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State Items.

ALABAMA.-Dr. R. G. Carleton, of Burns, is dead.-Dr. W. R. Luckie has located at Birmingham.-Dr. J. A. Johnson, of Montgomery, died recently at the age of 71.

CALIFORNIA. Dr. J. M. Wheat, of Redland, has been selected vice-president of the county health board.-San Francisco.-Leprosy has been found in a 17-year-old Sandwich Island woman of American parentage who had just been delivered of a child in a lying-in hospital.

COLORADO.-Denver.-Dr. J. D. McLane is

dead.

CONNECTICUT.-Dr. H. F. Kienke has located at 409 Howard avenue, New Haven.

FLORIDA. Dr. J. H. Randolph, of Tallahassee, ex-superintendent of the state insane-hospital, died recently at the age of 83.

GEORGIA. Dr. S. B. Hawkins, of Americus, died June 8 and Dr. H. F. Andrews, of Washington, June 3.

ILLINOIS.-The state board has licensed the following practitioners: Julius F. Baer, W. W. Carter, Thomas William Fisher, Eugene L. Fisk, Edward H. Hawley, Elizabeth P. Hofma, Frances M. W. Jackson, Charles Ross, Edward S. Stewart, L. Whitmer, J. B. Woodruff, all of Chicago; Milton M. Bradley, Waverly; Austin I Brown, Vienna; T. S. Carpenter, Turner; C. W. Coe, Grove City; Roger W. Gay, Ironton, Mo.; William E. Harris, Flanagan; J. L. Kershner, Effingham; Thomas W. McGaughey, Macomb; Bart McKee, Dunfermline; Charlie A. Mozely, Vienna; George A. Baynes, Charles N. Brockington, Solomon Eisenstaedt, Dana H. Garen, George Roeder, William Wenzlick, all of Chicago; Frank M. Banker, Amboy; Flint Hart, West Point; E. H. Miller, Payson; Henry Ressel, East St. Louis; F. W. Gammon, John T. Gill, Albert Grau, G W. McFatrich, Ingeborg Taustrom and Henry J. Way, of Chicago; James Davidson, Lincoln; Thomas A. Dicks. Sidney; Charles D. Fairbanks, Englewood; G. W. Hess; Barnett; Joseph E. Hitt, Kansas; John W. Lambert, Peoria; Thor O. E. Moeller, Englewood; George W. Nesbitt, Sycamore; Fred Rose, Columbia, and B. A. Rynerson, Darwin; Charles E. Boisevert, John F. Ridelou, C. D. Williams, all of Chicago; E. L. Huestis, West Jersey; William H. McLean, East St. Louis; George H. Ferguson, South Chicago; John H. Spencer, Murrayville; W. E. Wallace, Simpson; J. W. Wyman, Samoth.-Dr. H. G. Hillard, of Baraboo, Wis., has removed to Joliet.—The freight agent at Barrington applied to two local physicians to treat a victim of an accident. He refused to be responsible for payment whereupon they declined

to treat the case. The railroad has refused to pay local physicians for such surgery and when suit is brought by the victims of accidents the corporation attorneys are permitted to treat the physicians as hired perjurers.-Dr. H. H. Thompson, of Princeton, died June 15, and Dr. G. T. Kirkham, of Greenville, died June 1.-Dr. Geo. Miller, of Loda, has located at Cissna Park.-Dr. Bunker, of Winslow, died June 3--Dr. F. S. Carpenter has located at Turner.-Dr. Nelson has been elected health officer of Morris.-Dr. Thompson, of Blandinsville, has removed to Galva.-Dr. F. A. Groove, of Quincy, died recently.-Chicago.Dr. A. J. Black recently married Miss E. Piper.— Dr. C. E. Laning died recently.-Dr. W. C. Egan, of Atlanta, Ia., has located here.-"Dr." G. B. Walker, of " cancer cure" and marrying fame, has died of cancer.-Dr. C. S. Gallagher, of Naples, N. Y., has located here.-Dr. C. Davis married Miss I. B. Eaton June 10.-Dr. O. N. Huff married Miss Sophie, daughter of Dr. R. G. Bogue, June 16.-Dr. H. V. Hulbert married Miss A. M. Sherman June 7.-Dr. C. S. Bacon administered chloroform with all due precaution. The patient died. Her husband was stirred up by local gossips and the sensation "fakers" of the press to make charge against Dr. Bacon. He was finally convinced that death was due to natural causes. He requested the coroner to forego an inquest and expressed his conviction that Dr. Bacon pursued a defensible course of treatment and was in no wise culpable for the fatal termination of the operation.-The coroner's autopsy on Dr. H. M. Scudder, who died in an apoplectiform attack at the county jail while under indictment for murder, revealed diffuse meningoencephalitis symmetrically located in the frontal occipital and parietal regions. There was fibroid degeneration of the aorta, coronary arteries, and myocardium, The cerebral changes justified, in the opinion of Drs. H. M. Lyman, J. G. Kiernan and M. D. Ewell, the diagnosis of insanity.

