Page images
PDF
EPUB

through, lo, the dentist is twisting the first one out, and the last end of that man's jaw is worse than the first, being full of porcelain and a roof-plate built to hold blackberry seeds --Burdette.

When writing to advertisers please state how you appreciate THE MEDICAL WORLD.

The man who insists that doctor bills are robbery might modify the language and refer to them as pillage. - Washington Post.

There are eight thousand salcon; in New York City. Allowing twenty.five feet for the average width of each gives a total frontage of thir!y-eight miles. The receipts irom the sale of alcoholic drink at these places amount to seven'y million dollars a year.

A Keeley Cure. The siren of the flowing bowl,

With rose-red lips and magic lell, Long years ago about the soul

of young Augustus cast her spell. She lured him on from bad to worse,

Till he was in a grievous plight, And friends, to rid him of the curse,

Sent him a year ago to Dwight. And there bi-chloride's golden lash

Was laid about him day and nightAh, well, he doesn't need the cash

He crowded in the slot at Dwight. He'll ne'er regret he let it slide,

He'll never want his boodle backIn a fit of "snakes" last week he died, A raving dipsomaniac.

- Tommy Dod.--Medical Age.

Please send order on this blank.

..........189 THE MEDICAL WORLD, 1520 Chestnut St.,

Phila., Pa. GENTLEMEN :-Enclosed find the sum of

Medical PROVERBS, gleaned by the philosopher of the Medical Age.

GERMAN PROVEBBS.

... Dollars for which please send me, THE MEDICAL WORLD for 1891 , . 81.00 THE MEDICAL WORLD for 1892.. 1.00 Binder for The Medical World

.35 Or Three Binders for .

1.00 Obart of Skin Diseases.

.50 The Physician as a Businos Man.. 1.00 Ofcial Formulæ of Am'c'n Hospitals, 1.00 Visiting List and Ledger, .

1.00

Total ...

A physician is an angel when employed, but a devil when you must pay him.

Dear physic always does good.
A disobedient patient makes an unsee!ing physician,

SPANISH PROVERBS.
What cures Sancho makes Martha sick.

The earth hides as it takes

The physician's mistakes. He that sits with his back to a draught, sits with his face to a coffin.

or the malady a man fears he dies.

He that would be healthy must wear his winter cluthes in summer.

ENGLISN PROVERBS Diseases are a tax upon our pleasures.

A good surgeon must have an eagle's eye, a lion $ heart and a lady's hand. Tender surgeons make foul wounds.

MISCELLANEOUS. A physician is a man who pours drugs, of which be knows little, into a body of wbich he kocus les French,

Do not doubt; you are no doctor. - Anon,

Most physicians, as they grow greater in skill, grow less in religion,-Massingir.

Name,
Address,

Oro88 off what you do not want in above list. NOTE.-We will be responsible for money sont by postofice order or in registered letter.

Send 10 cents extra for registration of each article (except WORLD) if you wish to insure safe delivery.

MEDICAL WORLD Visiting List, consists of a handsome leather case and twelve removable sections (price $1.50), and companion Pocket Ledger, indexed and handsomely bound in leather (price 50 cts.). To close out those in which dates are printed 188.. instead of 189.., we will sell for half price. As it is about as easy to write 9 over the 8 and add 2 as it would be to write 2 after 189, the difference is very trilling, and you get a difference of one-half in cost.

The_Philadelphia Medical Times and Register (Dr., Wugh's Tuurnal) is a lurge and xcellent weekly, at only $3.00 per enr.

It is bet'er than many of the $5.00 weeklies." A new feature in medical journalism was started by Dr. Waugh recen lythe issue of "special n' mbe 8"—that is, devoting an occasional issue to the consi 'erati." of a single disease. Send 10 cents for a copy s his Pneumonia number, for example. We have made special arrangements by which WORLD subscribers can get the Times and Register" (includi g all the special numbe 8) for only $2.00!!! This notice must be cut out nd sent with order, ingether with the st itement that you are a paid up subsc iber to The MEDICAL WORLD Send orders directo Times and Register," 1725 Arch St., Philadelphia, Pa.

