Page images
PDF
EPUB

Silver Medal; Jas. S. Wardlaw, Second Silver | Medal.

Wade, W. R., Cline, L. F., Wardlaw, J. S., Bowlby, G. H., Fisher, J. H. C. F., Neff, J. A., Meyers, D. C., Campbell, D. M., Crawford, Jas. A.-Certificates of Honor.

Hotson, W. E. Harding, J. B. H. McClinton, Jas. Crawford, D. C. Meyers, G. H. Bowlby, J. H. C. F. Fisher, T. J. Jamieson-Certificates of Honor. C. H. Hamilton, A. T. Emerson, C. J. W. Karn, A. W. McCordick, J. C. Connell, L. G. McKibbin, W. T. Campeau, M. Steele, F. P. Cowan, H. Minchin, R. A. E. Burns, C. James, A. J. Macaulay, E. S. Jackson, B. Lammiman, E. R. Bishop, F. F. Ferguson, Miss S. Carson, F. H. Kalbfleisch, J. F. Palling, J. A. Howitt, P. McNaughton, W. P. Chisholm-First Class Honors.

Miss M. McKay, T. P. McCullough, C. N. Anderson, J. M. Eaton, W. J. Maxwell, H. J. Meiklejohn, W. H. Merritt, J. W. O. Marling, W. L. Bain, J. Brown, J. W. Rowand, L. Auld, C. H. Trancy, M. G. Millman, J. P. Roger, R. J. Wade, A. E. Ardagh, W. H. Cooke, W. H. Jeffs, R. U. Topp, H. B. Thomson, D. E. Jones, R. E. Towle, T. O'Neil, R. P. Robinson, R. J. Macdonald, F. J. Bateman, D. O'Gorman, Miss C. Hone-Second

Class Honors.

D. McK. Smellie, L. J. Hixson, E. C. McArthur, J. A. Fitzgerald, J. Henry McFaul, H. C. S. Elliott, J. B. Fraser, D. Jamieson, T. A. Wright, Wilton Pratt, A. H. Garratt, E. H. Horsey, T. C. Baker, J. H. Lowe, G. B. Carbert, J. D. Deacon, E. H. Greene, D. A. Kidd.

Primary-J. S. Harris, A. Ross, J. W. S. McCullough, J. R. Macdonald, F. R. Clarke, A. J. Niddery, A. J. Murchison, S. W. Allingham, F. W. Penhall, H. J. Cummings, W Reid, R. W. Rooney, C. B. Oliver, J. M. Sifton, R. Hill-Certificates of Honor.

E. J. Boyes, H. W. Walch, F. A. Drake, E. S. Rice, C. McCue, W. H. Alexander, A. H. Speers, H. T. Arnall, T. B. Richardson-First Class

Honors.

M. Ferguson, R. M. Hillary, T. McEdwards, R. L. Orton, W. J. Fletcher, E. H. Webster, A. M. Spence, O. E. McCarty, W. F. H. Newberry, G. Hargreaves, J. C. McGillivray, J. F. Dolan, G. M. Harrison, Miss M. L. Agar, Mrs. J. E. Lynd, W. D. Springer, J. A. Dinwoody, F. Preiss, E. R. Morton, J. J. Gee, J. A. McGregor, L. E. Morgan, J. F. B. Rogers, W. A. Sargent, J. C. Bell, J. A. Ghent, Miss S. P. Boyle, C. W. Morey, J. F. Wren, W. Wight, J. W. Cunningham-Second Class Honors.

R. F. Hay, A. C. Beatty, W. A. Jones, Miss M. Hutton, D. K. McQueen, F. J. Ewing, C. B. Cough lin, D. McLeod, M. C. Black, W. S. Ward, J. Honsberger, J. B. Guthrie, R. McGee, W. A. Thompson, P. Drummond, J. D. Berry, J. A. Mills, E. T. Boyes, H. E. Strathey, A. H. Garratt, D. E. Jones, F. H. Kalbfleisch, J F. McCormack, T. S. McGillivray, D. D. O'Gorman.