INDIANA. Dr. A. D. Smith has located at Fort Wayne. Drs. W. M. Bartlett of Lewisville and Selath T. Williams of Kendalville died recently.Dr. J. L. Gilbert succeeds as division surgeon of the Lake Shore road Dr. S. T. Williams.-Dr. C. Skidmore has located at Boundary City, Jay county. Dr. Mercer of Arcadia is dead.

IOWA.-Dr. G. W. Crawford of Burlington died June 6, at the age of 82.-Dr. Bowen of Oskaloosa succeeds Dr. Teter at Angus, who removes to Sioux City.-Dr. M. F. Scott has located at Marengo.-Dr. J. W. Young of Bloomfield succeeds Dr. E. J. Shelton of Ottumwa as pension examiner. Dr. R. Stephenson of Centerville is dead. Dr. St. v. Martinetz of Cedar Rapids re

cently married Miss Fischer.-Dr. J. Schwartz has located at Sharon Center and Dr. Fred Stevens at Harlan.

KANSAS.-Dr. A. McNamee, late of the Northern Insane Hospital, has located at Junction City.

KENTUCKY.-Louisville.-Mrs. Dr. Cady graduated from a medical college in St. Louis. A few weeks before commencement her ninth child was born, and eleven days later she was again at her place in the lecture room.-Drs. H. C. Dembitz and W. B. Caldwell died recently.

LOUISIANA. Dr. W. G. Deal, of Colfax, died June 1.-New Orleans.-Dr. T. B. Richardson died May 22,at the age of 66.-This city had years ago a large excess of men over women. Since the war, and particularly during the last twelve years, the excess of women is remarkable, the death-rate among men being so much higher than among women. The census of 1890 showed an excess of 14,306 women. The State census showed the excess to be 15,198, but that enumeration was very defective, and the excess of females to-day may be 18,000, or 13 per cent. The statistics of the Board of Health explain the difference. Although the women are in a large majority, five men die to every four women. The death-rate from 1890 to date has been: White males, 29.5; white females, 20 9; negro males, 42.8.; negro females, 33.9. A female's prospect of living is 41 per cent better in New Orleans than that of a male. There is no difference in the mortality of the younger people of both sexes, but beyond 21 the difference is marked. There are 43,916 white men older than 21 years and 53,600 white women. The cases of deaths among the former a year are 1,655 and the latter 1,252, a death-rate respectively of 37.7 and 23.3; in other words, out of 100 men and 100 women sixteen men die to every ten women. Between the ages of 30 and 50, although the women are in an immense majority, 619 men died to 365 women.

MAINE. Dr. J. E. L. Kimball, of Saco, died June 1, at the age of 73.

MARYLAND.—The State Examining Board (regular) consists of Drs. T. Earle and W. F. Lockwood, of Baltimore; F. B. Smith, of Frederick; W. F. Hines, of Chestertown; James Bordley, of Centreville; J. McP. Scott, of Hagerstown; and W. W. Wiley, of Cumberland. Dr. S. T. Earle was elected president and Dr. W. F. Lockwood, secretary. Dr. J. W. Eichelberger recently married Miss M. Hoke.-Dr. Geo. P. Jones has been appointed physician to the Dorchester almshouse. -Baltimore.-Dr. C. S. Simon recently married Miss Stanton.-Baltimore's birth-rate is 39.20 per 1,000 and death-rate 18.39.-Dr. J. H. Gaskins died recently.-Dr. W. L. Walraven, of the Bayview insane hospital, has resigned and removes to Latonia, Pa.