Faith Cure. Iv surgical ward L. of the San Francisco city hospital is a female of uncertain age, who hails frem Boston. Her broken leg was rapidly healing. This female is a firm believer in the faith cure and ascrited the knitting of the fractured bone, not to the skill of the surgeons, but to her Christian faith. As she is a very voluble exponent, in four days' time she had converted several of The inmates of the ward to her belief in faith, One Sunday she told her converts to get up and, after kneeling in prayer, those who had crutches should ihrew them aside, those whose limbs were in splints shoud tear them off, and then they should all march to the outer gate, order it thrown open and repair to their respec'ive places of abode. This was al nine o'clock and while the nurse was getting a prescription filled. Cries of anguish from the direction of ward L. reached

(CONTINCED OVER NEXT LEAP)

The knowledge that a man can use is the only real knowledge; the only know-
lege 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.--FROUDE.

ONE DOLLAR per year,

[ocr errors]

PHILADELPHIA, PA

No. 7.

The Medical World. School Instruction in the Preservation of Life.

THERE are two legitimate objects to be kept PUBLISHED MONTHLY, by C. F. TAYLOR, M. D.

in view in educating the young to fit them for

future citizenship. One is to train the mind in C. F. TAYLOR, M.D.,

} EDITORS.

the various intellectual processes, that it may J. J. TAYLOR, M. D.,

the more easily and accurately perform the

mental operations required in civilized life; Subscription to any part of the United States and Canada,

and the other is to store the mind with wellTo England and the British Colonies, FIVE SHILLINGS per year, Postage free.

classified information in regard to those subjects Single copies, TEN CENTS. These rates must be paid which it may be either useful or entertaining invariably in advance.

to know. These two principles-training and We cannot always supply back numbers. Should a num- knowledge—are recognized by all scientific

bor fail to reach a subscriber, we will supply another, if notified before the end of the month,

teachers as the guiding principles of all true

education. Pay no money to agents for this journal unless publisher's

There is one important and hitherto entirely receipt is given.

neglected subject in regard to which accurate ADDRESS ALL COMMUNICATIONS TO

and full information and thorough training THE MEDICAL WORLD,"

would be in the highest degree useful to the 1520 Chestnut Street,

young man and young woman just entering

upon practical life. It is the science of the Vol. X.

No education can be JULY, 1892.

preservation of life.

more important, as this is, indirectly, the obOur June number was devoted exclusively ject of all education. A portion of the time to a consideration of Cholera Infantum. We

of youthful training then, should be allotted to have received many letters of appreciation of

a thorough consideration of the subject, dithat number and approving the plan of issuing

rectly. occasional special numbers de voted to the

But, lest this suggestion may be thought to consideration of subjects of especial difficulty

be too general, let us look into the matter more and importance, in their appropriate seasons.

in detail, and outline, briefly, a suitable course We wish to give prominent attention to the

of instruction in this subject. subject of Dysentery in the August numier, as

We premise this outline with the statement that is the season of its greatest prevalence, that all teachers should be thoroughly prenot, however, devoting the entire number to it

pared, by professional sanitarians, for properly Readers having large experience and well de- teaching it, and a suitable text-book should be fined views in regard to this disease are cordi- adopted as the standard intieschools, for such ally invited to contribute their ideas.

teaching, being. by frequent revision, kept The September number will be an exclusive abreast with the rapid advance of medical and special" Lumber, devoted to a consideration sanitary science. of Malaria and the Malarial Diseases.

