always present." Probably, a very common error is to suppose that the absence of ardor urina in the female precludes the presence of gonorrhoea.

Some of the drawings of the sagittal sections of the female pelvic organs, illustrating this volume, are exceedingly valuable, and far surpass the schematic platitudes too often displayed in our home productions.

MONTHLY METEOROLOGICAL SUMMARY OF THE U. S. SIGNAL SERVICE, LOS ANGELES STATION, FOR JULY, 1887.

WAR DEPARTMENT, SIGNAL SERVICE, U. S. ARMY. Divisions of Telegrams and Reports for the Benefit of Commerce and Agriculture. Los Angeles, California. Month of July, 1887.

Sergeant Signal Corps, U. S. Army.

NOTES: Barometer reduced to sea level and standard gravity.

THE SOUTHERN CALIFORNIA PRACTITIONER.

VOL. II. LOS ANGELES, CAL., OCTOBER, 1887.

ORIGINAL.

CORONADO BEACH AS A SANITARIUM.

BY C. M. FENN, A. M., M. D., SAN DIEGO, CAL.

No. 10.

By way of supplement or postscriptum to my recent paper in the PRACTITIONER, on "Some Typical Climates of San Diego County," I send you a few paragraphs which were omitted from the manuscript because of its great length.

The southwestern boundary of San Diego Bay is an hourglass-shaped peninsula, which projects northward from the Mexican line more than fifteen miles. On the outside leagues of ocean surf lave its sandy, sloping shore, inviting to the pleasures of surf-bathing, and forming a drive-way that is not surpassed on any bit of coast of like extent. On the other and more precipitous margins "the wavelets of the bay forever kiss the shore," so that this large body of alluvial soil, thirty feet above mean tide as to its center, is practically surrounded by salt water. Its mound shape, with an inclination in all directions toward tide-water, affords all that can be desired in the matter of natural surface drainage. That the soil. is exceedingly fertile may be inferred from the large harvests of cereals yielded in years gone by.

Under the title of "Coronado Beach," a name suggested doubtless from the Mexican Coronado Islands, which lie twenty miles to seaward, a joint-stock company has most artistically platted about eleven hundred acres of this domain, and within less than a twelve-month has disposed of several hundred lots, running ad valorem into millions. Already many handsome villas, of Eastlake and other styles, adorn the site, showing that the enthusiasm of purchasers has not been entirely speculative.

Under the judicious management of the company, the natural salubrity of the locality has been supplemented by a complete system of sewerage and other sanitary measures, VOL. II. J-I.

such as prohibiting the erection of whisky-mills, or of any establishment that might become obnoxious to health and morals. Though the question is yet sub judice, it is believed that the "beachers" will escape municipal taxation on the part of San Diego.

One of the two ferry-boats makes ninety daily trips across the bay, and in close connection therewith a swift motor completes the transit between city and ocean. Several electric lamps, of the symmetrical Jenny pattern, light up the entire peninsula, and serve as additional beacons at the entrance to our harbor. Besides these evidences of a soulless (?) corporation, paved thoroughfares and boulevards, parks of many designs, one ostrich kraal, a museum in embryo, baths and boats of many kinds, and the long stretch of sounding surf, amply compensate the visitor for the trifling expenditure of twenty-five cents. And to cap the climax, as it were, the largest seaside hostelrie in the world, under the impulse of night and day labor, is rapidly approaching completion; and when its six hundred guest-chambers, with all the modern appointments; its inner court of fountains and rare exotics (spacious enough to swallow the Palace Hotel of San Francisco); its broad verandas encircling each story, and the milelong avenues of orange, olive and palm, shall be thrown open to the public, the Beach will well repay a pilgrimage across continents and seas. Arrangements are such that the tourist, after his exodus from New York or Boston, need not leave his comfortable Pullman until he alights at the vestibule of this grand caravanserie. And if his appetite has become impaired en route, it will speedily revive under the stimulus of a pure ocean atmosphere and a cuisine supplied from a California ranch, with all that the name implies.