TRINITY MEDICAL COLLEGE.-Fellowship Degree -W. R. Wade, Gold Medal; L. F. Cline, First

Anderson, C. N., Ardagh, A. E., Baird, J., Burns, R. Á. E., Bishop, E. R., Campbell, Jos., Cowan, F. P., Emmerson, A. T., Ferguson, F. F.,. Howitt, J, A., Harding, W. E., Hotson, A. N., Hamilton, C. H., Jones, D. E., James, C., Jeffs, W. H., Kalbfleisch, F. H., Karn, C. J., Lammiman, B., McClinton, J. B. H., McCordick, A. W., McNaughton, P., McDonald, R. J., Marling, J. H. O., Merritt, W. H., Minchin, H. A., Ogden, J. P., Palling, J. F., Rowan, J W., Steele, M., Thompson, F. G., Topp, R. U., Walker, R. E., Wade, R. J.-First Class Honors.

Ellicot, H. C. S., Fitzgerald, T. A., Garratt, A., Hixson, L. J., Meiklejohn, H. J., Millman, M. G., Rogers, J. L., Thomson, H. B., McFaul, J. Henry -Second Class Honors.

Primary-Harris, S. S., McCullough, J. W. S., Macdonald, J. R., Clarke, F. R., Niddery, R. J., Murchison, A. J., Allingham, L. W., Penhall, F. W., Sifton, J. M., Oliver, C. B., Hill, R.-Certificates of Honor.

Boyes, E. J., Drake, F. A., Alexander, W. J., Speers, A. H., Arnall, H. T., Richardson, B. F.First Class Hon.rs.

Hilary, R. M., Fletcher, W. J., McCarty, O E.,. McEdwards, T., Newberry, W. F. H., Hargreaves, G., Dolan, J. F., Harrison, G. M., Dinmoody, J. W., Preiss, F., Morton, E. R., Gee, J. J., McGregor, J. A., Morgan, L. E., Rogers, J. F. B., Sargent, W. A., Cunningham, J. W.-Second Class

Honors.

Berry, J. D., Beatty, A. C., Boyes, E. T., Cummings, H. J., Ewing, F. J., Honsberger, J., Hay, R. T., Jones, W. A., Mills, J. A., McGee, R., Strathy, H. E., Thomson, W. A.

Scholarships-First Year-James Sutherland, larship, $30; C. C. Fairchild, 3rd Scholarship, $20. 1st Scholorship, $50; Robert Knechtel, 2nd SchoSecond Year-J. S. Harris, 1st Scholarship, $50; J. W. S. McCullough, 2nd Scholarship, $30.

Special Prizes The Special Prize for the highest in Physiology of the First Year, Jas. Sutherland, value $25. The "Dr. John Fulton Memorial Prize" for the highest standing in Surgery, where sions at the College, D. C. Meyers, value $50. the student has spent four complete Winter SesSpecial Prize given by "Trinity Medical College" for very high standing in the recent Primary Examinations at Trinity University, A. Ross, value

$30.

QUEEN'S UNIVERSITY.-The following list com

prises the names of the successful candidates at the recent M D.C.M. examinations at Kingston : -Gold Medalist, W. H. Downing; Silver Medalist, E. McGrath. T. C Baker, W. P. Chamberlain, J. C. Connell, M.A., W. H. Cooke, Miss A. G. Crane, Miss Elizabeth Embury, J. B. Fraser, A. R. Gillis, E. H. Horsey, D. Jamieson, T. J. Jamieson, F. H. Koyle, Miss Annie Lawyer, J. S. Livingstone, C. O. Mabee, C. N. Mallory, W. J. Maxwell, E. S. Mitchell, S. H. McCammon, T. S. McGillivray, Miss Nettie Ogilvie, T. O'Neil, W. F. Pratt, Wilton Pratt, J. W. Robertson, R. P. Robinson, P. K. Scott, D. McK. Smellie, A. D. Walker, A. W. Whitney, T. A. Wright, Rev. J. F. Smith, Francis J. Bateman, William E. Harding, Kenneth Henderson, Chas. James, Frederick H. Kalbfleisch, Thomas P. McCullough, Hiram B. Thompson, Wm. B. Wade, James S. Wardlaw. John Duff and M. E. McGrath get the Surgeonries of the General Hospital, and O. L. Kilborne and A. Gandier, College Demonstrators of Anatomy.

WOMEN'S MEDICAL COLLEGE, KINGSTON.-Miss Mitchell, of Montreal, and Miss Craine, of Smith's Falls, who graduate from the Women's Medical College this year, were equal for the honour of the Kingston Scholarship of $60. It will be divided. Miss Isabella McConville, of Kingston, carried off the Trout Scholarship of $50.

