fever and ap pears to be convalescing. THE WORLD is the very "chief” of medical journals, and I feel that every copy is worth many times its cost. Let every doctor subscribe for it and read it; it will do him good. TEXAS. - Later. EDITOR MEDICAL WORLD :- -A few days ago I sent you an article giving the history and partial progress of a case, which was first under my treatment but later falling under another doctor's care, but I believe I did not give the treatment which the other doctor relied on, and, as it seems to me to have some important bearing, I will now take the liberty to give it. Simply antifebrine in 10 grain doses every two hours until temperature is reduced to at least 101°F, and then sulph. quinine, 10 grains every two hours; also tincture aconite root, 5 minims, tincture digitalis, 10 minims every four hours. Whenever temperature rose above 101°F, antifebrine 10 grain doses were to be substituted for the quinine. This constituted the treatment in full. Now, admitting that the disease was typhoid fever, I ask if this treatment could by any possible means have the effect of putting the patient clear of fever, and on his feet in eleven days after taking to bed. I certainly would adopt a very different treatment to that, should I have a case of typhoid fever. I invite criticism upon my own treatment and diagnosis, and also upon that of my competitor. TEXAS. Sulfonal. Dr. S. E. Darling, Hardwick, Vt., writes us a letter from which we quote as follows: "I have used sulfonal in quite an extensive country practice for the past two years, and my observations are that, administered in the proper dose, it produces natural sleep, having no other action, and its operation is attended by no complications or sequelæ. In sulfonal we have a safe hypnotic that can be adminis tered to the aged as well as to those suffering from organic diseases, without contrary indications. With skilled administration it works admirably with children. It will quiet the irritability of teething, often prevent convulsions, and relieve nervous excitement, and produce peaceful sleep. It does not constipate, depress the system or impair the appetite, leaves no sequelæ and is accompanied by none of those phenomena which are sure to accompany opium, chloral and the bromides." Quiz Department. 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 benefit 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. Suppressio-Mensium. HELP WANTED. EDITOR MEDICAL WORLD: - Will you or some other one of the brotherhood lend me some help in time of most imminent need? I have a case as follows:-I was called April 2nd, 1891, to see Miss S., aged 14 years, who had had a severe attack of measles sometime during January, 1891. On close questioning I very soon found that she was suffering from suppressed menstruation. She informed me that she began to menstruate during her twelfth year and had been quite regular since the process was first established up to the time she had measles, (a period of over one year) and was also menstruating when she took the measles, but that the flow very suddenly ceased during the attack. She had a severe cough, but thought nothing serious enough to summon medical aid, but resorted, as is many times done in measles, to domestic remedies, &c. On her recovery from the acute symptoms of measles, she found that there was a lack of motion in the right hip joint. Also quite annoying pains in the entire right leg, which incapacitated her for walking unless attended with pain to a greater or less degree, many times losing her equilibrium, and even falling down. I was also informed that she had not menstruated since she had had the measles, which was a period skipped from January to April (or three periods). I was also informed at this point that her older sister, who also had measles at the same time, had likewise ceased menstruating for the same time. I found both patients considerably anemic, the whole trouble in both cases being evidently the result of measles. I began treating both girls with the following prescriptions: R. Tincture caulophyllum thalictroides.... This brought about the desired result and both girls menstruated during May and June. I was called to see the oldest girl girl on June the 3rd, whom I found suffering with typhoid. pneumonia, for which I treated her twenty one days, when she made a recovery. She has menstruated regularly ever since But in the case of the younger one it is quite the contrary. I was again called on to treat her on Nov. 17th, 1891, and found by inquiry that Miss S. had not menstruated since June 15th, which was a period skipped of five epochs. During these five months her general condition had, of course, been on the decline. I renewed treatment at that time (Nov. 17th), and have had her on treatment continually ever since, without any marked improvement, and no re establishment of the menses. I will give below a general outline of the treatment since that time, as follows: The various preparations of iron, the cohoshes, cantharides, aloes et. myrrh, gossypium, secale, monarda punctata. On Tuesday last (Jan. 26th) I put her on the following line of treatment: General electricity by galvanic current being passed through the uterus; also applied directly to the cervix uteri; hip baths and warm stimulating vaginal injections, to be repeated twice per week. Internally I prescribed. EDITOR MEDICAL WORLD:-I have a patient in regard to whose case I would be very glad to have some advice, as to treatment, from the readers of THE WORLD. Man, aged 34, previous history and health. good, weighs about two hundred pounds, marsied. One year ago while taking notes in a class room, he sat with his