covery takes place under the exhibition of the remedies mental process which the immensity of modern medical of the pharmacopea, success has frequently been the advance has rendered a virtual impossibility for the result of suggestion, unconscious on the part of both average reader, who must now a days rely upon the doctor and patient. In support of this view, I would specialist to reduce science to applicable form. Recog ask you to call to your minds the success which often nizing this fact, Professor Hare has secured a corps of attends one practitioner in the use of drugs practically the most capable and advanced men, each of whom tells identical with those previously used by another one in in his own language, and in the form of an interesting a similar or even in the same case. But one inference narrative, the story of medical progress in his special can fairly be drawn from this-viz., that the former is able readily to enforce a feeling of confidence in the patient, and so more forcibly suggests that obedience to the instructions given will result in rapid recovery" Exactly so. And it is by its claim to be based upon religion that Christian Science succeeds in establishing that feeling of confidence so necessary to make the patient susceptible to suggestion. BOOK REVIEWS A Treatise on Fractures and Dislocations. FOR PRACTITIONERS AND STUDENTS. By LEWIS A. STIMSON, B.A., M.D., Professor of Surgery in Cornell University Medical College, New York. In one octavo volume of 823 pages, with 321 engravings and 20 fullpage plates. Price, cloth $5.00 net, leather $6.00 net. [Publishers, Lea Brothers & Co., Philadelphia and New York. In the work before us the eminent author has condensed his most comprehensive experience into a form particularly adapted to the needs of the student and practioner. The 'work will also serve as an excellent standard reference book for the surgeon and the student of special subjects who will find the abundant biblio. graphy of indispensable value. Although the work is, in one sense, a second edition of the volumes published in 1883 and 1888, it has been so largely rewritten that it is practically new. many illustrations add materially to the value of excellent and practical work. line. The four volumes which will be published each year will cover the entire round of practical medicine in the broadest sense, and their appearance at intervals of three months, instead of annually, will ensure the more rapid diffusion of knowledge, which is a requirement of our times. The first volume, just issued, is a substantial octavo of nearly 500 pages, illustrated with engravings and colored plates, and, as the yearly price for the set of four volumes is only $10.00, it is evident that an exceedingly large demand is anticipated. That these expectations will probably be fulfilled is a fair prediction in view of the admirable manner in which the able contributors have executed Professor Hare's novel and ingenious plan. NOTES AND ITEMS Fears of Yellow Fever.-The War Department has been advised that some apprehension exists in the Southern States that the return of the troops from Cuba may bring yellow fever infection. Protests have been made against the establishment of camps at Atlanta, and the suggestion has been offered that the troops should be sent North early and not mustered out in the South. So far as the Southern troops are concerned, it is possible to muster them out only near their homes. The Northern troops, it is intended, to bring North. It is stated at the Department that investigation into The the plan to establish a camp at Atlanta develops the this fact that the cost would be considerable, while there are established camps at Savannah, Augusta, and other points, with ample provision for the troops. For this reason, it is probable that no camps will be established at Atlanta. Progressive Medicine. A QUARTERLY DIGEST The War Department is taking every precaution posOF ADVANCES, DISCOVERIES, AND IMPROVEMENTS IN sible to prevent infection, and it makes no move withTHE MEDICAL AND SURGICAL SCIENCES. Edited by HOBART AMORY HARE, M D., Professor of Therapeu out consulting Surgeon General Wyman, of the Marine tics and Materia Medica in the Jefferson Medical Hospital Service. The Department is acting upon his College of Philadelphia. Octavo, handsomely bound suggestion and advice, and the whole matter of proin cloth, 490 pages, 28 illustrations and 3 colored tection against infection is in his hands. If there is the least danger of infection the troops will be brought at plates. [Publishers, Lea Brothers & Co., Philadelphia once to Camp Meade, in Pennsylvania. and New York] "Progressive Medicine" differs radically from the many Year Books, Annuals or Abstracts in which, by mere collation of material, an effort has been made to represent medical advance. The mass gathered in such publications is left for the reader to sift and digest, a A New Hospital.