THERAPEUTICS WITHOUT ALCOHOL.-The question of the necessity for the use of alcohol in medicine may be considered as being nearly set at rest, yet there are a few practitioners who believe it can be safely omitted from the list of therapeutic agents. In this connection the following from the Br. Med. Jour. will be interesting to our readers "The Temperance Hospital has been in existence now about twelve years, and the annual report for 1886-7 may be studied with advantage in order to compare the results with those of other hospitals. It must not be supposed that the hospital only receives abstainers, though these are in the majority, probably due to the large proportion of infants and children. In the surgical department the results have been very satisfactory, so far as one is enabled to judge from mere figures, but turning to the medical cases, we may restrict examination to one or two groups of disease with advantage. Out of the thirteen cases of acute pneumonia four (abstainers) died, one of them on the fifty-fourth day from exhaustion. Only four cases of typhoid fever were admitted in all, and although the cases were of young people-15, 7, 14, and 32, respectively-and comprised three

abstainers, they all proved fatal. The treatment was the same as elsewhere, and the only difference consisted in the non-exhibition of alcohol. Then again, simple exhaustion, eighty-seven days after the onset of the disease, proved fatal in one instance. The average stay of patients in the hospital would seem to show that convalescence is unduly prolonged, and this notwithstanding the fact that the list of cases comprises several of "nasal catarrh" and other trivial complaints. The only occasion on which alcohol was administered was in a case of operation for strangulated hernia, in which death resulted from an unreduced con

striction.

Every credit is due to the registrar,

Mr. Leopold Hudson, for the clear and practical manner in which he has tabulated and arranged his figures. We shall look forward with interest to future reports drawn upon the same excellent plan, as it is only by comparing results that medical men will be enabled to judge the merits of treatment without alcohol. Thanks to the impartial summary with which the report opens, it is It constitutes easy to grasp its general tenor. an innovation which other hospitals would do well to copy.

CARELESS USE OF ANTIPYRIN.-The general use of antipyrin, indulged in by the laity, without medical supervision, calls forth the following timely warning from the Lancet. "The public attention given to the latest remedy for sea-sickness and many other affections which flesh is heir to, has its percentage of evil as well as good. Every medicament is not an unmixed advantage, and to suppose that antipyrin may be taken recklessly, any more than chloral, is to adopt a position of a dangerous kind. Antipyrin has on several occasions been administered with unexpected results. It is a drug which has undoubtedly powerful effects on the nervous system, especially as tending to produce a lowering action. We must strongly protest against its indiscriminate employment without the supervision of a medical man."

NEW METHOD OF REDUCING DISLOCATION OF THE SHOULDER.-Dr. Abril, Lond. Med. Rec., inverts the usual proceeding for reduction of dislocation of the shoulder, viz., by fixing the humerus and causing the glenoid cavity to descend upon its head. This he accomplishes in the following way.

He makes the patient stand with a crutch in his axilla; he then holds the hand of the affected side, making slight traction downward; the patient is now to let himself down as if he were going to fall on his knees, and as he falls the head of the humerus glides into its normal position, and the patient is surprised at finding himself cured." The pain is so trifling that no anesthetic is required.

THE CANCER BACILLUS.-The Lancet thus sums up what the rival experimenters have to say about the discovery of the cancer bacillus, which it says "threatens to have as many claimants as the authorship of Junius's Letters. In addition to Dr. Scheuerlen, who was the first before the public, two Italians announce themselves as having independently made the discovery - Dr. Barnabei, Professor of Clinical Medicine at Siena, and Dr. Sanarelli, a graduate and teacher of the same school. But, it seems, a compatriot of Scheuerlen is also in the field to claim priority in the discovery-Dr. Schill. France, too, not to be outdone, has her special claimant in Dr. Perin. And, finally, Brazil, in Dr. Domingos Freire, seeks to vindicate the honor of the discovery to the New World."

TWINS, ONE BLACK AND ONE WHITE. Dr. Newton Hill, of Pickensville, Ala., sends to the Med. and Surg. Rep. the following report of a case: "A young negro girl, about eighteen years of age, gave birth to twins at seven months, one of which was as black as the ace of spades, and the other as white as any white child I ever saw. This girl has been engaged as nurse in a white family a part of a year, but she has associated with white and black. Both cords were attached to the same placenta. Is this merely a freak of nature, or is it possible that they have different fathers? I would like to have the opinion of some of the brethren."