leg flexed, and in a few weeks he had embolic pneumonia of both lungs; årst on the right side, and then on the left. It took nearly two months before the lungs were cleared up. Since then, June, 1891, his leg has been swelling every day, worse when he is on his feet much. He has his leg bandaged up to his knee every day. I have tried massage, liniments, arnica, &c.. but without any decided improvement. Arnica (tincture) appeared to give some relief.. I Last May we tried rest and elevation. would like to know what to do next, and also if I can give him any assurance that he will fully recover, and if there is any danger of another clot forming and causing pneumonia again. L. W. F., M. D. EDITOR MEDICAL WORLD:-I would like to have some help; any brother physician ever having a case of the kind will please report. giving treatment, and say whether a cure was effected. Case.-Chas. W., aged 32, merchant, of good habits; never any private disease of any kind; seems to be in perfect health except the following:-Along the course of corpora cav. arnosa and corpus sponspongiosum of penis there appeared, about a year ago, several small lumps." He says they are painful, and at nights caused erections which were very painful. The size of the tumors are from that of a grain of wheat to that of a large bean. I had him see a prominent physician of Central Ohio, who pronounced the trouble "cartilaginous plates," and incurable. They seem like glandular enlargements, and at times seem to nearly disappear under the following treatment: Á combination of muriate of ammonia, iodide of potassium, bromide of potassium and sarsaparilla, and externally tincture of iodine. Any information as to a diagnosis and cure will be gladly received either by letter or through THE WORLD. Would electricity be good? Hiramsburgh, O. F. W. CAMPBELL, M. D. A THE College and Clinical Record says of "The Physician as a Business Man :"-The information and suggestions are well deserving consideration, and include numerous important questions of interest to Rim in his relations to the public, and to his profesHonal brethren." Deaf and Dumb. EDITOR MEDICAL WORLD:-I would like to hear from the readers of THE WORLD on the following described case: Mr. B's little daughter at two and a half years old could hear and talk, and was a perfect picture of health, and while running and playing with a number twenty nail in its hand, fell upon the point of the nail, the nail entering the outer canthus of the left eye, extending backwards and outwards to the depth of one inch and a quarter. The nail was removed immediately by one of the family, who said that it was very hard to remove. The child talked and could hear for about three days after the injury. Then it seemed to be para lyzed in the neck, so that it could not hold up its head. It remained in this condition for only two or three days, when it began to raise the head, and then became paralyzed in the lower extremities, which lasted about three months. When it began to recover from the latter it had no more trouble except the loss of hearing and speech, which occurred on the third day after the injury. I forgot to state that the wound healed in a very short time and has left no cicatrix, as the skin was not touched with the nail and the eye is as good as the other. The child is now seven and a half years old, and in as good health as any child, and can assist in any kind of housework, such as washing dishes, running a sewing maching, etc. Kingston, Tenn. J. B GOODWIN, M. D. EDITOR MEDICAL WORLD:-Will some of the many readers of this valuable journal kindly consider the following case and give information? A child, female, aged six years, heretofore in perfect health, brunette, well formed, left with parents for Southern California in March last. During the last half of the year her teeth turned yellow and began to decay. I was ap pealed to as her former physician, and attribu ted it to change of diet, principally fruit, change of climate, water, etc., and with the superabundance of fruit acid ingested prescribed accordingly. I also advised consulta tion with resident dentist. His diagnosis was unfavorable. He pronounced it a case of erosion, and held out no hope of improvement. I add at the close, that the only trouble pointing (?) to derangement of digestion are hives or urticaria. Now the query is, can anything be done for one so young to protect the permanent teeth? An answer will be more than gratefully received as she is related to the writer. C. M. BETHAUSER, M. D. 53 East Town St., Columbus, O. EDITOR MEDICAL WORLD:--My wife was taken with LaGrippe and facial neuralgia last spring, and was confined to her bed for three months, and during the time one of her eyes went out. I have consulted several doctors, but she can't get much relief. She is in bed half her time, and when her eye is painful she can't see her way. Will any brother tell me what to do for her? Any information in regard to the case will be gratefully received. She suffers intense pain nearly all the time. Ravenden, Ark. W. A. GIBSON, M. D. [This seems to be a case of acute neuritis. The general treatment should be with phos. phorus, strychnine and other tonics. The paroxysms should be relieved with acetanilide, camphor and bromide of ammonium. Electricity, positive over the painful regions, and negative to the spine, would be very efficacious.