MASSACHUSETTS.-Dr. C. W. Pelton, of Dedham, died June 15.-Boston.-The city insane-hospitals are badly overcrowded.-A dog bit a Swede, who died from hydrophobiform symptoms. Dr. Ernst, of the Harvard laboratory, pronounces that the canine brain and cord were destitute of evidence of rabies and ascribes the death to scare.

MICHIGAN. Dr. C. Morgan, of Milton township, died June 1.-Drs. A. Conklin, of Manchester, and H. S. Joy, Marshall, died recently.-Detroit.-Dr. C. J. Lundy died recently from cerebral trouble secondary to spinal concussion.-Dr. W. G. Henry married Miss F. T. Barbour June 1.— Dr. C. B. Gilbert died recently.-Dr. Wyman recently craniectomized for suture-closure in idiot. After the operation intelligence improved.

MINNESOTA. Dr. R. McE. Phelps, of Rochester, married Dr. Sarah V. Linton June 1. Bride and groom are physicians to the Rochester insanehospital. Dr. L. W. Roman has located at Duluth. Dr. White at Green Isle, and Dr. H. Rorman at W. Duluth.

MISSOURI.-Dr. Atwood, of the Fulton insanehospital, has resigned.-Dr. W. H. Gosewisch, of Lexington, married Miss H. P. Thomas June 15. -Dr. W. H. Wilson has been appointed assistant city physician of St. Joseph.-Dr. George Potter has located at St. Joseph.

NEBRASKA. The state board of health has licensed Drs. Charles C. Ailken, Benkleman; Oscar F. Shoff, Axtell; John A. Vogel, McCook; John Thompson, Kearney; M. Addie Kester, Lincoln; A. J. McKinnon, Lincoln; Allen F. Miller, Randolph; Walter Key, Long Pine; Felix Behrendt, Rising City; H. T. Cooper, Lowell; H. L. Kindred, Herman; M. M. Wilson, Hartington; Charles E. Dean, Arapahoe; Charles P. Hill, Lincoln; Nancy J. Stewart, Spring Bank.

NEW HAMPSHIRE.-Dr. F. A. Hodgdon of Peterboro recently married Miss H. L. Pettingil.

NEW JERSEY.-Dr. C. H. Halstead has been appointed Morristown jail physician.-Dr. Geo. A. Curriden has been appointed resident physician at the Children's Seashore Hospital at Atlantic City, N. J.-Dr. D. B. Evans succeeds Dr. Harris, resigned, as medical director of the Newark insanehospital.-Dr. D. L. Wallace of Newark has had under care a would-be suicide by morphine, who threatened to shoot him for interfering. patient sank into stupor Dr. Wallace resuscitated him with safety.-Dr. Barber of New Brunswick has had under care a case in which cigarette smoking produced hydrophobiform symptoms.

When the

NEW MEXICO.-Dr. J. S. Brown of Victoria died May 29.-Dr. Williams of Deming has removed to Silver City.

NEW YORK.-"Grip," according to the state board of health, caused 10,000 deaths since December.-Hulberton, Orleans county, is without a

STATE ITEMS.