A NEW ANTISEPTIC.-Creolin has been the subject of investigation by Fröhner (Fortschr. der Med.). He says it is a non-poisonous antiseptic and is preferable to carbolic acid. It exists as a syrupy liquid, soluble in water and in alcohol in all proportions. He has found it serviceable in the following conditions: (1) in scabies, (2) as an antiseptic (3-per-cent. solution), (3) in chronic nonparasitic eczemas, (4) as an inhalation in infectious bronchitis and broncho-pneumonia, (5) in infectious

[blocks in formation]

Four or five pills in twenty-four hours, with an exclusively milk diet, yielded good results.

FOR HOARSENESS AND CATARRHAL COUGHS.The Med. News gives the following as a very useful preparation for the above:-Ammonium acetate, 3 parts; potassium bromide, 3 parts; tincture of belladonna, 1 parts; tincture of aconite, 2 parts; infusion of balsam of tolu, 150 parts; syrup of balsam of tolu, 50 parts. A tablespoonful is to be taken every three or four hours.

VOMITING OF PREGNANCY.-It is stated, West.

Med. Rep., that a single vesication over the 4th and 5th dorsal vertebræ, "promptly and permanently relieves vomiting of pregnancy, no matter at what stage."

NEW ANATOMICAL DISCOVERY.-It is stated that Dr. Bryant, of Boston, has discovered that there are valves in the portal and mesenteric veins, during infant life, in seventy-five or eighty per cent. of cases. These disappear as the child grows.

PERSONAL. DR. G. STERLING RYERSON, leaves May 1st for a professional trip to Germany, taking in the hospitals of New York, London and Paris, by the way. The Dr. intends studying new methods in the extraction of cataract, especially immature cataract. He intends to return about the middle of July.

Books and Lamphlets.

LOMB PRIZE ESSAYS. LOMB PRIZE ESSAYS. No. 1, Healthy homes and foods for the working classes; No. 2, The sanitary conditions and necessities of school-houses and school-life; No. 3, Disinfection and individual prophylxis against infectious diseases; No. 4, The preventable causes of disease, injury and death in American manufactories and work

[blocks in formation]

Dr. Smith's translation is admirable. Our readers will remember an article by the translator which appeared in our Dec. No. on Electricity in Gynecology. The great interest which is taken in this method of treatment will render this little work of 113 pages very acceptable to the profession. The methods of the author are placed before the reader with precision and clearness.

We commend the book to those who are anxious to know what Apostoli and others are doing in this line of treatment, which, it would appear, has come to stay.

DISEASES OF THE HEART. By Alonzo Ciark, M. D., LL.D., Emeritus Professor of the Principles and Practice of Medicine, etc., College of Physicians and Surgeons, New York. One Octavo Volume, 251 pages. Price, $2.75. E. B. Treat, Publisher, 771 Broadway, New York.

This is the sixth volume of Treat's Medical Classics, and we think presents a better appearance than the former ones, which were not up to the mark as regards the printers' and binders' workmanship.

The information gathered in this volume embodies the substance of his teachings and lectures on "Diseases of the Heart" given to his students. Nothing is omitted which would tend to give a clear exposition of the views which he inculcated as teacher.

The volume cannot therefore fail of being of great value to practitioners, as it contains the results of a singularly calm and judicious mind of one who had long and pre-eminent experience, and whose ripened harvest of thought is gathered into this sheaf, which ought to find an honored place in the medical granary among other distinguished sheaves.

OPHTHALMIC SURGERY. By Robert Brudenell Carter, F. R. C. S., Ophthalmic Surgeon to St.

George's Hospital and to the National Hospital for the Paralyzed and Epileptic; and William Adams Frost, F. R. C. S, Assistant Ophthalmic Surgeon to the Royal Westminster Ophthalmic Hospital. Illustrated with a chromograph and ninety-one engravings. Philadelphia: Lea Brothers & Co.

This is a useful treatise on the eye, devoting its It space principally to diagnosis and treatment. deals with the ordinary injuries and diseased states of the eye, and embraces the newest and most practical methods of treatment of the day, and we are sure it is a work which will receive great patronage and be of great use to the profession.

A PRACTICAL TREATISE ON DISEASES OF THE SKIN. By James Nevins Hyde, A.M., M.D. Professor of Skin and Venereal Diseases, Rush Medical College, Chicago, and Physician for Diseases of Skin to the Presbyterian Hospital, Chicago. Second edition, enlarged. Philadelphia Lea Brothers & Co.

This work is profusely illustrated and an able. treatise of 676 pages. In it will be found treated every disease of the skin that the practitioner is ever likely to meet with, and its remarks on treatment are especially to be praised. The book is well written and a very readable and practical

treatise.

