operating chair and, although he bore the ordeal of inoculation bravely, he could not repress a slight scream when the knife punctured the skin during the injection of the virus. In a few minutes it was all over and the patient, led by his father, a poor workingman, left the room smiling, and feeling that a great danger had been passed.

here and in other large American cities, who give us their moral support."

It is proposed in the near future to erect an edifice that will be to this country what the Pasteur Institute is to France. M. Gibier is probably less of an enthusiast than a calm, deliberate scientist, who cares little for the applause of the world if he be only allowed to M. Gibier is a short, dark-complexioned push forward his bacteriological investigaman, with a head not unlike that of Pasteur tions.

himself, but he in much younger. Indeed, Again, the picture of the man or doctor in this savant seems to be hardly thirty years the papers accompanying the interview, if true old. He has dark eyes, coal-black beard and

ness.

hair, and teeth of unusual purity and white- to nature, shows a head for money-getting that equals a Gould. As before implied our sus"To-day is the first active day of the insti- picions may have no foundation; we hope they tute," he explained. "Yesterday we had a have not. The matter is mentioned that the number of members of the medical faculty here, inspecting the building and apparatus, including the cults of virus which have been two months in preparation."

"Is the virus the same as that employed by Pasteur?"

brethren may investigate for themselves. We hope our worthy journal of the American Medical Association will give its views of Pasteur's work: If it is as clearly proven for good as that of vaccinnation? If we are war"It is identical. I was with him for several years and am familiar with all his methods ranted in publishing editorial news items of and especially with the preparation and appli- this character in our medical journals without cation of the virus. When a patient comes comment, when they are put so glaringly here, after being bitten by a rabid animal, I prominent in the daily press (purposely, seemwait two days after the day of the bite, and ingly,) with the cut of the man, etc., and then, if the case is an ordinary one and has no specially severe features, I inoculate him fif nothing under the heavens by which we can teen times during fifteen successive days. In differentiate between them, Joe He and all the event of the wounds being sore, I inocu- that class of nauseants? late eighteen days with stronger virus. I always begin with the weaker virus.

To be plain, we are firmly impressed with the belief that our worthy contemporary has "The philosophy of the treatment is this: been worked in giving countenance to this You accustom the body to the poison by degrees, and then, when the rabies ultimately hybrid "institoot" by an editorial squib. For reaches the brain, that organ is proof against the slick Gibier has been successfully interit and is prepared to resist it. It is like the viewed, photographed and widely published old story of King Mithridates, who accustomed in the secular press (and quietly in the medhis body to poisons, so that the machinations ical journals.) He is by this means enabled of his enemies to kill him by that means

might fail. We take the virus from a rabid to reach the people immediately, and "the inanimal, and, after dissection, inoculate a rabbit stitute founded with his own money," will eviwith it. That is the first generation and is dently prove a bonanza financially, which will the starting point in the series of gradations accomplish the object of the originator. that runs through 241 generations of rabbits. Thus: We take the virus from the first rabbit DR. R. S. MAGEE of Topeka, has finished after inoculation, when the disease has reached the three year course in medicine, the last year its maximum and terminated fatally, and with in the Kansas City medical college, taking the it we inoculate another rabbit which is genera-second prize, $25 in cash, on general examintion number two, and so on. Meanwhile the

virus is gradually growing weaker, till after tion. The doctor will confine his practice to the 241st passage it is in a proper state for use the eye and ear with Dr. Minney. on the human system.

WE had the pleasure of meeting Dr. Garcelon of Maine, in Kansas City March 11. The doctor was governor of that State once, and is a familiar figure at the American Medical As

"This institute I founded with my own money. The first patient, as you saw, was a workingman's child. While the institute is not designed for a charity, it accepts nothing from those who are unable to pay. It has many friends among the medical fraternity sociation meetings.

Anaesthetics.

