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R. H. ANDREWS, M. D., Editor, 2321 Park Avenue, Philadelphia, PA




No. 1


in a highly perfected state, and many inTo Subscribers in the United States, Canada and Mexico


struments seem to possess almost human To Subscribers in other Countries (postage pre

paid), Five Shillings Six Pence. srice of Single Copies...

.....10 cents intelligence. They cost much less money Subscriptions will begin with the current number at the time of their receipt, unless otherwise

than formerly. Thirty years ago our directed. HOW TO REMIT: A safe way to remit is by postal diagnostic instruments lacked that pre

money order, express order, check, draft, or reg: Istered mail. Currency sent by ordinary mail usually reaches its destination safely, but money

cision which marks those of the present SO sent must be at the risk of the sender. RECEIPTS: The receipt of all money is immedi- day. The microscope was not regarded

ately acknowledged by a postal card. ADDRESS CHANGE: It is particularly requested that subscribers changing their addresses should

as being the valuable adjunct to the diagimmediately notify us of the same, giving present and previous location. We cannot hold our- nostic outfit as it is now. Bacteriology selves responsible for copies of The Summary sent to former addresses unless we are notified 18 above.

and pathology were then unknown quantiDISCONTINUANCES: The Summary is continued

to responsible subscribers until the publisher is ties only as their macroscopic and clinical
notified by letter to discontinue, when payment
of all arrearages must be made. If you do not
wish The Summary continued for another year

aspects forced themselves upon us. Our
after the time naid for has expired, please notify
to that effect,

work with test tube and reagent were also Address "THE MEDICAL SUMMARY." 1321 Park Ave.

Philadelphia, Pa. crude as compared with present-day tests, Entered at Phila. Post Office as second-class matter

when we are now often enabled to diag

nose diseases before they actually occur, or THIRTY-ONE YEARS.

before the clinical manifestation is in evi

dence. The greatest achievements of the With this number of the SUMMARY begins past quarter of a century have undoubtedly the present editor's thirty-first year at its been along the lines of sanitation and prehelm. Since the beginning of this jour

ventative medicine. The medical triumphs nalistic career many changes have been of the future will be along the same line. wrought in all things medical, and we are We have no longer epidemics of small-pox, optimistic enough to believe that most of cholera, ship fever, etc., which mow down the new things that have come to us have people by the thousands. We may be been good.

Thirty years ago surgical, straining our prophetic license to the therapeutic, and diagnostic equipments

diagnostic equipments limit, but we believe that a few decades were comparatively crude and very expen

more will see the obliteration or ameliorasive in price. All such apparatus is now tion of the white plague which is now the

great foe to mankind. Not that the tuber- and metaphysician. He will recognize the cle bacillus can be entirely rendered passe,

value of suggestion and psychotherapy, for its presence is to be taken as only a and it may be that he will be able to adfactor in the causation of this wide-spread

minister to the patient spiritually as well

as physically. Medicine and religion will, and death-dealing disease. But we have learned that the cause of consumption is

in the future, gradually make overtures

toward each other, and ultimately coalesce, due to two things: bad environment and

each profession losing much of its tradibad heredity, and in the future we shall

tions and Orthodox principles. In the fubend our efforts to overcome both of these.

ture people will live longer and be sick less What will the practice of medicine be

than now and in times past. Longevity is like thirty years hence? Surgical skill will

increasing, and most diseases are becoming not be more excellent than now, that being

less fatal. Both mental and physical hyan impossibility. However, surgery will

giene will be the thing in the future. Peobe more conservative than now, "explora

ple will leave the large cities and hike for tory laparotomies” will be fewer, and men

the fresh air of the country, and millions who have dessicated consciences and a

will live the simple but healthy life. penchant for the mezumma will be fewer

Some may think that these thoughts are - let us hope. Appendectomies will not

the emanations of a mind not in harmony then be performed any oftener than opera

with the present order of things. Not so. tions upon other portions of the viscera,

We have faith in our profession, but beand only when the operation is indicated.

