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This case demonstrates the value of protargol in checking the pus flow. I have used it considerably in ordinary cases of conjunctivitis, and think it is undoubtedly a valuable remedy.
Dr. Fryer, of Kansas City, uses protargol as a disinfectant in all kinds of eye operations. It has the advantage that your instruments may be put into it without discolorization, as would occur if you used the nitrate of silver. He uses it in a one per cent solution as a disinfectant in operations about the eye, and reports very favorable results from it.
Dr. Wm. Cheatham: Another of the new anesthetics for use about the eye and also the throat is eucaine. I have always been under the impression that there was no danger to be feared from the use of eucaine, and that it was free from many of the disagreeable properties and effects attributable to cocaine; yet Dr. Irwin at the last meeting of the Louisville Clinical Society stated that a dentist used a few drops of a twenty per cent solution of eucaine for the purpose of local anesthesia for the extraction of a tooth, and came near losing his patient.
Dr. S. G. Dabney: My experience with eucaine has been favorable. Eucaine when put into the larynx does not produce that disagreeable suffocative effect that is sometimes experienced after the application of cocaine. I had this illustrated to me recently. A young girl came to me with a small growth of the vocal cord. I was training the girl's throat to the use instruments, thinking I would have to bite off the little growth later with laryngeal forceps. Eucaine was used by wrapping cotton on a small probe and saturating this with the solution. In swabbing the throat with this the small growth was rubbed off and the girl has gotten well. I do not assume that the eucaine had any thing to do with the easy removal of the growth; I think it was a small pedunculated growth, and the slight rubbing with the cotton-covered probe detached it. In that case eucaine did not produce that disagreeable sense of suffocation of which patients complain when cocaine is used in the throat.
I believe that protargol is used in weaker solutions than has been recommended. In the last number of the Annals of Ophthalınology some unfavorable results are reported which were undoubtedly due to the use of too weak solutions. It may be used as strong as ten per cent or even inuch stronger. I have been using three per cent, but believe if we would increase it to five per cent it would be an advan
tage. I have only used it in three per cent solutions, and it has been coinparatively free from irritation.
I believe protargol has come to stay, and also think that holocaine has some decided advantages. Holocaine seems to be a simple anesthetic; it does not dilate the pupil, and does not produce any dryness of the corneal epithelium. It is claimed to be a better anesthetic than cocaine. Randolph has reported cases in which it seemed to have a decided antiseptic influence.
LOUIS FRANK, M. D., Secretary.
Reviews and Bibliography.
An American Text-Book of the Diseases of Children. Including Special Chapters
on Essential Surgical Subjects; Orthopedics; Diseases of the Eye, Ear, Nose, and Throat; Diseases of the Skin, and on the Diet, Hygiene, and General Management of Children. By American Teachers. Edited by Louis STARR, M. D., Consulting Pediatrist to the Maternity Hospital, Philadelphia; Late Clinical Professor of Diseases of Children in the Hospital of the University of Pennsylvania, etc. Assisted by THOMPSON S. Westcott, M. D., Instructor in Diseases of Children, University of Pennsylvania, etc. Second edition, revised. 1244 pp. Price, $6.00; sheep or half morocco, $7.00. Philadelphia: W. B. Saunders & Co. 1898.
The contributors to this volume number sixty-six of the teachers in the leading medical centers of the country, and among the names are many of the very foremost writers in American medical literature, such names, for instance, as John Ashhurst, J. M. Da Costa, E. P. Davis, George E. de Schweinitz, William A. Hardaway, Barton Cooke Hirst, J. Hendrie Lloyd, Charles K. Mills, William Osler, William Pepper, J. Lewis Smith, M. Allen Starr, Louis Starr, James Tyson, Victor C. Vaughan, and others of scarcely inferior standing. The first edition has been very largely revised and rewritten, and the numerous instances of overlapping that marred to some extent the first edition has been done away with.
The section on the infectious disease has been rearranged so as to embrace tuberculosis and malaria. Among the new articles added are "Lithemia” and a section on “Orthopedics." The illustrations are numerous and well executed, throwing light on all conditions where they can aid the understanding.