-ED.] BROTHERS OF THE PROFESSION: How many of you are addicted to the use of opium, chloral, or other narcotic. I am in quest of information, and it you will answer the follow. ing questions in confidence you will materially aid me in a line of investigation, and will enable me to be of possible service to the profession at large and you in particular. In what form do you use opium, etc.? How long have you made use of such? What was the superinducing cause? Have you tried to quit; if so, with what success? Have you so. licited aid; if so, what; and with what success? Please address W. S WATSON, Box 435, Mateawan, N. Y. N. B. The names of those answering will not be made public. Dr. Watson is a member of the American Society for the Study and cure of Inebriety and the Medico-Legal Society of N. Y. EDITOR MEDICAL WORLD:-Will you, amongst your many answers to "wants" give me a treatment for Atrophy of the Breasts? Patient twenty-one years of age-general health and condition good. After weaning the sec. ond child the milk was dried up rapidly and the breast went down to nothing. It seems as if all of adipose and glandular tissure is entirely gone. I have used inunctions of oil of theobroma, but it does not seem to cause the gland to fill out in the least. Is there any application that will cause the gland to develop to its normal sign, which was about the ordinary size? While nursing, the milk supply was regular and good. A NEW SUBSCRIBER. [We recommend a course of Faradic electricity with massage, negative pole to the gland, positive along the spine. Also the internal administration of saw palmetto.-ED.] Opinions as to cause and treatment are wanted for the following case: A man, aged thirty-eight, in fair health, is in the habit of grinding his teeth during sleep. This has been observed ever since he was nineteen years of age; whether it occurred before that or not is not known. The patient is a professional man, of strictly temperate habits. Intestinal parasites have been entirely excluded from the list of possible causes. Dr. C. J. Flinn, Des Arc, Ark., wishes to know a process by which to deodorize coal oil. Dr. Wm. Marquis, of Carpentaria, Cal, wishes to know what is required by the laws of Mexico of a United States practitioner wish ing to practice in Mexico. EDITOR MEDICAL WORLD.-I have a case diagnosed chronic laryngitis; no other symptoms than huskiness or hoarseness of the voice except a very slight cough. These symptoms have existed for nearly three months. She has been under treatment for three weeks with no apparent benefit. The patient, a lady, is well in every other respect, family history not of interest. She is a beautiful singer and I feel anxious particularly on that account. I would ask for prognosis and treatment. Port Cram, N. J. H. W. KICE, M. D. Dr. J. K. Bances, 127 East 55th St., New York, wishes to know whether or not cataract can be cured by electrolysis, galvanism or mass age. WE are especially desirous that those who intend to answer any of the quizzes do so as soon as they have finished reading the Journal; also, that those who wish to ask for information do so very early in the month. We wish to insert all such letters, if possible. When such a letter arrives the day after we have closed copy for the issue, it must wait six weeks before the profession sees it, and still another month before replies to it can be published. THE Physician and Surgeon, Detroit, Mich., says of "The Physician as a Business Man :"-"The large number of fee tables, if properly digested and acted upon, will in most cases add to an increased income, and the miscellaneous hints on all subjects, if followed, can only result in increased financial stability and higher professional standing in the community." THE Medical Age says of "The Physician as a Business man:" "To the relief of such Dr. Taylor comes in this little book, in which he outlines & practical business policy for physicians. He lays particular stress on the need of closer relations between practitioners, looking to co-operation." Formulas. GREEN MOUNTAIN ASTHMA CURE. EDITOR MEDICAL WORLD:-If all numbers of THE WORLD this year are as good as January number, they will be read with great interest by the medical fraternity. The formula is asked for, on page 37, of Green Mountain asthma cure. It contains stramonium leaves, soaked in a strong solution of salt petre, (nitrate of potash), then dried by gentle heat. It burns when ignited, and the fumes are inhaled in spasmodic fits or symptoms of asthma. C. P. CLARK, M. D. PERMANGANATE OF ZINC IN URETHRITIS. Berkley Hill has employed with success permanganates of zinc in the treatment of acute urethritis. The drug does not produce irritation of the mucous membrane of the urethra, even when used for a long time, provided the solutions are not concentrated. The following formula is recommended by the author: B Permanganate of zinc....grammes 0.05 Distilled water.. ...... ..grammes 200,00 For injections. M. Sig. NOTE. Never administer, at the same time, preparations containing alcohol, vegetable extracts, etc., as the permanganate forms with these, highly explosive substances.—Journ. de Malad. Cutan. et Syphilit.-Med. & S. Rep. Under this treatment the efflorescence usually subsides in three or four days and the patients make a good recovery. In diphtheria the treatment is much the same. In addition to the salicylate of soda, tincture of aconite where there is fever, and tincture phytolaca is most always combined with the salicylate. The exudation upon the throat most always comes off in two or three days. No working with the throat with strug gling children. Where they are large enough to gargle, a gargle of one part of peroxide of hydrogen to three parts of water is used.Editorial in American Medical Journal [The dose was not stated. We would judge a teaspoonful to be intended.-ED.] Dr. Fyke, in the Courier of Medicine, claims the following to be an excellent prescription in all wasting diseases: |