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held. The local committee of arrangements at Omaha is actively preparing for the entertainment and comfort of those who attend. Surgeons and gynecologists, and those interested in the progress of these specialties, are cordially invited to affiliate themselves with us. The secretary will be glad to send application blanks. Titles of papers should be sent to the secretary as soon as possible, but not later than November 20th, to insure a place on the program.

GEO. H. SIMMONS, Secretary, D. S. FAIRCHILD, President,

Lincoln, Neb. Clinton, Ia.

SYPHILIS OF THE STOMACH.-Syphilitic lesions of the stomach have been but seldom described. Possibly, as M. Dieulafoy has recently asserted, they are not so uncommon as is supposed, for when they come under clinical observation it is usually as ulcers of the stomach, and the symptoms do not differ from those of ordinary ulcer. Gummata have been found at necropsies, but as a rule they produce symptoms during life only when they ulcerate. A case such as the following, published in La France Medicale, July 1, 1898, by Dr. Dubuc, is very exceptional. In 1880 and 1881 he treated a man for primary and secondary syphilis, and in 1884 for a tubercular syphilide on the forearm. In 1891 he detected in the epigastric region a large indurated plaque of the size of the palm of the hand, with a projection having the volume of a pigeon's egg. It was situated behind the abdominal wall, and no doubt in the wall of the stomach. It was separated from the liver by a narrow resonant zone, and was elevated by the pulsations of the aorta. The patient had wasted, digestion was slow and difficult, and there was pain in the affected region. Mercury and iodide of potassium were given; the plaque appreciably diminished in a week, and was found to have entirely disappeared when the patient was seen four months afterward. M. Dieulafoy's advice to inquire for a syphilitic history in all cases of gastric ulcer and to treat accordingly is sound. Lancet.

THE SOUTHERN SURGICAL AND GynecologICAL AssociaTION.—The eleventh annual meeting of the Association, which was announced to be held in Memphis, Tenn., Tuesday, Wednesday, and Thursday, November 8th, 9th, and ioth, has been postponed till Tuesday, Wednesday, and Thursday, December 6th, 7th, and 8th, 1898, on account of the quarantine regulations in some parts of the South. The Gayoso House has been selected as headquarters for the Association.

W. E. B. DAVIS, M. D., Secretary. RICHARD DOUGLAS, M. D., President.

LACTOPHEN IN THE TREATMENT OF INSOMNIA IN THE INSANE.-Cristiani (Rif. Med., June 16, 1898) has given lactophen for insomnia in over two hundred cases of insanity with very good results. The dose given varied from one to three g., the remedy being administered in some sweet emulsion

Sleep that had all the characters of a natural slumber followed in a very short time, lasted from four to nine hours, and was not succeeded by any bad effects-no stupor or morning headache and no digestive disturbances. Like most other hypnotics, it lost its effect after continued use, but after a short intermission could be used again with good results. The author used it in all kinds of mental cases and in different physical conditions-for example, cardio-vascular, kidney, and other diseases. He considers it quite safe and more generally useful-in insane subjects—than opium, chloral, trional, or any other hypnotic. As it has no taste or smell, it is not difficult to administer.-British Medical Journal.

THE PALMO-PLANTAR SIGN IN TYPHOID FEVER.-Quentin draws attention (Arch. Gen. de Med., May, 1898) to a sign which he considers to be of considerable use in the diagnosis of typhoid fever, and one which has hitherto not received much notice. It consists in a peculiar yellow coloration of the palms of the hands and the soles of the feet. During convalescence these same regions show marked desquamation. The writer points out that in a large series of cases of febrile affections collected by him, he has remarked the presence of a slight yellow tinge in some cases of acute articular rheumatism and tuberculosis, but that in typhoid this coloration is much more intense. The explanation is obscure, but that offered is that the epidermic tissues undergo a special nutritive change in the presence of typhoid fever, probably due to elimination of toxic products through the skin.-Ibid.