physician.-Dr. C. O. Sayers has located at Rushford.—Dr. Jennie V. Yelvington is the only registered physician in Susquehanna county.-Dr. W. L. Hartman, of Leroy, recently married Miss L. M. Watson.-Dr. D. N. Arthur, of the Middletown insane-hospital, recently married Miss V. Beebe.-Dr. R. Thomas died June 13 at the age of 85 after sixty-four years practice.-Dr. H. C. Hill has been appointed Lockport city physician.-Dr. M. M. Babcock, of Saratoga, died recently at the age of 73 after fifty years practice of medicine.— Dr. M. L. Smith, of Watertown, recently married Miss T. Moran.--New York City.-Dr. Floyd M. Crandall has had to free himself from the amatory correspondence and hysterical accusations of a female paranoiac by having her arrested. He attended her mistress when she saw in him her ideal. She claims him as her husband. Another hysterical paranoiac has secured notoriety by seeking protection against a physician to whom she claims her body was sold by her husband.-Dr. Marcus Benjamin married Miss E. Gilbert June 16.—The district attorney has been sued by several experts for their fees. It is an old trick of district and state's attorney's to hire experts and not pay them, and the New York experts are to be congratulated on their firmness.-Dr. Markoe has just resigned from the New York hospital after fifty years service. Drs. Cushing and Dorsey report the following case: A quarryman was stabbed June 19 with a stiletto. June 20 he walked to Bellevue hospital and asked to have his wound dressed. Previously he had had no medical attendance nor had he lost consciousness. Drs. Cushing and Dorsey discovered that the blade of the stiletto had been broken off in the man's skull and that it would be necessary to remove a portion of the bone. The operation (June 21) lasted over an hour. A portion of the frontal bone was removed, and then a small section of the skull, in which was the point of the stiletto and about three eighths of an inch of the blade. The patient rallied rapidly after the effects of the anaesthetic wore off, and he is in a fair way to recover.-Dr. W. R. Birdsall died June 7.—Dr. Philip E. Donlin died June 12.-Some local paranoiacs, aided by the imbecile "Mail and Express," are endeavoring to secure reduced fees by legislation.-Dr. Philip A. McDonald married Miss I. Mead June 1, and Dr. William Balken Miss Walker June 8.-Brooklyn.-Dr. Levi Bartlett died June 22 at the age of 86 after fifty-five years practice. His father, grandfather and great grandfather were physicians. His grandfather (Dr. Josiah Bartlett) was a signer of the Declaration of Independence.-A gang of negroes recently attempted to lynch the health officers for removing a variolous negress to the small-pox hospital.

NORTH CAROLINA.-The state board has licensed the following physicians: Drs. C. L. Summers,

27

Winston; R. H. Stancil, Jr., Margarettsville; A. H. Harris, Wilmington; J. Taylor, Washington; S. L. Martin, Leaksville; W. B. Bullock, Franklinton; L. R. Crowell, Lincolnton; H. J. Thomas, Winston; J. L. Dellinger, (col.), Reidsville; A. J. Crowell, Columbus Store; E. A. Rainey, Germantown; C. M. Jones, Tarboro; R. W. Smith, Hertford; H. L. Bird, Asheville; H. S. Williams, Asheville; J. T. Wright, Salisbury; W. B. Houser, (colored), Charlotte; W. R. Ballou, Asheville; R. L. Caviness, Asheville; J. W. Jones, (col), Winston; J. B. Griggs, Elizabeth City; E. A. Boaz, Price; J. T. Rieves, Julian; W. C. Ashworth, Asheboro; C. J. Oliveros, Asheville; E. J. Buchanan, Salisbury; W. Folger, Dobson; A. J. Koontz, Roaring River; C. A. Adams, Currie; H. W. Long, Statesville; J. C. Twitty, Rutherfordton; J. B. Robinson, Weaverville; S. E. Pennington, Sturgis; F. Roberts, Marshall; S. C. McGilvry, Asheville; W. Bowden, Knoxville, Tenn.; M. E. Gattis, Garner; J. C. Rodman, Washington; J. W. Costen, Gatesville; M. L. Stevens, Enochville, J. G. Blount, Washington; J. H. Bennett, Wadesboro; L. L. Perkins, Solitude; J. Bynum, Winston; H. R. Hoover, Elm City.

trustees

OHIO.-The Athens insane-hospital elected Dr. C. O. Dunlop, superintendent; Dr. E. G. Cook, of Barlow, assistant physician. The changes were made for political reasons.-Dr. J. V. Schnetzler, of Beaver Dam. Wis., has removed to Toledo.-Dr. Arnut White, of Barnesville, died recently at the age of 72.-Dr. J. P. Baker, of Findlay, recently married Miss Schwartz.-Dr. S. S. Devol, of Parkersburg, recently married Miss E. Dills, Dr. L. S. Szendery, of Sandusky, Miss L. Westerhold and Dr. R. J. Cunningham, Miss A. E. Lawrence.-Drs. C. E. Kurtz, McClelland, and West, of Bellaire, have been appointed B. & O. R. R. surgeons.-Dr. W. W. Jones, of Toledo, died May 30 at the age of 72.-Dr. W. Balmer has been appointed Newburg insane-hospital assistant physician.-The Dayton insane-hospital trustees have elected Dr. J. H. Romspert superintendent. OREGON.-Dr. B. L. Bradley, of Oakland, has removed to Roseburg.

