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Dr. W. W. Campbell, one of the best known physicians of Atchison, having passed a year in Europe pursuing studies in diseases of the eye, ear, nose and throat, has located in this city at 900 Main St., and will devote his exclusive attention to those affections. Those specialties are a little over-done in Kansas City, yet "there is always room for one more" if he is deserving-hence the INDEX wishes him

success.

When the scale upon your clinical ther mometer becomes obliterated take an indelible pencil, known as the "American copying pencil," and first moistening the scale rub it thoroughly upon the pencil, being sure that the depressions are well filled. When it becomes dry the superfluous coloring matter may be removed by rubbing with a soft cloth. The newly applied color will remain almost as long as the original.

Why is it that the Journal of the American Medical Association, the Philadelphia Medical News and one or two other journals publish under the head of "Medical Progress' a lot of extracts from German, French and English (mostly Ger. man, of course) medical journals? Is there no " Progress" in America? Why not use a heading: "Extracts from Foreign Journals" instead of M-e d-i-c a-1 P-r-o-g-r-e-s-s"?

Jonathan Hutchinson makes the suggestion that the long-continued administration of arsenic in large doses may produce a form of cancer closely allied to epithelioma, but presenting peculiar characteristics. New England Medical Monthly. That is just what the homœopaths have claimed lo! these many years, hence their use of arsenicum as a remedy for epithelioma under the law of similia similibus curantur !

Erlenmeyer says that children born of women addicted to the morphine habit are practically morphine-eaters at birth; during the first few days of life unless morphine is given to them they are very apt to suffer collapse, and this condition may end in death, the child being too weak to withstand the violent symptoms which are similar to those which follow the sudden withdrawal of the drug in adult opium habitues.

Ustilago maidis is again coming into popularity in obstetric practice. It is preferable to ergot because while ergot causes tonic contractions of the uterus,

ustilago imitates nature closely by causing intermittent contractions; besides it never causes "hour-glass" contractions, does not endanger the life of the child if given prior to expulsion, nor does it leave the womb relaxed with consequent tendency to hæmorrhage.

Esmarch insists that in the treatment of congenital recto-vaginal fistula the surgeon must not content himself with openng the perineum, and freshening and closing the edges of the opening into the vagina, but that he shall free the rectum completely from the vagina, and draw it down separately and attach its circumference to the skin. This method, he believes, will give better results than the simple one referred to above.

The best method for curing fistula in ano, according to Dr. Brinton, without the use of the knife, is by passing a silk or gum elastic cord through the fistulous tract and bringing it out of the rectum and tying it. This will excite inflammation and the cord will gradually cut its way out followed by granulation. this method the patient can be cured while following his ordinary occupation. -College and Clinical Record.

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Dr. Monti, in the Pacific Record of Medicine, suggests treating cracked nipples by covering them with caoutchouc or India rubber dissolved in chloroform, this forming a pellicle which protects the fissures from the infantile saliva. I have for many years used compound tincture of benzoin for the same purpose, and with much satisfaction. The nipple should be washed and then painted with the solution with a camel's hair brush.

Instead of sponges, Billroth uses gauze prepared as follows: The absorbent gauze is cut into pieces eight inches square, and of these seven are folded and sewed at their edges. These are boiled twice in one day, one hour each time, in a sublimate solution of 110. They are then placed in jars and carefully covered. Gauze thus prepared is thoroughly antiseptic. Every attempt with such gauze to cultivate micro-organisms has failed.

Nocturnal seminal losses, as respects mechanism of production, are analogous with nocturnal incontinence of urine. This trouble may be considered a morbid state only when the losses are frequent and the health affected. Bromide of po tasium best relieves spermatorrhoea when due to plethora; belladonna is indicated

in a relaxed condition of the genitalia, the emissions flowing without force, and without a distinct dream.-College and Clinical Record.