There are many doubtless who would prefer that the editors could have supervised the treatment recommended or indicated as effectually as they have the style and arrangement of the different contributors. Still it is encouraging to find that progress is made day by day in emancipation from medical fetiches everywhere except in the advertising pages of journals. Altogether the work is worthy to be added to the monumental contributions of the enterprising and energetic publishing house of W. B. Saunders.
For the present the student who owns it can find a ready answer to all other offers in the question, “What more do I want?"
D. T. S.
Atlas and Epitome of Operative Surgery. By Dr. Otto ZUCKERKANDL, Private
Docent in the University of Vienna. Authorized Translation from the German. Edited by J. CHALMERS Da Costa, M. D., Clinical Professor of Surgery in Jefferson Medical College, Philadelphia. 395 pp. Cloth, $3.00 net.
The editor's "note” to this volume is the most appropriate review. “Dr. Zuckerkandl,” he says, “in this atlas has laid down the rules and methods of surgical procedure with the clearness that springs from definite knowledge and the emphasis that is born of conviction. He describes lucidly and tersely the operations of modern surgery, and in a manner that fits the book to be a guide to the surgeon who operates upon the living, or to the student who works upon the cadaver, the verbal descriptions being reinforced and illuminated by a large number of excellent original cuts. The aim of the translator has been to portray the spirit rather than the exact words of the author.” It only remains to be said that the editor has been most happy in the portrayal of the spirit he describes.
D. T. S.
Diseases of Women. A Treatise on the Principles and Practice of Gynecology. For
Students and Practitioners. By E. C. DUDLEY, A. M., M. D., Professor of Gynecology, Northwestern Medical School; Gynecologist to St. Luke's Hospital, Chicago, etc. With 422 illustrations, of which 47 are in colors, and 2 colored plates. 637 PP.
Those who have noticed the valuable contributions that Dr. Dudley has been making to gynecological literature will not be surprised to meet with this superb contribution to this department of medical science. It aims to contain the most approved precepts in principles and practice, and to exclude whatever is not founded in pathology or carefully observed experience. The relations of dress to health and diseases of women, pelvic massage after the method of Brandt, and various manipulations indicated in treatment receive full attention and are illustrated when feasible with abundant appropriate cuts.
The work will promptly take its place among the leading contributions to the department to which it relates. Certainly no better book has ever come out of Chicago.
D. T. S.
Transactions of the College of Physicians of Philadelphia. Third Series. Volume
Nineteenth. 256 pp. Printed for the College. 1897.
It would be quite natural for one to come to the conclusion that this report of transactions is either selected, or that the proceedings were very carefully revised before publication. It is rather too high a compliment to assume that proceedings of so uniform and great excellence could otherwise characterize any association in the country. The papers are all interesting as well as the discussions, but for value to the general public the greatest meed of praise is due to the paper of Dr. Dulles, entitled Consumption not Contagious. His position was strengthened rather than otherwise by the discussion that followed.
It might be better to say that the germs of consumption flourish only in specially appropriate soil, that the germs are so widespread that they can
not be escaped, and that when individual health is conserved in highest degree consistent with the requirements of industrial enterprise, all has been done that it is wise to undertake; the case, we think, is fully made up. If overwatchfulness were to protect a few who would otherwise fall, the standard would soon be lowered, and the same exposure would cause a greater amount of the disease. In the long run, outside of cultivating the resisting powers of the race, we can do nothing, and the showy activity of would-be reformers is wasted effort.
D. T. S.
A Manual of Modern Surgery, General and Operative. By John CHALMERS DA
Costa, M. D., Clinical Professor of Surgery, Jefferson Medical College, Philadelphia, etc. With 386 illustrations. 911 pp. Price, cloth, $4.00; half morocco, $5.00 net. Philadelphia: W. B. Saunders. 1898.
In the preface to the first edition the author announced it as his aim to present in concise form the fundamental principles, the chief operations, and the accepted methods of modern surgery, and to place his work between the complete but cumbrous text-book and the incomplete but concentrated compend. Obsolete and unessential methods were excluded in favor of the living and essential. In the new edition no attempt has been made to alter the character or to change the purpose of the manual, although it has practically been rewritten, many entirely new articles added, and a majority of the old articles enlarged, restricted or otherwise altered.