PENNSYLVANIA.-Dr. R. M. Schobert, of Wilkesbarre, and J. J. Serfros, of Easton, died recently. -Dr. Weisley, of S. Bethlehem, has removed to Stockton. Dr. W. M. Reedy has located on Main street, Scranton, and Dr. E. McGeehan at Hazle ton.-Philadelphia.-Dr. J. Guiteras succeeds Dr. Formad as pathologist to the Philadelphia hospital. -Pittsburgh.-Dr. A. M. Pollock died June 19, at the age of 73.-Dr. C. C. Husman, of Carson and South Nineteenth streets, has in his possession a painting that was executed by a patient of Weston (W. Va.) insane hospital. The painting represents in water colors an extensive view of the building and grounds of the Weston asylum. The patient had never had any acquaintance with palette,

brush or paint. The picture was executed entirely within the building, from memory. The picture is most accurate in every particular, and was done with the crude materials of small blocks of paint used by children, and a brush, occasionally, but mostly with sticks of wood, sharpened like meat skewers, which served as brushes.

RHODE ISLAND.-Dr. G. W. Stanley, of Slatersville, died recently.

SOUTH CAROLINA.-Dr. S. E. Babcock, of Chester, died May 30, and Dr. L. T. Kennedy, June 10. TENNESSEE.-Dr. M. W. Cowan, of Lebanon, died recently.-Dr. Cyrus Wesley, of Somerset, Ky., has removed to Glenmary.-Dr. R. V. Hug. gins, of Harriman, married Miss Essie Cook June 6. TEXAS.-Dr. Morgan of Crawfordsville, Ind., has removed to San Antonio.

VIRGINIA. Dr. T. M. Talbott, of Falls Church, recently married Miss A. K. Nourse.-Dr. E. W. Johns, formerly medical purveyor-general, C. S. A., died at Richmond, June 13.

WASHINGTON.-Governor Ferry reappointed Drs. A. S. Kibbie, of Seattle; C. S. Penfield, of Spokane, and J. H. McDonald, of Dayton, members of the state board of examiners.-Dr. A. P. Johnson, Spokane county physician, was charged by a man with extorting the sum of $15.00 for services rendered while acting in his official capacity, as county physician. Dr. Johnson was called to attend a patient at a hotel who was said to be destitute. The patient recovered and his son insisted on paying the fees. The patient then made the charge of extortion. He failed to appear and Dr Johnson was exonerated. Dr. E. W. Weems, of Spokane, died recently. Dr. D. F. Eakin succeeds him as coroner.-Dr. Thomas Keefe, Snohomish, has been appointed surgeon for the S., L. S. & E. branch N. P. R. R.

WISCONSIN. Dr. T. J. Rowland, of Clintonville, is dead.-Milwaukee.-Dr. L. Frank recently married Miss E. Schandein.- Dr. Ruszczynski died recently.

FOREIGN.

FRANCE. Dr. Landouzy claims that tuberculosis plays a bigger part in the depopulation of France than syphilis, alcoholism and malthusianism put together. An epileptic had no demonstrable major attacks while being pasteurized, wherefore Pasteur concludes he has discovered a cure for epilepsy. Epileptic attacks often cease during any severe constitutional disturbance.

GERMANY.-The Langenbeck House, recently opened with great ceremony in Berlin, was founded at the instigation of the late Empress Augusta, as a medical congress hall and a scientific museum, During the war of 1870- 71, Dr. Langenbeck, who went through the campaign in charge of one of the chief ambulances, was in the habit of bringing his

colleagues together when possible to discuss medical questions arising out of the complicated and often novel cases with which they had to deal in the field. The utility of these small conferences proved so great that the doctor was induced, after the conclusion of peace, to found a German surgical association for similar purposes. The increasing size and labors of the institution necessitated a permanent place of meeting, and Dr. Langenbeck was seeking a means to supply this want when death overtook him. The Berlin Medical Association proposed to erect a statue to his memory, but the Empress Augusta thought that it would be much more in accordance with his wishes if a memorial of a more practical nature were erected, and suggested the building of the institution which has just been completed. The memorial house cost about 500,000 marks, to which the Empress Augusta, the late Emperor Frederick, and the present Emperor all largely contributed.-The real name of Emin Pasha, whose death has just been once more announced, was Edward Schnitzler. He was gradated from the medical department of the University of Berlin in 1864.