Ether and chloroform have each had their advocates, and advocacy has sometimes warmed into bitterness and denunciation. Many have sought to solve the question by combining the two, but whether used separately or combined, sudden and unexpected death has too often emphasized the importance of care

in their administration.

"The

re

envious, but it does seem that the ground is more than covered in Topeka.

KANSAS STATE MEDICAL SOCIETY.-The program is almost complete. A number of volunteer papers will be prepared for the meeting and read if time will permit. A program of one hundred papers when only fifteen or twenty can be read and discussed, for lack of time is mere show and ends in disappointment. The physicians of Salina are hard at work making preparations for the State meeting and everything promises success.

After much careful investigation the Hyderabad Chloroform Commission formulated the following practical conclusions: cumbent position, on the back, and absolute THE thirty-third annual meeting of the freedom of respiration are essential. Tight Medical Association of Missouri will be held clothing of every kind should be avoided. A convenient form of inhaler is an open cone with a little absorbent cotton inside, at the apex. At the commencement of the inhala

tion, care should be taken by not holding it

too close over the mouth and nose, to avoid

at Excelsior Springs, Clay county, Mo., May 6, 7 and 8, 1890. Art. I, Sec. 4, says: “Members by invitation shall consist of reputable practitioners who may be deemed worthy of the compliment and elected by a vote of the Association." The profession of Kansas is especially invited to be present.

J. I. MATTHEWS, President.

J. C. MULHALL,
JOSEPH SHARP,

Secretaries.

A DELICATE TEST FOR SUGAR IN THE

excitement, struggling, or holding the breath. As a rule, no operation should be commenced until the patient is fully under the influence of the anaesthetic. The administration should be guided as to the effect entirely by the respiration. If breathing becomes embarrassed, the lower jaw should be pulled or pushed from behind the angles forward. Alcohol URINE.-Boil equal parts of urine with liquor may be given with advantage before opera- potass, to which is added a pinch of sub-nitrate tions under chloroform, provided it does not of bismuth. If sugar is present the powder cause excitement, and merely has the effect turns brown or black. of giving confidence and steadying the circulation. Suspended respiration is to be treated by artificial respiration and lowering the head. If the above rules are followed chloroform may be given in any case requiring an operation with perfect ease and absolute safety, so as to do good without the risk of evil.”

PROF. DACOSTA.

ANGELL thinks that a routine use of atropine unnecessary in the determination of refraction. He thinks that the true refraction is almost invariably revealed by the direct method of ophthalmoscopic examination.-Arch of Oph.

DR. L. A. BUCK, of Peabody, smiled upon us March 12. The doctor always has a kind word, a cheerful countenance and a hearty welcome for the brethren. This with a

MORE DOCTORS.-At one time we thought of publishing the name of every new doctor who came to Topeka, but we have given up in despair. New doctors' signs are seen on thorough knowledge of medicine is the secret every corner and as magically disappear. A of his success in the practice of medicine. certain population will support about so many doctors and no more. We welcome all physiDR. J. L. FRYER of Kansas City, Mo., son cians to our city, and will do all we can in mak- of Dr. B. E. Fryer, made us a pleasant call the ing them comfortable; and we are in position other day. The doctor is a recent graduate not to be effected, should a thousand general of the Kansas City medical college, and like practitioners locate in our midst. We are not his father a gentleman of the first order.

PROCEEDINGS. increased growth of the tumor compelled her to seek relief, if such could be obtained.

AcNortheastern Kansas Dist. Medical Society. cordingly Dr. Haller, her medical attendant, summoned a specialist, who gave a diagnosis

The Northeastern Kansas District Medical of ovarian tumor, with a co-existing fibroSociety met in Holton, in the hall of the W. C. cystic growth of the uterus, but owing to an T. U., March 4, 1890, the president, Dr. Jo- alarming valvular lesion of the heart declined seph Haigh in the chair, and Dr. J. T. Scott to operate unless the condition of the heart might be improved. secretary pro tem.