The verdict of the profession must be that the author has faithfully carried out his undertaking and produced one of the very best text-books for students anywhere to be had, and among works of its class might be denominated “Seek no further."
D. T. S.
Transactions of the Southern Surgical and Gynecological Association. Volume
x. Tenth Session. Held at St. Louis, Mo., November 9, 10, and 11, 1897. 389 pp. Published for the Association.
The work of the '97 meeting of the association is up to the usual high level of that body. While reading over the list of names we feel disposed to ask why in all this great territory, with the advantages of many large cities, some of these men are not in the lists as authors of text-books in surgery. One of the most interesting discussions is that on uterine cancer, in the course of which Dr. Crofford made the statement that Dr. Jacobs, of Brussels, regarded as the best living operator, had become disgusted and quit operating for cancer of the uterus because of the great certainty of its returning. When asked how he harmonized his results with the reports of other surgeons, his answer was that in the first place, women sought surgeons sooner in other countries, and secondly, there was a great deal of lying about statistics.
One thing is sure, the surgeon who would induce a patient to undergo an operation without laying before her the truth as to the probable outcome, simply for the money that is in it, or the prestige of having added a case to his record, could as creditably turn footpad.
D. T. S.
An American Text-Book of Gynecology, Medical and Surgical. For Practitioners
and Students. By Drs. Henry T. Byford, J. M. Baldy, Edwin B. Cragin, J. H. Etheridge, William Goodell, Howard Kelly, Florian Krug, E. E. Montgomery, William R. Pryor, and George M. Tuttle. Edited by J. M. BALDY, M. D. Second edition, revised. With 341 illustrations in the text and 38 colored and halftone plates 718 pp. Price, $6.00, cloth; $7.00, sheep or half morocco. Philadelphia: W'. B. Saunders. 1898.
The distinguishing claims of this work are its thoroughness and its practicability. Many of the works on gynecology are too prone to consider the operative side to the almost entire exclusion of the medical side. This work does equal justice to both. The various morbid conditions are fully and clearly described, with a wealth of illustration. The technique of operations could only be made plainer by actual observation, and as to treatment, the confident and positive tone of the authors suggests the assurance, on their part, that the best that is known is recommended.
In the former edition it took place at once in the very front rank, and this keeps pace with all improvements and advancements in details made since the publication of the first. Much new material has been added, and more than forty illustrations have been replaced by new ones. superb work.
D. T. S.
It is a
Lectures on Tumors. By John B. HAMILTON, M. D., LL. D., Professor of Surgery,
Rush Medical College and Chicago Polyclinic, etc. Third edition. 21 illustrations. 143 pp. Price, $1.25 net. Philadelphia: P. Blakiston, Son & Co. 1898.
This is a stenographical report, of course, with revision, of the series of lectures on tumors delivered by Dr. Hamilton, first at Washington and afterward at Chicago.
No claim has been made to original discovery, and the scope of the lectures is limited to the general pathology, clinical history, and treatment.
The work is well gotten up, in a simple, pleasing style, and will answer excellently the author's purpose as a book for recitation and ready reference.
D. T. S.
Atlas of Syphilis and the Venereal Diseases. Including a Brief Treatise on the
Pathology and Treatment. By Prof. Dr. FRANZ MRACEK, of Vienna. Authorized Translation from the German. Edited by L. BOLTON BANGS, M. D., Consulting Surgeon to St. Luke's Hospital and the City Hospital, New York, etc. With 71 colored plates. Price, $3.50. Philadelphia : W. B. Saunders. 1898.
Charming as the other members of the Saunders or Lehmann Hand Atlases have proved, this one surpasses. Printed in colors, as this is, in the beginning of the professional career of many who are yet young, such a work as this would have cost a fortune.
The improvement in and cheapening of printing processes and the enormous scale upon which these atlases have been produced, accounts for their cheapness. Truly, this offers a ready and satisfactory substitute for clinical observation, for they are drawn to life.
D. T. S.