"The science of 'hypnotism' is developing fast," says the St. James' Gazette. "M. Joseph Bertrand, the Secretary of the French Academy of Science, submitted to that body at its last sitting a mode of superinducing anesthesia by purely mechanical means. It consists in directing

the rays of a mirror, of the sort employed by lark catchers, on the eyes of the subject. A species of hypnotic trance, accompanied by absolute physical insensibility, is thus produced.

Dr. Salemi, being called to a young robust woman, recently delivered of her first child, found it necessary to arrest the secretion of milk in consequence of the condition of the breasts. During ten days he tried all the usual means-purgagatives, diet, iodide of potassium, etc., without effect. He then resorted to antipyrine, of which he gave ten grains daily in three doses. The secretion diminished on the first day, and definitely disappeared on the third.

Large brains and wisdom are not necessarily associated together, although there is a general opinion to that effect; the weight of Cuvier's brain (64 ounces) being quoted in evidence.

as of Bellevue Medical College, and already enjoys the reputation of being one of the most skillful young surgeons of western Kansas. His future success at McPherson is therefore assured.

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A secular exchange contains the following true story: A revivalist requested all in the congregation who paid their debts to rise. The rising was general. After they had taken their seats, a call was made for those who did not pay their debts, and one solitary individual arose and explained that he was an editor and could not pay because all the rest of the congregation were owing him subscriptions to his paper."-Will subscribers to the INDEX please take the hint ?

The deaths registered in twenty-eight great towns of England and Wales during the week ending July 28th corresponded to an annual death rate of 15.8 per thousand of the aggregate population, which is estimated at 9,393,273. In Ireland for the same time the death rate was 18.4 per thousand of the population. In Scotland, 15.3.-Denver Medical Times.

While in Kansas City the death rate was only 11.9 per thousand during the same period. Can any city in the world beat it?

tin But Cuvier

had hydrocephalus in childhood, which healed. Gambetta's brain, on the contrary, only weighed thirty-four ounces. There may be some weight, after all, in the old couplet :

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Little head-little wit;
Big head-not a bit."

The Kansas City Medical Index describes the late meeting of the Kansas State Medical Society thus: "It was a disgusting meeting," It calls upon the members to drop their acrimonious debates, their personal hits, their constant discussion of codes, their preferring of charges against each other, and to devote their energies to the preparation of papers upon scientific subjects and a frank discussion thereof. So let it be. The Index is right.-American Lancet.

Dr. A. H. Cordier, formerly of Windom, Kansas, having passed a number of months in the eastern schools this year, devoting his special attention to surgical subjects, has concluded to locate at McPherson, Kansas. Dr. Cordier is a graduate of the University of Louisville as well

The height of absurdity in the "bullebusiness has at last been reached. There is in the Central Park Zoological Garden, New York, a chimpanzee named "Mr. Crowley," which has attained quite a local celebrity. Now "Mr. Crowley" is sick, and the keeper is displaying "bulletins " as to his condition from hour to hour signed by the attending physician, who seems likely to thereby eclipse McKenzie. He may, if Mr. Crowley recov ers, be knighted by “the King of the Cannibal Islands."

The exceedingly low death rate in Kansaa City-less than 12 per thousand annually-is to be accounted for by these facts: (1) the bulk of the population consists of people of from sixteen to forty years of age, (2) there is no city in the world more favorably situated for the preservation of the public health, (3) the physicians are, as a rule, more successful in their practice than almost anywhere else in the world. With these the favorable factors how could the mortality rate be high?

The Pacific Record figures it out that of one thousand graduates from collegi

ate institutions, seventy-five only make for themselves a name and prominence in their calling. About two hundred, hav. ing business qualifications, become rich by their practice and by judicious investments. Four hundred abandon, in whole or in part their profession for some more lucrative business, and the balance struggle with mediocre ability for a bare sub. sistence, and a wearying effort to keep up appearances before the people.