-Pursuant to the plans of a number of gentlemen who associated themselves to. gether for the purpose of establishing a hospital in St. Louis, at which persons of every class or condition, irrespective of nationality, race or color, might receive In the United States the best record is made by 9.1 and 9.2. Then follows Denver with 10.4. New Orleans is at the foot of the list with 27.2. Next above is Boston with 22.5, while Brooklyn and Philadelphia shows rates of 20.5 and 20.1 New York falls to 17.9 in spite of its bad name. Chicago's rate was 14.3, while St. Louis is put down at 17.3. medical and surgical treatment, the Provident Hospital ulation might be expected to result in a high rate of has been located at the northeast corner of Beaumont mortality, the rate was only 16.4-the same as the and Morgan streets. The Provident Hospital was in American average. In Paris the rate was 19.8, in Berlin corporated May 9, 1894, since which time the enterprise 16.4, and in St. Petersburg 32.4. German and English has been practically shelved until recently, when new cities seem to have the best records. blood was infused into it by the promotors by the election of the following board of directors: Dr. Minneapolis and St. Paul, the rate being, respectively, W. P. Curtis, President; Walter M. Farmer, VicePresident; Charles H. Dodge, Treasurer; James W. Grant, Secretary; Dr. D. W. Scott, Dr. Wm. H. Mansi fee, Dr. G. H. Jackson, Dr. O. T. Fields, Dr. W. P. T. Jones, R. A. Hudlin, John G. Petiford, A. W. Lloyd, Charles Turner, F. F. Scott, S. E. Offutt, J. W. Childs and W. B. Williams. Under the new management a building has been leased, is being fitted up and will be opened the coming week. While it is expected that the public will contribute generously toward the support of such an institution, it is the intention of the management to make it as nearly as possible self-supporting by exacting a nominal fee from those able to pay. Needle in the Heart.-At a recent autopsy in San Francisco, a piece of needle, three-quarters of an inch in length, was found firmly embedded in the heart. The cause of death was pleurisy. There was no indication that any bad effect had followed the piercing of the heart, and it was evident that the bit of steel had been in the vital organ for some time previous to the man's death. Medical Society of City Hospital Alumni, St. Louis.-The scientific programme of the Medical Society of City Hospital Alumni for the meeting of Thursday evening, April 6, 1899, was announced as follows: DR. GREENFIELD SLUDER: Exhibition of Specimens of DR. ROBERT TERRY (by invitation): Exhibition of Gross DR. CHARLES FAHNESTOCK: A Report of a Case of Pulmonary Tuberculosis With Tubercular Ulcers of the Esophagus. FRANCIS REDER, on "Odorless Iodoform." Committee St. Louis Mortuary Report.-The weekly report of the Health Department for the week ending St. Louis Academy of Medical and SurApril 1, shows two hundred and forty deaths, nine more gical Sciences.-At the meeting held Tuesday evethan during the previous week, and sixty-nine more than ning, April 4, Dr. A. H. Ohmann-Dumesnil read a paper during the corresponding week of last year. Thirteen deaths resulted from cerebro spinal fever, twenty-eight from consumption, twenty-six from pneumonia, ten from senility, one from surgical operation, two from suicide, seven from accident, three from diphtheria, two from croup, and two from whooping-cough. The Weekly Sanitary Report. The report of the Sanitary Division of the Health Department of St. Louis for the week ending April 1, shows eight new cases of small pox, eighteen of diphtheria, four of croup, nine of scarlatina, three of typhoid fever, twenty-two of cerebro spinal fever, twenty-two of measles, and seven of whooping cough. Some Health Statistics.