A suitable course of instruction in this In this manner each special number becomes branch, then, should include the following a practical working encyclopedia of the newest, divisions of the subject : as well as the most succesful and reliable of A thorough knowledge of the various bodily the old ideas upon the subject in question.

functions and of the importance of promptly

1

and properly attending to them and keeping be finally stamped out and disappear entirely them always in a normal condition. A knowl- from civilized society. edge of the diseased conditions, the foundation A thorough knowledge should be imparted of which is laid in the neglect of regularity of the physical evils of even slight indulgence and temperance in eating, drinking, sleeping, in stimulants, tobacco and narcotics. working, studying and exercising; in the A fair and impartial statement should be neglect to give proper attention to the functions given of the worthlessness of patent medicines, of the bowels, kidneys, skin, and even of the the dangers of some of them, and the base lungs, by the practice of regular deep breath- swindle of them all. ing; in a disregard of any abnormality of the In the physical training department the menstrual functions; or in a neglect of the pupils should be instructed and trained in the proper care of the nose, mouth and teeth. best methods of avoiding accidents of various Thorough and special instruction should be

kinds and how to treat injuries that arise from given to young girls in regard to the long train

those that unavoidably occur. In this depart: of evils, chronic diseases and life long misery

ment should be given instruction in regard to caused by undue exposure to cold, or wet, or

fire-arms and explosives; how to prevent fires by becoming chilled or having wet feet, during

and to escape from burning buildings; railthe menstrual period; that a "cold" taken

road, steamboat and driving accidents ; alightduring that time is not likely to affect the nose

ing from and boarding vehicles in motion; to and throat, where it could easily be cured,

prevent and treat accidents from drowning, but that it is more likely to affect the already

suffocation, &c. physiologically congested ovaries, tubes and

This may be taken as mere skeleton outline uterus, where a cure is not likely to be ever

of a practical course of instruction in this most effected. It will not do to trust to the mother's

important branch of educational training. feeble authority in this matter.

Nothing but

There are many who have had large experience a clear knowledge of the serious and often

and given much thought to the subject, who embarrassing consequences of indiscretion

could easily take it up and complete it. The will serve to caution most young girls to pru

state should at least take as much interest in dence.

teaching its youth how to become and remain A knowledge of contagious diseases, the

healthy as in giving them the training which means of their contagion and the necessity and

will help them to become wealthy. difficulty of efficient isolation, quarantine and

Let us, then, have in our public school sysdisinfection should be imparted to all. Wh n

tem, thorough, systematic instruction and this subject is properly understood by the peo

training in the all-important subject of the ple, a well-meaning but ignorant Auntie, going

preservation of life and health. from a diphtheria or scarletina infected family Bichloride of Gold for Cobra Bite. to another family of healthy children would We learn from the Indian Medical Record be regarded much as a venomous serpent would

that Dr. Calmettes, of Saigan, Cochin China, coming in their midst. Then a person would

has demonstrated that the subcutaneous injec.

tion of bichloride of gold, made before apoplecnot feel justified in going right out f.om a con

tic symptoms have occurred, is a certain tagious sick-room into the crowded cars or antidote to the venom of the cobra di capille. public gatherings to spread the disease broad- Tuis suggests its utility in poisoning by other cast. Then the people might finally become

venomous reptiles and inse ts. convinced of the importance of raising children

Doctor, if you are satisfied that The MEDto maturity without allowing them to run the ICAL WORLD can h lp you in your practice and gauntlet of whooping cough, measles, scarlet enhance the interests of the profession we sever, chicken pox, small-pox, diphtheria,

should like you to join our large family of

readers and contributors. We will give you which annually slay many and leave the mark

the advantage of a trial trip the remainder of of chronic impairment upon many more. Then

1892, including the June (Cholera Infantum) might we hope that contagious diseases would number, for only fifty cents.

treatment.

Original Communications. -he should quickly and at some distance

(20— 40 feet) be able to locate the direction

whence the brightness comes. Short articles on the treatment of diseases, and experience

with new remedies, are solicited from the profession for Again, comparing the density of the cataract this department; also difficult cases for diagnosis and

with the power of light perception, the

diff nce between the two may be so striking Articles accepted must be contributed to this jourual only. The editors are not responsible for views expressed by as to indicate serious internal difficulty to the contributors.

thoughtful surgeon. Still again, the pupil may Copy must be received on or before the twelfth of the be very inactive, and not readily respond to

month for publication in the next month. Luused Manuscript cannot be returned.