Present-Drs. Joseph Haigh of Grenada, R. B. Taylor of Circleville, Grant Cullimore of Atchison, G. W. England of Valley Falls, J. H. Brown of Wetmore, J. T. Scott, A. B. McCandlas, V. V. Adamson of Holton, L. P. regurgitation; kidneys excreted an amount Paddock of Netawaka, W. Troutman of Seneca, J. L. Love of Whiting, J. F. Preston of Arrington, Robson of Larkin, and M. B. Ward, J. C. McClintock and J. E. Minney, of Topeka. The minutes of the last meeting were read and approved, as reported in the KANSAS MEDICAL JOURNAL.

her physicians, the daily quantity of urine was nœud, contracting the tumor at that point, increased to forty ounces, and I was requested being careful to exclude the bladder. The to return on February 25, for the removal of ligatures were tightened, and the tumor amthe growth. putated. The peritoneal cavity was thorPreparations were therefore inaugurated, oughly irrigated with clean, boiled water, which consisted in a thorough cleaning of the which had been provided in abundance. A room chosen for the operation. Carpets, cur- Keith's drainage tube was passed into the tains and furniture were removed; nothing cul de sac; the stump treated extra-peritonewas allowed to remain. A half-reclining oper- ally, the noeud being left in situ. The abdoating table was made, and in this position the men was then closed; an antiseptic dressing operation was performed. was applied, and retained in place by a flannel binder, and the patient put into a warm bed surrounded by bottles of hot water.

She recovered promptly from the shock;

The greatest of care was used to have the patient absolutely clean; baths were given; her skin was scrubbed with a new brush; the vagina thoroughly irrigated; a liquid diet was the drainage tube was exhausted each half given for several days previous to the opera- hour, and in four hours one pint of urine was tion, a cup of beef tea being the only nourish- taken with the catheter. The patient was ment taken on the morning of the operation; bright, and gave every assurance of a recovthe bowels were kept open freely with salines; ery. In another half hour the tube yielded strict personal cleanliness was enjoined on the only one drachm of fluid; the pulse was good, physicians and attendants; the table was cov- and I was startled in a few minutes to be told ered with clean blankets, which in turn were that the patient was sinking. On turning covered with fresh sheets. The patient was back the covers, the nurse found the bed filled anæsthetized and placed on the table; her cir- with blood. The wound was tightened and culation was so poor from the imperfect the hemorrhage ceased, but the quantity lost heart's action that she was cyanotic, a delay was so great that the patient was exsanguinbeing occasioned thereby. The anesthetic ated, and never recovered, but died on the was well and carefully given by Dr. Longly. I then began the work, with the efficient assistance of Drs. Cazier, Haller and Seabrook. The abdomen was washed with soap, warm water, and lastly with ether. A median incision revealed the tumor, which was not adherent, and having been shown to be solid the abdominal incision was enlarged to within three inches of the sternum before the tumor could be delivered. It was then seen to be apparently a uterine sarcoma having no pedicle, but being as large at its neck as at its fundus. The ovaries and tubes were found imbedded in a mass of veins, which were fully as large as my finger.

second day.

After the occurrence of the hemorrhage, urine was obtained only in spoonful quantities.

I report to-day, Mr. President, the unsuccessful case, believing that as much can be learned from the recital of such a case as from that of our most brilliant successes.

DISCUSSION.

Dr. Taylor-Dr. McClintock appears to be dissatisfied with the method of ligating the pedicle, as now practiced. If the pedicle is small, is the usual method of ligating not all that could be desired?

Dr. Haigh-Is there not a possibility of ligating each vessel?

Dr. Taylor-The percentage of mortality has not been greatly decreased during the past few years over that of twenty years ago.