'ELECTRIC SUNSTROKE."-Lavrand Journal des sciences medicales de Lille, May 21st; Presse medicale, June 29th) relates the case of an engineer who remained exposed for an hour, at a distance of about three feet, to the rays given out by two connected arcs under a current of fifteen amperes. His situation is described as being in that part of the cone of rays where the light was least, but the chemical activity the greatest. Three hours afterward he felt a tingling in his eyes and soon presented all the symptoms of sunstroke, lachrymation, redness of the skin of the face and of the conjunctivæ, and then very severe supraorbital neuralgia. These symptoms disappeared after the application of compresses wet with a boric-acid solution, leaving only a little roughness of the skin. They are attributed to the chemical rays, and not to the intensity of the heat.- New York Medical Journal.

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MR. DAVID H. KING, JR., of New York, has offered to the Red Cross relief committee his house at Jekyl Island, S. C., for use as a hospital. Judging from the newspaper illustrations, the surroundings are unexceptional and the residence itself already built on the pavilion plan. Jekyl Island is within an hour's travel of Fernandina, Fla., and its healthfulness and location make it an ideal site for an army hospital. Soldiers becoming ill at the camp,

which, it is reported, will be established at Fernandina, can be easily taken to this island. It is also conveniently situated for the care of soldiers wounded on Cuban battlefields. Not only will Mr. King give the use of the house for hospital purposes, but he will maintain it as well.- Journal American Medical Association.

DEADLY ICE-CREAMS.-Another case is reported of a death presumably due to the eating of ice-creams. The victim was a child, aged three years. The medical man in attendance deposed at the inquest that on the previous day he had seen two similar cases in the same street in Hoxton. Surely the authorities should do something in the matter. Is the liberty of unlicensed killing to continue indefinitely? There is proof, circumstantial, bacteriological, and positive of the deadliness of the filthy " hokey-pokey," and it is high time that regulations were made with regard to its manufacture.-Lancet.

CONSUMPTION OF HORSE-FLESH IN PARIS.-Because of the continued increase in the consumption of horse-flesh the Municipal Council of Paris is reported to be considering the advisability of establishing a special slaughter-house for horses. The first shop for the sale of horse-meat was opened in 1866, and during the following year 2,152 horses were consumed. During 1897, 14,840 horses, 257 donkeys, and 40 mules-a total of 15,137 animalsfurnished food for Parisians.- The Philadelphia Medical Journal,

The AMERICAN MicroSCOPICAL SOCIETY, at its recent annual session, elected the following officers for the ensuing year: President, Dr. William C. Krauss, of Buffalo; First Vice-President, Professor A. M. Bleile, of Columbus, O.; Second Vice-President, Dr. G. C. Huber, of Ann Arbor, Mich. ; Secretary, Professor Henry D. Ward, of Lincoln, Neb.; Treasurer, Magnus Pflaum, of Pittsburgh; Executive Committee, Professor S. H. Gage, of Ithaca; Dr. A. Clifford Mercer, of Syracuse, and Dr. V. A. Moore, of Ithaca.

KOCH AND TEXAS FEVER.—The protest of the British Medical Journal as to Koch's seeming failure to give credit to others for discoveries in connection with Texas fever is of course due to the incompleteness of the telegraphic accounts of his lecture. As stated by our Berlin correspondent, the acknowledgment of Prof. Smith's work was ample and most generous. Americans who were present were proud of their distinguished compatriot. The Philadelphia Medical Journal.

HARVARD Medical School has been enriched by an endowment of $25,000 devised by the will of the late Dr. Henry L. Williams.

DR. VICTOR FOSSEL has been appointed professor of the history of mediçine at the University of Graz.

Special Notices.

The SENSIBLE TREATMENT OF LA GRIPPE AND ITS WINTER SEQUELÆ.—The following suggestions for the treatment of La Grippe will not be amiss at this time, when there seems to be a prevalence of it and its allied complaints. The patient is usually seen when the fever is present, as the chill, which occasionally ushers in the disease, has generally passed away. First of all the bowels should be opened freely by some saline draught. For the severe headache, pain, and general soreness give a five-grain Antikamnia Tablet, crushed, taken with a little whisky or wine, or if the pain is very severe, two tablets should be given. Repeat every two or three hours as required. Often a single ten-grain dose is followed with almost complete relief. If,. after the fever has subsided, the pain, muscular soreness, and nervousness continue, the niost desirable medicine to relieve these and to meet the indication for a tonic is Antikamnia and Quinine Tablets, each containing 22 grains Antikamnia and 272 grains Quinine. One tablet three or four times a day will usually answer every purpose until health is restored. Dr. C. A. Bryce, Editor of "The Southern Clinic,” has found much benefit to result from five-grain Antikamnia and Salol Tablets in the stages of pyrexia and muscular painfuluess, and Antikamnia and Codeine Tablets are suggested for the relief of all neuroses of the larynx, bronchial as well as the deep seated coughs, which are so often among the most prominent symptoms. In fact, for the troublesome coughs which so frequently follow or hang on after an attack of influenza, and as a winter remedy in the troublesome conditions of the respiratory tract, there is no better relief than one or two Antikamnia and Codeine Tablets slowly dissolved upon the tongue, swallowing the saliva.

