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Officially reported probably 1100.

Official List of Changes in U. S. Marine Hospital Service.-The following is the official list of changes of station and duties of commissioned and non commissioned officers of the U. S. Marine-Hospital Service for the seven days ended, March 9, 1899: COBB, J. O., Passed Assistant Surgeon. To proceed to Savannah, Georgia, for spectial temporary duty. March 9.

FRICKS, L. D., Assistant Surgeon. To report at Washington, D. C., for special temporary duty. March 9. To proceed to the Reedy Island quarantine station and report to the medical officer in command for temporary duty. March 8.

RAMMS, CARL, Acting Assistant Surgeon. To proceed to the Cape Charles quarantine station and report to the medical officer in command for duty and assignment to quarters. March 6.

BROCK, G. H., Hospital Steward. To proceed to New Orleans, La., and report to the medical officer in command for duty and assignment to quarters. March 9.

BROWN, F. L., Hospital Steward. To proceed to the Cape Charles quarantine station and report to the medical officer in command for duty and assignment to quarters. March 6.

SLOUGH, CHAS., Hospital Steward. To proceed to the San Francisco quarantine station and report to the medical officer in command for duty and assignment to quarters. March 9.

TROXLER, R. F., Hospital Steward. To proceed to San Francisco Cal., and report to the medical officer in command for duty and assignment to quarters.

March 9.

APPOINTMENTS.

T. Farrar Richardson, of Louisiana, W. W. King, of Michigan, Frank J. Thornbury, of New York, and Carl Ramms, of Illinois, commissioned as assistant surgeons. March 9.

Wallace R. Hunter, of Pennsylvania, to be acting assistant surgeon for duty at the port of Erie, Pa. March 9.

Robert F. Troxler, of Kentucky, to be junior hospital steward. March 4.

We must dispute the statement of Dr. Kingsbury that the morals of patients could not be affected by hypnotism. An open-minded observer who knows any. thing of mind must admit that in the hypnotic state the moral senses are more or less suspended, and that the dangers of hypnotism are thereby much aggravated. A great deal of evidence on the subject of hypnotism brings clearly before us that the hypnotic subject is morally paralyzed, and Dr. Kingsbury is evidently wrong in denying that which is now largely accepted, though denial was the only obvious course for him. The hypnotized subject is the mere tool, not the accom. plice, of the hypnotizer, who makes him or her sign documents, or commit wrong acts, are is in a state of moral suspension as surely as the epileptic in his autom. atic states, or the man who commits a crime in a state of somnambulism.

This notable case, which has excited so much interest comes opportunely to check effectually any disposition which may still linger to employ hypnotism as a thera.

Hypnotic Suggestion in Medical Prac-peutic agent. This is but one of the many alleged tice. In the Blackpool probate case, which occupied several days before Justice Barnes and a special jury, there has been a considerable amount of evidence of special interest to medical practitioners.

The deceased, Mrs. Howard, was a patient of Dr. Kingsbury, of Blackpool, who was a member of the British Medical Association appointed in 1890 to inves tigate the phenomena of hypnotism, and who had previously published a book on the subject. The deceased left £30,000 to Dr. Kiugsbury, and he appears to have obtained large sums of money apart from those fees to which he was entitled during her life time.

abuses which may be suggested by suspicious people, and medical men in their own interest will do well to give hypnotic practice, except in rare instances and in conjunction with bona fide medical and nursing wit nesses, a very wide berth.

The summing up of Justice Barnes was strictly technical, and gives no indication of his views of the merits of the case. The jury could scarcely have decided oth erwise than they did, because the evidence for the defence-that is, against Dr. Kingsbury, was distinctly weak. It is most unfortunate for our profession that such cases should come into court, for the public is apt to believe the worst of a medical man who extracts so much financial assistance from his patient. All the same, it will do good, if it impresses on medical men the necessity of the most scrupulous disinterestedness in their dealings with patients.-Medical Press.