-Comparative health statistics for the year 1897 contain the following in. formation: The average death rate in 21 European cities was 22.9 per 1,000, while in the same number of American cities the average was 16.4. This was to have been expected owing to the better sanitary provisions, cleaner dwellings and better food enjoyed in America. Reports of Cerebro-Spinal Fever. - Soon after the close of the civil war the country was inflicted with an unusual amount of cerebro-spinal meningitis, or spotted fever. Recently the attention of the medical authorities has been attracted to the prevalence of this disease, which seems to find easy victims in persons whose vitality has been reduced by the exposure or unusual nervous strain of a war period. Surgeon-General Wyman has sent to all officers of the Marine Hospital service and to health officers generally a letter of inquiry as to the appearance of the disease. Among the earlieast reports received are the following: ILLINOIS.-Cairo: During the winter of 1898-99 and up to date six cases and five deaths have been reported. There have been no investigations as to the causes or pathology of the disease. There are no cases at present known to the health officers. IOWA.-Des Moines: The only cases reported have been from Chariton. Of these one was fatal. The disease has been unofficially reported as present at Dubuque. No investigation as to the etiology and patholBut American superiority is not maintained in all ogy of the disease is known to have been made. Ducases. Thus, in London, where the congestion of pop-buque: One death reported since January 1, 1899. ARKANSAS.-Newport: Cerebro-spinal meningitis has Dr. H. M. Whelpley, Meyer Brothers' Druggist; Dr. Frank P. Norbury and Dr. T. A. Hopkins, Medical Fortnightly; Dr. Heber Robarts, American X Ray Journal; Dr. I. N. Love, Medical Mirror; Dr. O. F. Ball, Tri State Medical Journal; Dr. C W. Lillie, St. Louis Clinique; Charles Wood Fassett, Medical Herald; Dr. L. T. been prevalent in many localities of the State during the past sixty days. There have been a number of cases at Black Rock, Walnut Ridge, Bald Knob, Augusta and Newport. No reliable information as to the number of cases and deaths can be given for any locality except Newport, but most of the cases are known to have been Riesmeyer, MEDICAL REVIEW. A committee of five fatal. In Newport, during the past three weeks, there have been twelve cases, all of which have terminated fatally. No investigations as to the etiology and pathology of the disease are known to have been made. MISSISSIPPI -Jackson: Cases and deaths since October 1, 1898, numerous, but number not stated. was appointed to prepare a constitution and by laws, to report at the next meeting. The members are: Dr. L. T. Riesmeyer, Chairman, Dr. H. M. Whelpley, Dr. John Punton, Dr. I. N. Love and Dr. Frank P. Norbury. The Paris Exposition.-Paris will soon again The Relation Between Maternal Diseases be the attraction of the world. Parties are already be. and the Development of the Fetus.-M. ing made up to visit the Exposition which is to be held Charrin and M. Nattan-Larrier (Presse médicale, Feb- there next year, and it will be of interest to not a few ruary 22) presented at a recent meeting of the French of our readers to know that an American boarding. Society of Biology the case of a woman, 19 years of age, house, or, as the French prefer to call it, a pension is to who succumbed in the course of typhoid fever of hypo- opened where straight American will be spoken, and thermic type to cardiac syncope. This patient, in the they will have an opportunity besides of meeting folks seventh month of pregnancy, gave birth a few hours from their own country. It will be conducted by Prof. before her death to a child weighing only a little over Arthur Wisner and his wife who, though natives of two pounds (about thirty-four ounces and a third) France, have resided quite a while in New York City, which survived 48 hours. At the autopsy thereon were and who are well acquainted with American ways and found lesions of the heart and of the liver, which latter customs. They have taken a mansion in the neighbor. was in a state of fatty degeneration. The intestine and hood of the Bois de Boulogne, and intend fitting it up the liver contained staphylococcus aureus and bacillus in such a manner as to ensure that their guests will coli. This observation tends to show to what an extent have a comfortable home. Being well known to many the mother's diseases may influence the development of prominent doctors, the professor and his wife hope that the fetus.-N. Y. Med. Jour. their establishment will become the headquarters of the medical profession during the Exposition. ArrangeMeeting of Medical Journalists.