GREAT BRITAIN.-Sir Dyce Duckworth has had under observation a man 42 years of age, admitted to St. Bartholomew's Hospital for gouty manifestation in the great toes accompanied with pain in the penis. For four days this organ was in a constant state of erection, hard to the touch and turgid. The temperature was 102.2° F. Despite treatment the erection persisted for twenty-one days, and only disappeared when the general condition improved. Sir Dyce Duckworth attributed this to a thrombosis of the veins of the corpus cavernosum, a thrombosis consecutive to an inflammation of gouty origin.

INDIA. Five thousand five hundred tons of opium are annually exported into China.

RUSSIA. The Medical Council has recommended the establishment of government manufactories of pharmaceutical preparations.

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PROFESSOR OF DISEASES OF CHILDREN, CHICAGO POLICLINIC; FELLOW OF THE CHICAGO ACADEMY OF MEdicine.

The French, more than any other people, have studied the effects of retained fæces. Stercoræmia is a common French term. Bouchardat particularly has investigated this subject, and has studied its relation to impairment of hepatic functions.

From experience gained by the frequent use of bowel lavage, I believe that a greater or less retention of old fæces is a normal condition. At least I have frequently washed out from bowels that were apparently normal old scybalous masses, which could hardly be charged with either local or remote effects.

Fæces stranded in the cæcum may do no harm, but they are a constant menace. Sooner or later they may set up typhlitis, a disease which I believe exists as an entity. notwithstanding recent pathological reports and the somewhat strongly expressed views of some modern abdominal surgeons. Typhlitis once inaugurated, a long series of disasters may follow, to which the somewhat indefinite name, right iliac disease, might with propriety be given. I heartily agree with Jules Simon that the great danger of typhlitis is appendicitis, but cannot agree with the view which is so commonly held at present, that the initial factor in right iliac disease is always appendicitis. The mechanism by which appendicitis and the subsequent peritonitis are produced is not clear, but some recent observations by Adenot, of Lyons, would indicate that the bacterium coli commune is to blame. This ordinarily innocent inhabitant of the bowel seems to acquire virulence in the presence of catarrhal conditions of the bowel, and then becomes capable of giving rise to appendicular and peritonitic disease, and even the socalled perityphlitic abscess.

Impaction of fæces so extensive as to produce actual obstruction of the bowel is certainly uncommon, but localized impactions giving rise to localized peritonitis, and even peri-colonic

Amer. Med. Assoc. Trans. Cond.

abscess, are not rare. I have recently had a patient with serious stomach disorder secondary to an obstructive heart lesion, who developed in the region of the spleen a most intense localized peritonitis. Lavage of the bowel was rewarded with the removal of a large mass of scybalous fæces, and great relief to the localized tender-. ness. Some relief was also afforded to the severe vomiting present.

But the local systoms resulting from retained fæces are not the most interesting or the most important. Retained fæces usually putrefy and give constantly to the blood stream a supply of poisons of the most varied type. When this supply is small the liver changes the poisons into innocuous substances and no harm results. But when the supply is large, or the liver incompetent to perform its function in this direction, these noxious substances gain entrance to the general circulation and produce the most varied symptoms. Then occurs the stercoræmia of the French.

Headache is a common symptom resulting from this condition, and the old fashioned, much maligned "biliousness" is another, Fever often occurs, and to this fact is due the widespread belief among the laity that castor oil is good for fever. Skin eruptions are frequent, and are only permanently cured when the source of the poison producing them, is cut off. Sir Andrew Clark has expressed his belief that the best remedy for what he calls fæcal anæmia is a laxative. This bold statement, often true, serves to call attention to the undoubted fact that stercoræmia is a frequent cause of anæmia. The clinical picture is as follows: First, constipation, then putrefaction of the retained fæces, then stercorœmia, then anæmia, then, as a result of the impoverished blood, incomplete nourishment of the various organs of the body, then defective secretion, particularly defective gastric secretion, then dyspepsia, then improper digestion

*MEDICAL STANDARD, Vol. I.

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