The other side was particularly anxious to prove that at the time the will was made the testatrix was of un sound mind, and that Dr. Kingsbury was unduly interested in her will making and hypnotized her. That she was weak-minded, even for a woman, is beyond all doubt, but that she was of unsound mind and of testa. mentary incapacity is not so clear. Dr. Kingsbury ad mitted that he had tried to hypnotize her. On the whole, his evidence did not show him in a very favora ble light, and his position did not improve during the searching cross examination of Mr. Carson. We must agree with Mr. Carson that this was a case of very great importance in the interest of the general public, and, we may add, also in the interest of the medical profession. He asked the jury to remember that hypnotic practice is a very serious business, only to be employed by prac-identic with that of glucazone. Comparing it with titioners with very great caution.

Derivation of Sugar From Albumin.-P. Mayer (Deut. Med. Woch.; Jour. Amer. Med. Ass'n ) has succeeded in deriving a sugar (a hexose, C ̧H12O2) from the yolk of an egg. Its osazone is levorotatory; fuses at 203 degrees; does not dissolve in cold absolute alcohol nor in hot water; crystallizes in needles arranged in the form of sheaves, and in every respect is

other sugars, all are excluded except glucose, mannose and levulose. Blumenthal and Eichholtz have derived a similar sugar from the white of egg, and Mayer considers the fact now fully established that the albumin molecule contains a hexaglucose belonging to the group

Dr. Kingsbury denied that he had hypnotized this old lady, although there were entries of his own in his diary in which he stated that he had done so. Mr. Carson did not suggest that hypnotism in 1894 had anything to do with the will of 1897, but what he did state was of carbohydrates. It is even probable that the highly that if the patient had been hypnotized in 1894 she would remain an easy prey to hypnosis at any subsequent time, and mere "suggestion" would be sufficient to influence her in a given direction.

complex albumin molecule contains more than one member of the carbohydrate group, as Weiss recently derived a carbohydrate from the albumin of the white of egg, that has the characteristics of methylpentose.

BOOK

REVIEWS

NOTES AND ITEMS

Diseases of the Eye. A HAND-BOOK OF OPHTHAL St. Louis Mortuary Report.-The total deaths MIC PRACTICE, FOR STUDENTS AND PRACTITIONERS. from all causes for the week ending March 11 were 210, By G. E. DESCWEINITZ, A.M, M D., Professor of of which number 108 were local diseases; 29 contaOphthalmology in Jefferson Medical College; Pro-gious, 43 constitutional, 23 developmental, 7 by viofessor of Diseases of the Eye in the Philadelphia lence. Births were reported for the week to the number Polyclinic; Ophthalmic Surgeon to the Philadelphia of 206. The deaths for the week were 19 less than Hospital, Etc. With 255 illustrations and two chro- those of the previous week, making the death rate per mo lithographic plates. Third edition, thoroughly thousand 18.2 per cent. revised. Price, cloth $4.00, sheep or half-morocco, $5.00, net. [Publisher, W. B. Saunders, Phhiladel. phia, Pa.]

Infection of Ovarian Cysts. Heinricius (Ann. de Gynecologie, 1897, No. 4) reports a case in which the contents of a simple ovarian cyst became in. fected after delivery, probably from the uterus, as the lochial discharge contained septic organisms. The lymphatics or veins were doubtless the channels through which the infection was conveyed. Similar organisms were found in the peritoneal exudate.

This work is well known to the medical profession as one of the favorite text books. Much new matter has been introduced into the third edition, which is un. doubtedly destined to meet with the same favorable reception as its predecessors. Particular attention has been given to the important relations which microorganisms bear to many ocular disorders. Special paraSchwartz (Ibid) observed three cases of infection in graphs on the following subjects appear for the first cysts, two of the patients being puerperæ. In the third time: Favus of the Eyelids; Blepharo Chalasis; Koch-case the patient was a young girl. Although tuberculo. Weeks' Bacillus Conjunctivis; Pneumococcus Conjunc-sis was suspected, no bacilli could be found in the cyst tivitis; Diplo Bacillus Conjunctivitis; Parinaud's Con- contents.-The Med. and Surg. "Review of Reviews." junctivitis; Pneumococcus Infection of the Cornea;