DISEASES OF MAN; Data of their Nomenclature, Classification and Genesis. By John W. S. Gouley, M. D., Surgeon to Bellevue Hospital. New York: J. H. Vail & Co. London: H. K. Lewis. 1888.

PRESCRIPTION FOR RACHITIS.-The following is from the Progrès Médical: Phosphorus gr. 1-6; oil of sweet almonds f3 viiss; gum arabic (powder) of each 3 iii; distilled water f 3 xss. M. Two or three teaspoonfuls in coffee, a day.-Am. Med. Digest.

Births, Marriages and Deaths.

At Brantford, April 3rd, E. E. King, M.D., of Toronto, to Isabella, daughter of J. Franklin Ott, Esq.

At Brockville, Ont., on the 18th April, Jacob Edwin Brouse, M.D., aged 48 years.

various conditions to which it is applicable, and finally give the history of a few cases which I have treated by this means.

THE CANADA LANCET. finally give the history of

A MONTHLY JOURNAL OF

MEDICAL AND SURGICAL SCIENCE,
CRITICISM AND NEWS.

VOL. XX.] TORONTO, JUNE, 1888.

Original Communications.

1. The Operation. By far the best uterine dilator which we, as yet, possess, is Dr. William Goodell's modification of Ellinger's dilator. The great advantage of this instrument is that the blades open parallel to each other, and it is [No. 10. provided with a screw to retain the blades open when necessary. Dr. Sims and Dr. Atlee each devised an instrument for this purpose, but both lack the parallel expansion of the blades. To perform the operation of rapid dilatetion thoroughly, an anæsthetic should be given, although for partial or incomplete dilatation-such, for instance, as for using intra-uterine applications or injections— it is not always necessary. Having anæsthetized the patient, she is brought to the edge of the table or bed and each foot held by an assistant. A bivalve or duck-bill speculum is introduced, and the uterus steadied by a tenaculum or vul

RAPID UTERINE DILATATION.*

BY A. F. ROGERS, M.D., L.R.C.S. ED., OTTAWA.

canal.

There are few minor operations in gynecology which can show such good results and as widely applicable as that of rapidly dilating the cervical The operation is far from being a panacea for all the ills produced by uterine disease, but in properly selected cases the benefits arising there-sellum. It is best now to pass a probe into the from are prompt and decided. By this method, cases of stenosis can be cured more readily and with less danger than by the operation of incision, as advocated by the late Sir James Simpson, Dr. Indeed, this operation has almost entirely superseded the latter on this side of the Atlantic, and this is not to be wondered at when we consider the anatomical peculiarities of the part involved, and the sources of danger in the operation of incision. Again, by this means we are frequently enabled to dispense with the tedious and somewhat dangerous method of dilating the cervix by means of tents, where it becomes necessary to make applications

Robert Barnes and Dr. Marion Sims.

We are

to the intra-uterine mucous membrane.
all aware of the danger of intra-uterine injections,
unless there is a perfect patency of the cervical
canal, to allow the fluid to freely and rapidly
escape, and the usual mode of accomplishing this
has been by the expansion of tents. By means
of rapid dilatation more perfect patency may be
secured, without the tediousness and danger of
dilatation by tents, and the nozzle of the syringe
can be passed between the divergent blades of the
dilator. I shall briefly describe the method of
performing the operation and then state the

Read at a meeting of the Rideau and Bathurst
Medical Association.

uterus for the purpose of ascertaining the size and direction of the canal. The dilator is then introduced and the handles pressed gradually together, and then held there for ten or fifteen minutes. The difficulty in the procedure is in the introduction of the dilator. To overcome this, it is recommended to use at first an Atlee dilator or a small size Goodell's Ellinger, and introduce it as far as it will go. Then, by stretching the part it occupies, the stricture or contraction above yields to a certain extent, allowing further introduction and dilatation, and so on until the entire cervical canal is dilated" or tunnelled out." That accomplished, the larger instrument should be used, inasmuch as the more perfect the dilatation the less the chances are of recurrent retraction. When the os is so small as not to permit the entrance of the point of the dilator, it is recommended by Goodell to produce enlargement by means of the closed blades of a pair of sharppointed scissors introduced with a boring motion. As a certain amount of pain and soreness is felt after the operation, a suppository of morphia or opium introduced into the rectumn will be beneficial While the operation of rapid cervical dilatation is, perhaps, most conveniently performed as described, with the patient in the dorsal position, yet many gynecologists operate exclusively with the patient

« PreviousContinue »