Enough, perhaps, has already been said to establish the claims of Coronado Beach as a health resort par excellence. For where else in the world may one find such a degree of allthe-year-round, natural salubrity combined, with all the sanitary advantages that unstinted energy and capital can produce? Some months ago not one of the European resorts was considered safe as a residence for Queen Victoria, because of their unsanitary condition, and until they had been renovated. No such imputation can ever rest upon Coronado; and if faith alone can cure, what malady can long resist such fanciful appeals to all the senses and faculties ?

In the absence of meteorological data, it may be sufficient to state, in general terms, that the air of the Beach is somewhat cooler than that of the city on the other side of the bay, a fact doubtless due to the position of the latter behind Point Loma. There is also more moisture, but the early morning sun, shining upon the sandy soil, quickly dispels the dew, and invites to a healthful stroll. Its latitude and environment of salt water are suggestive of the Sandwich Islands. But the comparison fails, because of their relaxing atmosphere, and the fact that their "luxuriant vegetation, though pleasing to the senses, means merely high temperature combined with moisture"-conditions most unfavorable for the phthisical. The writer well remembers when the semi-monthly ships from San Francisco to the islands were crowded with sick and weary pilgrims, and how few returned to tell the story of their voyage! After a brief sojourn respiration was improved, and the invalid stayed on in hopes of recovery, meanwhile he was slowly but surely expectorating his life away.

For the enlightenment of Europeans I venture the assertion, that all of the seasons at Coronado Beach much resemble the short but delightful winters of Cannes and Mentoné. And to all who may be contemplating a change of climate, I would repeat Bacon's aphorism, "The goodness of the air is better known by experience than by signs."

A CASE OF OVARIOTOMY.

BY FRANCIS L. HAYNES, M. D., LOS ANGELES.

MRS. LAURA A. HEINS, aged 40, a resident of Tustin, Los Angeles county, Cal., entered the private hospital conducted by Dr. Walter Lindley and the writer, on August 20th last, referred to us by Dr. Lacey, of Santa Ana.

History. A tumor was first noticed in the left iliac region. five years ago. Its gradual growth was not attended with much positive pain until three months before admission; but she suffered from constipation and anorexia, and had frequent and severe attacks of vomiting. The weight of the tumor caused great inconvenience. Lately pain, especially in the left

iliac region and just below the costal cartilages, has been marked, and strength has failed rapidly. Six weeks before admission, a homeopathic physician of Santa Ana drew off about two gallons of a brown, sirupy liquid. The symptoms were not materially relieved, and quite a large swelling remained. The fluid rapidly re-accumulated, and she now consulted Dr. Lacey, who, after making a correct diagnosis, wisely refused to tap, and advised removal of the tumor.

Condition on Admission.-She was emaciated, and presented the characteristic facial expression of ovarian disease. The pulse was 96, weak; temperature from 98° to 100°. Urine scanty and high-colored. Greatest circumference of abdomen, 41 inches. Acetate of potash, infusions of digitalis and gentian, and ammonio-citrate of iron with sherry wine were given, with the effect of promoting the urinary secretion and of increasing the appetite and strength. She was bathed daily, and received morning and night a vaginal injection of sublimate solution (1:4000).

Operation.-August 29, 1887, Drs. Walter and Will E. Lindley and John R. and Robt. W. Haynes assisting. The cyst was so rotten that the blunt vulcella forceps with which it was seized made a large hole, which was enlarged by the knife, the patient having been previously placed on the side. The tumor was adherent to parietes, omentum and descending colon, and dipped down between the layers of the broad ligament, from which it was removed by enucleation. Thomas' hint, to "wipe off" the adhesions by means of a sponge, was put into practice, and found very useful. Large and vascular adhesions were clamped on the side of the tumor, and tied with the Staffordshire knot, and then divided between the two. Most of the great omentum was removed. The peritoneal toilet was made by pouring in several pints of hot water and sponging it out, repeating the process until the water ceased to be stained with blood. The operation, which was made without any attempt at haste, occupied an hour, and the length of the incision after suturing was four and a half inches. The dressing was a twelve per cent. glycerole of carbolic. The patient's condition on leaving the table was apparently better than when the operation began.

The subsequent history was one of rapid and complete re