Subcutaneous

Mixed (Streptococci, Staphylococci) Infection of the St. Louis Academy of Medical and SurCornea; Schizomycetal Infection of the Cornea; Oyster gical Sciences.-The programme for the regular Shucker's Keratitis; Fugacious Periodio Episcleritis; meeting held Tuesday evening, March 14, consisted of Roentgen Rays for Detecting Foreign Bodies in the the following papers: "An Early Test for Thoracic Vitreous; Retinitis Striata; Hereditary Optic Nerve Aneurysm," by Dr. William Porter; "A Case of AtroAtrophy; Eucain, and Holocain. Certain articles-for pine Poisoning," by Dr. G. H. Thompson. example, those on Astigmatism, Acute and Chronic Retro-Bulbar Neuritis, Diseases of the Sinuses, ColorBlindness and Its Detection, and the Treatment of Insufficiencies of the Ocular Muscles, as well as a portion of the chapter on Operations-have been re-written largely, or at least materially changed. A number of new illustrations have been added. The work will prove of great service to students and practitioners who desire to begin the study of ophthalmology.

Varicocele and Sexual Power. In the Clinical Journal (February 15), Williams discusses the influence of varicocele on sexual power. His experience is that after an excision of varicosed veins patients have been more virile and enabled to fulfil their marital duties in a manner that was formerly impossible. In the case of a large varicocele with debility, in which palliative means had failed to relieve other than the symptoms of weight and pain, he operated in the hope that excision might, while curing the former, also benefit the generative state as he had noticed in other instances. The result was that the patient was sexually rehabilitated. His preference is for the operation known as "Bennett's modification," which he describes in detail in the paper.-Jour. Amer. Med. Ass'n.

Administration of Egg Yolk in Malnutrition.-According to Merck's Archives for February, A. Muggia (Semaine Médicale; N. Y. Med. Jour.) states that egg yolk may be advantageously injected subcutaneously, instead of lecithin, in cases of malnutrition in children. For the preparation of the injection, the egg yolk, obtained from a fresh, carefully washed egg, is mixed with one third of its weight of physiological sodium chloride solution in a sterilized glass by stirring with a glass rod, and the mixture is then strained through absorbent gauze. The initial dose of the solution is a cubic centimeter, and the injections are to be made in the buttocks or lumbar region. There is no manifestation of local or general reaction, provided that the usual aseptic precautions are taken, and that a light massage is practiced after the injection. The quantity injected each time may be increased up to but not beyond ten cubic centimeters, and the duration of treatment depends on the condition of the patient. The number of injections should not, however, be less than twenty. This treatment, it is asserted, rapidly increases the weight of the athrepsic child, as well as the hemoglobin content and red corpuscles of the blood, and much more rapidly than lecithin does when administered similarly.

St. Louis Medical Society Programme.The scientific programme announced for the meeting to be held Saturday evening, March 18, 1899, is as follows:

Discussion of the papers on "The Surgery of the Gasserian Ganglion," presented by DRS. CARSON, MUDD, and BREMER, on February 18.

PUBLISHERS DEPARTMENT

There is no Question, Neurosine is posi tively the most powerful and safest Neurotic, Anodyne, and Hypnotic known to the profession. There can be no detrimental after effects as Neurosine does not con.

DR. M. A. GOLDSTEIN: New Therapeutics of the Tym- tain Morphine, Chloral or Opium. Par excellence in the panic Cavity.

FRANK L. HENDERSON, Chairman, Executive

HOWARD CARTER,

H. MCC. JOHNSON,

Committee.