the stimulus of light, thus demonstrating a Certainly it is excellent discipline for an author to feel that he

weak perceptive power. All these conditions must say all he has to say in the fewest possible words, or -marked limitations of the field, feeble prohis reader is sure to skip them; and in the plainest possible words, or his reader will certainly misunderstand them.

jecting ability, a great disproportion between Generally, also, a downright fact may be told in a plain the opacity of the lens and the perception of uay; and ze want downrighi facts at present more than anything else.-RUSKIN.

light, a sluggish or inactive pupil-all these

point to some serious internal lesion, disease of READ. REFLECT. COMPARE. RECORD. the retina and optic nerve, atrophy of the

choroid, turbid vitreous, etc. Under these Cataract.- Question and Reply.

circumstances, the prognosis may be so doubtEDITOR MEDICAL WORLD:-Dr. Brown, of

ful as to warrant the experienced oculist in reMilwaukee, Wis., gʻves us a very interesting fusing an operation. dissertation on the differential diagnosis be- (6) The tension of the eye-ball (its softness tween glaucoma and cataract. I would be to touch) may be so far below normal as to pleased to have an article from him on catar- justify the diagnosis of detached retina, a conact. I recently examined two very interesting

dition precluding a successful operation. cases in the same family. One aged fourteen (c) A surgeon may not be willing to risk years, the other seven years. Both had catar- his reputation by operating on a case which, act from birth, and bɔth cases were pronounced in his opinion, is likely to result disastrously incurable by prominent oculists. The lenses to his patient and himself. We have often are pearly white, but vision is not entirely de- heard that liberal minded oculist, Dr. Carrow, stroyed in either case—that is, they can dis- of the University of Mich., say to his students, cover a lighted lamp in the room. Now, if -"A surgeon has no right to refuse an operathey are not curable I would like to know why. ti yn when everything is to be gained and nothThe optic nerve seems to be perfectly healthy, ing lost.”. If the condition of things is careor why should they discern light? Why wait fully explained beforehand, and well underfor a cataract to ripen? and what is the philo stood by patient and friends, an operation sophy of a cataract ripening?

under these circumstances would redound Dr. Brown's article appears in March rather to the credit than the disadvantage of WORLD, page 92.

the conscientous surgeon. Linwood, Kan. J. D. WARFORD, M.D. 2. What is the philosophy (pathology) of a

ripening cataract? EDITOR MEDICAL WORLD:-Complying with The crystalline lens is made up of long the request of Dr. Warford, Linwood, Kansas, fibers, or rather very elongated cells arranged for an article on cataract, I will confine myself in a peculiar manner. The central fibers are to the points mentioned by him, the general known as the “nucleus "'--the external cells, subject being too broad for one sitting.

as the "cortex." I speak now of senile 1. Why should an oculist refuse an opera. cataract, to which reference is apparently tion on a congenital cataract as useless, when made. As age advances the lens gradually there is a perception of light on the part of the hardens. This is a normal condition. This patient i

hardening begins in the nucleus. Between the He may do so for one or more of the follow- nucleus of a normal senile len; and a senile ing reasons :

cataractous lens, there is little difference in (a) In his judgment, the perception of light transparency. Sometimes, however, the nucleus may not be sufficient to warrant an operation.

of a senile lens hardens in an irregular manner, To discern light is not always enough to justify that is, differently from the usual and natural operative measures. The whole field must be way. This irregularity in hardening is suptaken into consideration. A pa:ient should posed to make such an alteration in the external not only see light immediately in front of the fibers 01 cortex as to cause them to become eye, but also when the illumination comes swollen, granular, disintegrated and divided from positions to the right, left, above, below, by fissures, the result of which is a loss of transparency, and, in time, a dense opacity-a upon the eye, in a dark room. !f the external cataract. Between the cells are found particles or cortical part of the lens be opaque or ripe, of coagulated matter, which also help to destroy no shadow will be thrown by the edge of the the clearness of the lens.