Hereafter the Massachusetts Medical Society will admit to membership a graduate from any medical school, provided he does not distinguish himself by any other title than "physician," i. e., drops "eclectic," "homeopathic," "regular," etc., and passes the regular examination. Good; but what will the American Medical Association say to Bros. Marcy, Cushing, Bowditch, Bigelow and others when they come as delegates from a society having homœopaths and eclectics among its members? Surely, "the world do move."

Dr. Ruth M. Wood, formerly of Leavenworth, has opened an office at the south-west corner of Sixteenth street and Troost avenue, this city. For a number of years Dr. Wood has been a prominent member of the Kansas profession, taking an active part in the East Kansas and State Medical Societies, and has obtained a very great reputation as a practitioner of medicine. As such physicians are desirable acquisitions to any city, the INDEX extends a hearty welcome to the doctor, and wishes her an unprecedented success in her new field of labor.

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Among the distinguished foreigners who expressed an intention of attending the meeting of the "Congress of American Physicians and Surgeons at Washington on the 18th, 19th and 20th of September may be mentioned; Sir Spencer Wells, Sir Andrew Clark, Sir William McCormac, Drs. W. O. Priestjey, William Ord, and Grainger Stewart, Lawson Tait, Mr. Victor Horsley, Mr. Thomas Bryant, Mr. Thomas Annandale, Professors Ferrier, Esmarch and Gerhardt, Drs. Rafael Lavista, of Mexico, J. L. Reverdin, of Geneva.

Dr. Lewis Whaley, of Blountsville, Alabama, describes in the Atlanta Medical and Surgical Journal a woman having four legs, two sets of genital organs complete, (both external and internal) two

pubes, two urethra, two umbilices, two distinct sets of bowels and ani-all independent of each other. She became pregnant some months ago upon the left side but as the longest diameter of the pelvis was only two inches an abortion had to be produced. She is sometimes constipated upon one side and affected with diarrhoea upon the other. Above the diaphragm there appears to be but one wo

man.

Concerning genius Ralph Waldo Emerson said: Genius unexerted is no more genius than a bushel of acorns is a forest of oaks. There may be epics in men's brains, just as there are oaks in acorns, but the tree and the book must come out before we can measure them. We very naturally recall here that class of grumblers and wishers who spend their time in longing to be higher than they are, while they should be employed in advancing themselves. How many men would fain go to bed dunces, and wake up Solomons! You reap what you have sown. Those who sow dunce seed, vice seed, laziness seed, usually get a crop. They that sow wind, reap a whirlwind. A man of mere "capacity undeveloped "is only an organized day dream, with a skin on it. A flint and a genius that will not strike fire are no better than wet junkwood.

The papers at La Cygne, Kansas, contain the following modest "card :" "W. T. Verdier, Physician and Surgeon, has located in La Cygne permanently. He treats with equal success all curable diseases-diseases of women, eye and ear, receive special attention. Operates for cataract. Successful experience in the treatment of all chronic diseases. Satisfaction guaranteed in every ease. I do not make a speciality of any system of medicine, but include the whole Eclectic, Electric, Homeopathic, Alopathic and Hydropathic systems. I select all of the best and latest medicines, and have all ways met with success, as my patients can testify. Office at W. I. Ellsworth's drug store. To the Public.-I desire to say that my daughter, Hattie, who for about two years was afflicted with a serious disease of the eyes, has been cured by Dr. W. T. Verdier, of La Cygne. She had received expensive treatment in Kansas City from a doctor who makes treatment of the eyes a specialty, and from local physicians, but Dr. Verdier's treatment was best and cured her. S. W. SCOTT.

KANSAS CITY MEDICAL INDEX.

EDITED AND PUBLISHED BY

S. EMORY LANPHEAR, M. D.

PROFESSOR OF DISEASES OF THE MIND AND NERVOUS SYSTEM IN THE UNIVERSITY OF KANSAS CITY, PROFESSOR OF MATERIA MEDICA In the Kansas

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BY EMORY LANPHEAR, M. D., KANSAS CITY.

[ Professor of Diseases of the Mind and Nervous System, in the University of Kansas City.]