-The med-ments have already been made for accommodating a ical journalists of St. Louis and a number of their profes- considerable number of prospective visitors, and the sion from other cities in Missouri and Illinois, gathered professor would be pleased to hear from others before about the festal board at the Southern Hotel, Friday he leaves for Paris, as he intends doing so shortly. For evening, March 31, 1899, to discuss World's Fair inter- the present he may be addressed at No. 605 Madison est in connection with the medical press. A former avenue, New York City. meeting had been held at which the Fair was indorsed and the profession pledged themselves to do everything St. Louis Microscopical Society.—The pro Malarial Hemorrhage.-The Revista Med. de Bogota, Columbia (XXI, No. 234), contains four observations related by P. Q. Romero, of Barranquilla, in which severe hemorrhage subsided at once upon the ad. Each case deceptively simuIn one there was profuse in their power to further the interests of the great ex-gramme announced for the meeting of April 6, was as position, but the last meeting was the birthplace of a follows: "Demonstration of Specimens of the Diplo new organization which will probably be known as the coccus Intracellularis Meningitidis," by Dr. Crandall; Medical Press Club of the Mississippi Valley. It will Demonstrations of Specimens, by Dr. Meyer. proceed along systematic lines in its efforts. A temporary organization was affected, and at the next meeting, which is to take place Friday, April 21, the club will be permanently organized. The discussion was entered into by all present, Dr. C. H. Hughes acting as chairman and Charles Wood Fassett as secretary. Twenty- ministration of quinine. five medical journalists were present, including Dr. lated another affection. Frank P. Norbury, of Jacksonville, Ill.; Dr. Jacob metrorrhagia, fever and debility, suggesting acute me. Geiger and Dr. W. J. Bell, of St. Joseph, Mo., and Dr. tritis, but the patient recovered at once with quinine, John Punton, of Kansas City, Mo. The charter mem- and another attack a few months later yielded to it in bers and the journals they represent are as follows: Dr. the same way. The second case simulated pneumonia, C. H. Hughes, Alienist and Neurologist; Dr. C. H. with fever and blood streaked sputa, but all the symp. Powell, North American Journal of Diagnosis and toms subsided with quinine. The third case with ex. Practice; Dr. John Punton, Kansas City Medical In- cessive hemoptysis, fever, night-sweats, cough and emadex, Kansas City; Dr. S. C. Martin, Jr., Medical Era; ciation, was supposed to be tuberculosis. Quinine arrested the entire syndrome, and by the end of the week the patient was entirely restored to health, with no recurrence of any of the symptoms to date. The fourth observation was a case of sudden, severe, rebellious epistaxis which he treated with quinine instead of tamponninfi, with almost immediate success. He always combines a few brief cold baths with the quinine treat ment.-Jour. Amer. Med. Ass'n. PUBLISHERS DEPARTMENT Removal Notice. On April 1, 1899, Messrs. Reed & Carnrick removed their business from their former location to their commodious new factory building, Nos. 42, 44 and 46 Germania Avenue, Jersey City, N. J. Their post-office address, until further no tice, will be P.O. Box No. 3042, New York City. In Cholera Infantum Imperial Granum Food has proved of priceless value being often the only nu. triment found suitable and capable of being retained. Ecthol in the Treatment of Erysipelas.— Ecthol, which is described as containing the active principles of Echinacea angustifolia and Thuja occiden talis, has been employed by Dr. Robert C. Kenner, of Louisville, in 22 cases of erysipelas. For adults he pre- Thousands of lives have apparently been saved by its scribes a teaspoonful every two to four hours; in very use, and it seemed to possess not only nutritive but mild cases, every six hours. In severe cases he would medicinal value, so immediately soothing and quieting begin by giving teaspoonful doses every hour until was its effect. This shows the vital importance of such some manifest impression is made on the disease. All a nutriment, one that is pure, natural and unsweetened his patients treated with this preparation did well. He and that can be easily and quickly assimilated even lays stress on seeing that the patient gets an adequate when the digestive powers are impaired by disease. amount of naurishing food and on the use of local treatment. As an application, he advises a solution of potassium acetate, fifteen grains to the ounce of distilled water. This is applied every hour or two.