NERVOUS PROSTRATION.--My son, aged 12, had been growing nervous over the shock of his brother's death, and seemed to derive no benefit from any remedies used in his case. Had him to the seashore, change of surroundings, and every thing that could be done for his benefit; he still grew thinner and worse all the time. I put him on Celerina, and had marked benefit before the first bottle was used, and he has almost entirely gotten over it with the help of another bottle I got for him. I consider it a very nice and efficient nervine, just the thing for the children and nervous and delicate persons, where there is great prostration. I shall use it freely. Moosic, PA.

N. P. FRASSONI, M. D. SANMETTO.-J. S. Jordan, M. D., of Indianapolis, Ind., writing, says: “I have been using Sanmetto for a number of years, and with unvarying good results. In cases of prostatitis, prostatorrhea, cystitis, chronic gonorrhea, and kindred genito-urinary troubles I find it one of the most valuable acquisitions to our Materia Medica. In irritable conditions of the neck of the bladder, so frequent among females, Sanmetto has proven a God-send. I can also heartily recommend it as the very best aphrodisiac I have ever used."

MILK INFECTION.—“I have just had an opportunity of seeing the wonderful value of Imperial Granum in milk infection. I ordered the baby fed on Imperial Granum, prepared with pure water only, increasing by one teaspoonful the quantity of Imperial Granum directed to be used when prepared with milk. An immediate improvement and most satisfactory recovery of the case was the result.”

M. D. To THE IMPERIAL GRANUM Co., NEW HAVEN, CONN.

The Phosphates of Iron, Soda, Lime, and Potash, dissolved in an excess of Phosphoric Acid, is a valuable combination to prescribe in Nervous Exhaustion, General Debility, etc Robinson's hosphoric Elixir is an elegant solution of these chemicals.

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Certainly it is excellent discipline for an author to feel that he must say all he has to say in the fewest possible words, or his reader is sure to skip them; and in the plainest possible words, or his reader will certainly misunderstand them. Generally, also, a downright fact may be told in a plain way; and we want downright facts at present more than any thing else.-RUSKIN.

Original Articles.

SARCOMA OF THE CHOROID.*

BY SAMUEL G. DABNEY, M. D. Clinical Lecturer on Diseases of the Eye, Ear, Nose, and Throat in the Hospital College of Medicine,

Louisville, Kentucky.

I present the following as a continued report of an old case, with a brief review of the literature of the subject. In November, 1896, I showed to this Society a pathological specimen consisting of an enucleated eyeball, containing a sarcoma of the choroid. The history of the case was as follows: The patient was a lady, aged fifty-seven. In September, 1892, I had prescribed glasses for an optical defect, consisting of hypermetropia and astigmatism. The vision of each eye was then perfect and its condition healthy. In May, 1895, she returned, saying that six weeks previously she had lost the sight of the left eye. The tension of this eye was slightly reduced and the vision limited to perception of light. The ophthalmoscope showed a detachment of the retina downward and outward. Her health otherwise was good, and the fellow eye was perfect with the glass she was wearing. In October following, that is about six months later, I was called to see this lady, and found her suffering with an acute glaucoma in the blind eye. There was violent pain on that side of the head, accompanied by nausea and vomiting. These symptoms led the patient to suppose her attack to be "bilious," and she was receiving treatment accordingly. In the blind eye the pupil was dilated, the tension increased, and the ball intensely red. The eye was unable to distinguish light. Her physician stated that she was subject to rheumatism. Acute glaucoma

* Read before the Louisville Medico-chirurgical Society, Oct. 7, 1898. For discussion

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