For a considerable time there has been prevailing in Kansas City and vicinity a peculiar disease, variously designated as "typho-malarial fever," abortive typhoid, continued malarial, remittent, mild cerebro-spinal fever, etc. That it is neither the one nor the other I am satisfied from the careful study of the seven cases that have come under my observation. In one there was a relapse; in one a death; five recovered with no untoward event. As the history of one case is essentially the record of another I have seen fit to attempt a general description of the malady as it has occurred in my practice, rather than to give a detailed account of each case. That my deduction that we have to deal with an undescribed disease must be open to criticism I admit, because of the limited number of cases seen by me; besides, my case record shows, I must confess, a recorded diagnosis of typhoid fever, though I am sure, upon careful reflection, that my doubts relative to the nature of the disease, recorded in my notes taken at the bedside, were well founded, and that I had no typhoid fever among these anomalous cases. All of my cases occurred in one vicinity-all were within a brief period of time-in the summer of 1887-and all might, with a great deal of assurance, be said to have probably been intimately associated with each other; hence, I am inclined to believe the disease an infectious or toxic affection.

CLINICAL HISTORY.-The disease begins suddenly, without prodromal symptoms, but usually with a severe chill, which is not repeated during the

* Read before the Jackson County Medical Society.

continuance of the affection. The temperature within twelve hours of the initiatory symptom rises to 104° F. or 105° F. This sudden and alarming rise of temperature may be the only thing which is apparent at the first visit, but usually some of the other prominent symptoms are present. One of the almost constant features is headache, of a dull character but persisting night and day, until near the close of the disease. The tongue is moist and never coated-this being a peculiar and distinctive feature: it retains its normal condition throughout the entire course. There is, however, generally a very decided gastric disturbance, a tendency to vomit without much nausea-the emesis appearing to be of cerebral or possibly of ganglionic origin. There seems to be a slight amount of trouble in the liver and common bile duct as some jaundice is apt to be present, and physical examination reveals in most cases a tenderness and slight enlargement of the liver. The spleen is not perceptibly implicated.

There is a disturbance in the kidneys almost approaching a nephritis; the urine is dark, strongly ammoniacal and containing, in some cases, a slight amount of albumen; no casts are discoverable.

Herpes may occur and purpuric spots occasionally appear. hæmorrhagica may succeed the disappearance of the fever.

Purpura

The peculiar feature of the disease is, however, the pain in the muscles. Any of the muscles may be involved, but usually the pain is confined to the erector spinæ mass of muscles and to those of the calves. Muscles of the arm and forearm are sometimes slightly painful, but the pain in the gastrocnemius mass of muscles is always severe and distressing: the pain may be limited to this region; it is wholly different from the "aching" which accompanies malarial troubles. The pain is aggravated by attempts at motion, so that when the muscles of the back are affected the patient has the decubitus of one suffering from so-called cerebro-spinal meningitis cerebro-spinal fever; it gradually disappears with the subsidence of the fever, leaving a "stiffness" which finally fades away.

Then, too, the fever is singular, differing essentially in its course from any disease with which I am familiar; commencing at 104° F. to 106° F. it gradually diminishes in intensity, until the eighth or tenth day when it has entirely disappeared; there seem to be no marked periods of remission and exacerbation though the evening temperature shows a trifling advance over that of the morning. But the most noteworthy point regarding it is that while the thermometer registers 103°, perhaps, the pulse is found to be only 80 or 90, soft, compressible-the pulse of shock, almost. This would naturally lead one to suspect profound disturbance of the vaso-motor centers, and sustaining this theory may be mentioned the general lassitude that accompanies the fever; while the intellect does not seem to be impaired, while the sleep is natural and the stupor of typhoid is absent, yet there is a dolce far niente expression upon the face and the actions correspond thereto.

Abdominal symptoms are conspicuous by their absence, and constipation is the rule.

ETIOLOGY.-The cause is not known; but there can be but little doubt

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