Ira D. Hopkins, M.D., of Utica, N. Y., writes to the Resinol Chemical Co., Baltimore, Md.: "Having

treatment of Epilepsy, Chorea, Neurasthenia, Migraine, Neuralgia and all forms of Convulsive and Reflex Neurosis. Produces natural sleep. Beware of substitution. Typhus "Renalis."-As a contribution to the the Psychologist, of Harvard College, has written a For the April "Scribner" William James, study of typhoid fever in which the renal mask the vigorous plea for the conservation of energy by a less abdominal symptoms, Rostoski publishes two observastrenuous manner of living on the part of American tions in detail (von Leube's clinic), in the Munich Med. men and women. It is aptly called "The Gospel of Woch. of February 14. The symptoms suggested se Relaxation." vere nephritis, although there were no uremic symp. toms or edema, and nothing indicated an infection ex cept the high temperature and enlarged spleen. The Widal test resulted positively; weak at first, but very used Unguentum Resinol for two or three years-over decided later, and colonies of the bac. typhi developed fifty boxes-for Hemorrhoids, Pruritus Ani and Vulva, from the urine on agar. In one case roseola was noted Eczema, and Bunions, I deem it a necessity, and would on the abdomen after a month, but transient. There were no intestinal symptoms until the fiftieth day, when suddenly all the classic symptoms of peritonitis appeared, following an enema to relieve the constant constipation, continuing more or less severe for two weeks, when the patient entered upon convalescence. Curschmann has noted six out of seventy three cases of "perforation peritonitis" in typhus, occurring after the fortieth day and one after the hundredth.-Jour. Amer. Med. Ass'n.

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where all others fail. I consider it a grand preparation, be at a loss to practice without this remedy, as it works and take pleasure in recommending it to physicians. I am sure when once used no physician would be with.

out it."

Better Still.-The influenza has been quite prevalent in a number of cities during the past month. In Richmond, there have been many cases, though no deaths distinctly attributed to it. It is affecting mostly

Lecture at Memorial Hall. Dr. Robert those who have had the disease almost annually during
Luedeking of the St. Louis Medical College lectured at
Memorial Hall March 13 under the auspices of the
Washington University Association. The subject of
Dr. Luedeking's lecture was "The Modern Conception
of Disease."

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Cirrhosis of Liver in a Child. In the Glasgow Med. Jour. for February is reported a case of cirrhosis of the liver in a child of 6 years, admitted to the ward in a moribund condition, and dying two and one half hours later. There had been the gradual swelling of the abdomen, ascites, diarrhea, temporary jaun. dice, splenic and liver enlargement, cyanosis and involvement of the respiration. Microscopic examination of the liver showed a pronounced cirrhosis, mostly of the multilobular type, though in places also mololobular. As an infant he had been given whisky in tea spoon doses for bronchitis, and having acquired a taste for it had never afterward been refused his "little drop" when the parents were thus "refreshing them. selves (and it seems to have been a not infrequent pro ceeding)." Medical literature records only about one hundred and thirty cases of this disease in children. Jour. Amer. Med. Ass'n.

the past few years. Although the attacks of this year are relatively mild, they are severe enough to keep business men away from their places of business. Phenacetin, or better still, Antikamnia, with salol or quinia, and a little powdered digitalis added, has proved a sat isfactory plan of treatment, presupposing, of course, that the bowels are kept open, the secretions of internal organs are attended to, and that the patient is kept in doors, especially at night or in bad weather.- Virginia Medical Semi-Monthly.

The West India Flyer.-A New Fast Train via the Mobile and Ohio Railroad, the short line to Florida and all Gulf Coast Resorts-Cuba, Porto Rico and the Antilles. Solid Vestibuled, Gas Lighted and Steam Heated Trains; Pullman Palace Sleeping Cars with Buffet and Drawing Rooms on all trains; Through Sleeper between St. Louis to Tampa. Only 40 hours, St. Louis to Tampa. For rates, time and other information, apply to any railroad ticket agent, or to F. L. Harris, General Agent, 420 Olive Street, St. Louis, Mo.; P. S. Hay, C. P. & T. A, Cairo, Ill.; J. T. Poe, Gen'l Traffic Manager, Mobile, Ala.; E. E. Posey, Gen'l Passg'r Agent, Mobile, Ala.