iris, because it rests upon an opaque surface, 3. Why should we wait for a cataract to the hardened lens. If the outer part of the ripen?

lens be still transparent, the edge of the iris In mature cataract, the lens is sclerosed, and will th. ow a shadow upon the hard centre of consequently somewhat shrunken. This the lens, which shadow will correspond in shrinking causes the lens to be more or less width wich the thickness of the cortical lens loose in its capsule, and detaches from it every substance, which still remains transparent. part of the cortex. Being now smaller than With a little patience, this test will be satisnormal, and completely separated from its en

factory. veloping capsule, it is easily removed, leaving 2. Dilake the pupil, and expose the whole no lens substance behind to awake inflamma- lens. Examine carefully. If the striæ or tion and destroy the effect of the operation. lines of hardening upon the surface of the lens On the other hand, if the cataract be removed are fine and opaque looking, the cataract is before it is ripe, some particles of the cortex mature. If the lines are broad and glittering, which adheres to the capsule remain behind, of various shades, some like mother of pearl, and, being transparent, are not observed at the the lens is likely not mature. In a few weeks time of the operation. Sooner or later these the difference in hue and appearance between fibers become opaque ; appear in the pupillary the striæ will be seen to be less, and finally to space, ruining vision, causing unpleasant in- disappear. The cataract is now ripe. flammatory reaction, and oftentimes destroying 3. Dilate the pupil. With an ophthalmosthe eye itself.

copic mirror, throw a good reflected light upon Dr. E. E. Hagler, University of Michigan, the lens. A mature cataract should not permit recently reported to me such a case. A patient the slightest red reflex from the fundus. had been operated upon for cataract by an eye: 4. A test for favorable prognosis: In a dark surgeon. Shortly after the operaticn the pupil room throw a faint light, reflected from a hand was found filled with opaque matter. A second mirror, upon the eye at a distance of from two operation was performed at the University to four feet. In a promising case, the patient clinic, and the mass removed proved to be a should distinctly recognize the illumination collection of lens fibers, which had escaped and also the directions whence it comes. Any removal at the hands of the first operator. slowness of perception in these particulars is Fair vision, however, resulted. On the other suspicious, and points to a more or less unhand, Dr. Flemming Carrow informs me in a. favorable result. I trust that these tests may private communication, that during the past be useful to some one. winter he has removed in his clinic several Often do I see patients who have come from cataracts, where he could perceive a distinct a great distance to have a cataract removed red reflex through the lens, and that the results long before it is ready for an operation. Such were good, and the operations not difficult. It could be saved much expense and trouble, did may be that the experience of such bold their family physician, use a little more care in though careful and conscientious operators, making his diagnosis. All of the above may in time modify the classic opinion as to "reasons" and "tests' can easily be under. the necessity of perfect ripeness before operat- stood by any intelligent practitioner, and if ing on a case of cataract. The revived practice they shall be helpful to any such of my brethof syringing out the capsule and anterior ren, the trouble of writing them out will be chamber with a mild antiseptic solution after amply compensated for. operation, and the desirable results claimed

BELNO ADDISON BROWN, M. D. from it, may also aid in bringing about some 201 Grand Avenue, Milwaukee, Wis. modification of the present practice, a change very agreeable to those patients, who, after

Monstrosities and Maternal Impressions. blindness occurs, are obliged to wait a long EDITOR MEDICAL WORLD :-On the 22nd and tedious time for their cataracts to mature. day of April, '92, I was summoned to attend

Finally, the following simple tests for deter- Mrs. W., in this city, who was then in severe mining the ripeness of a cataractous lens may labor. When I reached her bedside I found, be found useful by the general practitioner :- upon examination, slight dilatation and the

1. The edge of the iris rests upon the crys- head presenting, though the tense waterbag pretalline lense throughout its entire margin vented accuracy of diagnosis.

Wishing to There is nothing between the two, ex.ept the allow every advantage of dilatation, I did not very thin lens capsule. Bearing this in mind, interfere for some time with the amniotic throw an oblique focal light of medium strength membranes

« PreviousContinue »