lieve it is destined to undergo some marked We will have learned that the appendix changes in the future. In the meantime let and all our other organs and appendages

us hope that those who get sick will not a useful purpose in the physical forget to send for the family doctor as economy. Diagnosis in the future will be

usual. still more highly perfected, which is putting it pretty strong. We will still use

THE HYPOCHONDRIAC. drugs, but a good portion of the old stuff we now employ will be relegated to the Psychoses and neuroses have been given snows of yesterday. We will give drugs

so much attention of late with the naming

and tabulating of so many symptoms that for a purpose, and for some semblance of

are new to those not in close touch with indication. We will have a few specifics

modern psychiatry that some of our erstand serums that may be in some measure while friends are, in a measure, lost sight dependable. There will be fewer doctors, of. The hypochondriac is one of these. because people will live in a manner that

He has somewhat lost prestige. The hypowill make many medical men seek other

chondriac is an introspective individual

who may have some real infirmity. More vocations. The doctors who do remain

often he has no tangible ailment, but sufwith us will be thoroughly educated men,

fers the protean and often agonizing broad-minded and altrusitic, versatile and

symptoms of a morbid mind. His life is accomplished. He will be both physician full of vagaries, relating mainly to his own



sweet self. In this matter he may have effort has been made, loss of vision is the delusions and reason without premises. exception. Some of our legislatures will He cannot get away from himself and his this winter have bills presented favoring ailments, and he imagines that his case is better legislation on this matter.

There without a parallel in medical annals. He should be some way of attaching the reads medicine advertisements and blame. Every case of ophthalmia should quires a speaking acquaintance with dis- be promptly reported along with detailed ease symptoms. The physician is often measures adopted for its alleviation. Enstartled at his versatility in nosology. His ergetic prophylaxis should be required in symptoms always relate to that which is this matter when cases occur in the slums unseen and intangible, and he may state and among the ignorant. There should be that he has cancer of the bowels, disease a dissemination of knowledge on this subof the liver, tumor of the brain, and so on. ject among those who are about to become The hypochondriac is usually a medicine- mothers if there should be the least sustaker, and goes the rounds of physicians picion of venereal disease. Let us have and runs the gamut of well-advertised laws by which we may know who are wilpatent međicines. He will often believe fully negligent in the accouchement chamthe almanac in preference to a conscien

ber. tious and educated physician. As time goes on the hypochondriac becomes more

RHEUMATISM. fixed in some of his absurdities. He may discard some of them, but he picks up new Dr. F. L. Wachenheim in Archives of ones. He has the unhealthy habit. Out of

Pediatrics, says:

"It is of the utmost imthe ranks of the hypochondriac come many portance, in children of three years and of our dope and medicine fiends, alcohol

over, to regard every slight muscular or ics, ne'er-do-wells and mental derelicts articular pain with apprehension. In these These people should, early in their wrong

an examination of the heart will career, be taught the right kind of mental

often show cardiac, lesion, where the clinand physical living. Above all, they should ical evidence of rheumatism is insignifiadopt an avocation or line of work which

cant or even doubtful.” is to their liking and should stick faith- Dr. Joseph E. Winters, in the Medical fully to it. Every hypochondriac should

Record, says: “In a young child proforget that he has organs—in fact, that he nounced unmistakable rheumatism is exhas a body.

ceptional, while obscure, disguised forms abound. Recurrent causeless vomiting is

an unfailing portent of lurking rheumaTO PREVENT BLINDNESS.


Dr. J. Dardel, in the Medical Record, Ophthalmia neonatorum, as everybody says: “Rheumatic patients should wear knows, causes the greater number of cases woolen undergarments at all seasons of of blindness. It is the one cause of con- the year, and affected joints must be progenital blindness that we always think of. tected by flannel bandages. As it is of the It is preventable. It ought to be criminal greatest importance to maintain the skin for any obstetrician or midwife to allow in a state of functional activity, the paa case to develop under his or her care, tient should be well rubbed with a horseunless he can show that he made strenuous hair glove or Turkish towel moistened efforts to cope with the disease. If such with spirit (eau de Cologne) every morn


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