MEDICAL REVIEW

VOL. XXXIX.

A Weekly Journal of Medicine and Surgery.

ST. LOUIS, MO., MARCH 25, 1899.

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The following is a synopsis of reported intracranial operations for the cure of facial neuralgia. This synop. sis contains all the cases reported in literature or gathered by correspondence excepting the cases reported by Tiffany in his excellent article entitled "Intracranial Operations for the Cure of Trifacial Neuralgia."

The cases here reported may practically be consid ered to comprise all intracranial operations done for trifacial neuralgia reported up to date. The cases are numbered in harmony with Tiffany's table, so that the first case here recorded is numbered 109, so as to follow case 108, the last case recorded in Tiffany's table.

No. 109.-ABBE, R. (Annals of Surgery, 1897, page 97) reports one case of intracranial neurectomy; male, aged 46 years; Hartley method; recovery. No return of pain three months after operation.

Fearing future union of the divided nerve branches, it occurred to the operator to interpose a small sheet of sterilized rubber tissue under the ganglion. He therefore laid a rectangular piece, an inch long by half an inch wide, over the foramen rotundum and ovale and pressed it down by iodoform gauze, which was left in situ for another day.

On August 4, completing the fourth day from operation, the gauze was removed; all bleeding had ceased; the rubber tissue remained flat over the foramina; the ganglion and dura mater settled upon it; and the wound was closed by few sutures, no anesthetic being required, as anesthesia from nerve section included the temporal region.

'Read before the St. Louis Medical Society, Saturday evening, February 18, 1899.

Transactions of the American Surgical Assoc ation, Vol. xiv, page 1, 1896

NO. 12

No. 110.-ARTEIDA, FERNAND (Sigl. Med., Madrid, 1892, Bd. xxxix) reports one case of removal of the Gas serian ganglion, resulting in death from sepsis.

Nos. 111-12.-ANGERER (Archiv. f. klin. Chirurg., 1896; Bd. liii) reports two cases of removal of the Gas. serian ganglion; Hartley-Krause method; recovered.

Nos. 113-14-BIONDI, D. (Suppl. al Policlin., Roma., 1897-1898, iv, page 952) reports one case of excision of the Gasserian ganglion; recovery; restoration to health.

Biondi speaks of the removal of the Gasserian gang. lion as being without the slightest danger if skillfully performed, and recommends it in all cases of inveterate trigeminal neuralgia where all other measures have

failed.

Biondi (Ibid.) also reports a case of intracranial resection of the trigeminal branches; recovery; restoration to health.

No. 115.-BUCHANAN (Med. News, April 27, '95) reports one case of removal of the Gasserian ganglion; Hartley-Krause method; recovered.

No. 116-CARSON's case. Date of operation, August 13, 1898; recovery; restoration to health. See MEDICAL REVIEW, March 18, '99, page 206.

Nos. 117-19.-CORDIVELLA, A. (Tre Casi di Resezione Intracranica del Trigemino 8 v. Imola, 1897) reports three cases of intracranial resection of the trigeminal nerve, two on right side, males; one on left side, female; method: combination of Krause, Krönlein and Quéna; recovery in ail three cases.

CASE I.-Female, aged 53 years. Had neuralgia for four years in region of third branch of trigeminus, right side, greatest intensity at night. For four years had had very brief periods of repose. Medicines and gal. vanic battery of no avail.

Operation March 3, '97. Resection of third branch of trigeminus from external edge of the foramen ovale to the Gasserian ganglion with part adjacent to this. Drainage removed on third day and wound closed on tenth day; patient discharged.

March 19, '97. Some anesthesia, paralysis of muscles of mastication, but little disturbance from this.

CASE II -Female, aged 44 years. Had neuralgia for twenty years. Extracranic operation done in 1895, Lücke-Braun-Lossen method.

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