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PRACTICAL

VOL. XXXI

A MONTHLY JOURNAL OF

MEDICINE, NEW PREPARATIONS, ETC.

R. H. ANDREWS, M. D., Editor, 2321 Park Avenue, Philadelphia, Pa.
ONE DOLLAR PER ANNUM, IN ADVANCE. SINGLE COPIES, TEN CENTS.

PHILADELPHIA, MARCH, 1909

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To Subscribers in other Countries paid), Five Shillings Six Pence. Price of Single Copies..

....

$1.00 (postage pre

...10 cents Subscriptions will begin with the current number at the time of their receipt, unless otherwise directed.

HOW TO REMIT: A safe way to remit is by postal money order, express order, check, draft, or registered mail. Currency sent by ordinary mail usually reaches its destination safely, but money so sent must be at the risk of the sender. RECEIPTS: The receipt of all money is immediately acknowledged by a postal card. ADDRESS CHANGE: It is particularly requested that subscribers changing their addresses should Immediately notify us of the same, giving present and previous location. We cannot hold ourselves responsible for copies of The Summary sent to former addresses unless we are notified as above.

DISCONTINUANCES: The Summary is continued to responsible subscribers until the publisher is notified by letter to discontinue, when payment of all arrearages must be made. If you do not wish The Summary continued for another year after the time naid for has expired, please notify us to that effect.

Address "THE MEDICAL SUMMARY." 2321 Park Ave.

Philadelphia, Pa.

Entered at Phila. Post Office as second-class matter

THIRTY-ONE YEARS.

With this number of the SUMMARY begins the present editor's thirty-first year at its helm. Since the beginning of this journalistic career many changes have been wrought in all things medical, and we are optimistic enough to believe that most of the new things that have come to us have been good. Thirty years ago surgical, therapeutic, and diagnostic equipments were comparatively crude and very expensive in price. All such apparatus is now

No. 1

Our

in a highly perfected state, and many instruments seem to possess almost human intelligence. They cost much less money than formerly. Thirty years ago our diagnostic instruments lacked that precision which marks those of the present day. The microscope was not regarded as being the valuable adjunct to the diagnostic outfit as it is now. Bacteriology and pathology were then unknown quantities only as their macroscopic and clinical aspects forced themselves upon us. work with test tube and reagent were also crude as compared with present-day tests, when we are now often enabled to diagnose diseases before they actually occur, or before the clinical manifestation is in evidence. The greatest achievements of the past quarter of a century have undoubtedly been along the lines of sanitation and préventative medicine. The medical triumphs. of the future will be along the same line. We have no longer epidemics of small-pox, cholera, ship fever, etc., which mow down people by the thousands. We may be straining our prophetic license to the limit, but we believe that a few decades more will see the obliteration or amelioration of the white plague which is now the

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