Owing to the great vascularity of the tumor, and its want of a pedicle, it seemed that the operation would need to be abandoned. An extra-long handled needle was needed to pierce the side of the tumor. It carried in its Dr. Paddock-Drs. Tait and Price select return the heaviest braided silk ligature, their cases, and hence the favorable mortality. doubled; the same thing being done on the It would be preferable if the brethren would opposite side. The twisted cable was thrown say, "it is my opinion," instead of saying about the tumor and tightened with the serre- "these are facts." The so-called facts in med

icine are, in the main, empiricism. Empiri- the peritoneal cavity. The use of carbolic

cism sometimes proves true, and again it does not, and hence we cannot say it is a fact at all times.

Dr. M. B. Ward was requested by the president to open the discussion on Dr. McClintock's report.

The doctor reviewed in detail the various steps in the preparations necessary prior to any operation for abdominal section, and explained the methods which have given the most perfect results.

The president, Dr. Haigh, asked Dr. Ward "why it was that every surgical case did not die previous to antiseptic methods?" "Why does Shrady do the stumps up in their own blood after amputations?"

acid and mercury solutions in the peritoneal cavity is the most unsurgical procedure I know of. Nothing but the purest water should be used for irrigation.

It is not true that the results of surgery in country practice, in the hands of unskilled men, and without the fuss and parade of asepsis, is better than in the city with the best of surgeons, and with antisepsis in the most approved form. There is, however, one point to remember, namely, that there is a great difference in the environment between the country and crowded cities. For instance-Kansas has a population of about 1,650,000, scattered over 81,000 miles of territory, while some of our large cities, where most of the surgery is Continuing, he said, "The large wound does done have as many people, huddled together not cause shock, but it is the cooling of the within a space smaller than one of our counabdominal cavity." "Iodoform used to be ties. This fact accounts for the great differdusted into the abdominal cavity; why is it ence between the surgery of our prairies and now discontinued?" "Antiseptics have killed that of large cities, all other things being more than it has saved." "Better have done without them." "The statistics of successful operations in the country is equal to that of the cities, even though the country surgery is done without so much fuss about antiseptics."

He quoted Dr. Engleman as authority for the statement, that it is "not important to guard against long incisions, but to make them long enough to give plenty of room to work without any danger to the abdominal parietes." Dr. Ward in reply said-The surgery of pre-antisepsis was terribly fatal, and unsatisfactory. If Shrady or any one else used blood as a surgical dressing without first having the surroundings perfectly aseptic, may have good results, but would have to know it before believing.

Long wounds do cause shock. The fact that a long incision is made makes the danger of cooling of the abdominal organs greater; and it is also true, that every inch of incision made in the abdominal walls increases the amount of shock.

The peritoneum should not be bruised or lacerated, if possible to avoid it.

equal.

Dr. Paddock made a lengthy verbal report on some of the numerous diseases of the eye. We are not a shorthand reporter, and cannot do him justice. He divided conjunctivitis into six classes, viz., aquæous, catarrhal, purulent, phlyctenular, diphtheritic, granular or trachomatous. The sequelæ mentioned were ulceration of the cornea, keratitis, pannus, ec. and entropion, trich. and distichiasis.

In the aquæous form the pain is slight, lachrymation free, slight redness of the conjunctiva, &c. Treatment-Mild astringents.

The catarrhal is an aggravated form of the aquæous, and in addition there is a mucus discharge, velvety appearance of the conjunctiva, a rough scratching sensation due to the swollen veins, photophobia, and the eyelids stick together in the morning. TreatmentAstringents, zinc 4 or 5 grains to the ounce of water, or 2 to 3 grains of nitrate of silver, bathing the eyes frequently with hot water. Constitutional treatment—A brisk saline purge and nourishing diet.

The purulent forms are rare. They are aggravated cases of catarrhal conjunctivitis. TreatIt is true that iodoform may be used too ment-The eyes must be kept free from pus; freely, but the greatest danger from antisep- nitrate of silver, 4 to 5 grains to the ounce of tics results from the use of strong solutions in water brushed over the eyelids, and neutral