-N. Y. Med. Jour. St. Louis Medical Society Programme.The scientific programme announced for the meeting to be held Saturday evening, April 8, 1899, is as follows: 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. Har DR. F. E. CHASE: Report of a case of Tetanus Follow-ris, General Agent, 420 Olive Street, St. Louis, Mo.; ing Vaccination. Discussion opened by Dr. A. RAVOLD. P. S. Hay, C. P. & T. A, Cairo, Ill.; J. T. Poe, Gen'l In Venereal Diseases.-Dr. W. H. Bentley, of Woodstock, Ky., has found Unguentine extremely bene ficial in the treatment of bubos and venereal sores. He writes: "I would be unmindful of my duty to by brotherSanitarium for Consumptives.-The aban- practitioners if I did not give you some results I have doned Fort Stanton Military Reservation, in New obtained from the use of your most valuable preparaMexico, has been turned over to the Marine-Hospital tion. I have used it mostly in treating cases of venereal Service to be used as a test-sanitarium for consumptives diseases, such as bubos and syphilitic sores. In one in the army and navy. Surgeon General Wyman of the case, a young man who had been severely burned by Marine-Hospital Corps, has for a long time been of the nitrate of silver, I succeeded in the abortion of a large belief that consumption, when taken in the early stages, syphilitic ulcer by the prompt use of Unguentine. can be cured by removing the sufferer to a proper climate. In case the experiment achieves all that Dr. Wyman expects it will, the accommodations there will be so enlarged as to admit of the care there of all employes of the Government who become afflicted with consumption. Tourist Sleeping Car to California through, without change, via the Iron Mountain Route, leaves St. Louis every Friday. "In another case I used it as an injection in the urethra by melting Unguentine and obtained almost instant relief. I find it the best remedy in all such cases after fifteen years of practice and most certainly shall continue its use." To California.-The Pacific Coast Limited leaves St. Louis every Tuesday and Saturday at 8:00 P M., via the Iron Mountain Route, Texas & Pacific and Southern Pacific Railways. A train without an equal. Buffet, barbers shop, bath room, libraries, etc., on the train, and a most superior dining car service. MEDICAL REVIEW VOL. XXXIX. A Weekly Journal of Medicine and Surgery. ST. LOUIS, MO., APRIL 15, 1899. ORIGINAL ARTICLES Report of a Case of Removal of the BY H. H. MUDD, M.D., ST. LOUIS. peared complete. NO. 15 free hemorrhage from the middle meningeal artery, controlled readily by plugging the foramen spinosum with gauze. Access to the area about the ganglion was not difficult, but the ganglion itself was not exposed until after the second branch had been divided and pulled down. It then came into view and was readily detached. Second branch was divided near the fora. men rotundum. Third branch then severed and twisted out. Ganglion appeared natural. If any portion of it Patient, Mrs. M. M. S., 68 years of age. History: For was not removed it must have consisted of a very few fully thirty years has suffered from neuralgia of right fibrers of upper margin. The ganglion as removed apinfraorbital nerve. The attacks have grown in frequency and severity, finally involving all the branches of the fifth nerve. Ten years ago teeth were removed, for several years prior to which she had not been able to use a tooth-brush. In October, 1896, the infraorbital nerve was removed by Kocher's method and section made well back toward the sphenoidal fissure. For six months thereafter she remained entirely free from discomfort of any sort. Pain then recurred-though less severely than before the operation-in the infraorbital region. Has had "twitchings" and "uneasy" (not painful) sensations in the left side of the face for the past two years. Present condition: The attacks are now almost con tinuous, points of pain being in supraorbital region, cheek, and about the chin and lower jaw, as also in side of nose and infraorbital region. At one time patient weighed 172 pounds. Now her weight is 104 pounds. Patient admitted to St. Luke's Hospital November 23, 1898. November 27 prepared for operation. Just before operation patient was given a hypodermic of morphine sulphate gr. . Hartley-Krause operation November 28, 1898, 9 a.m. As a precautionary measure the upper and lower lids of the right eye were sutured together, the eye having previously been washed out with boric acid solution. Osteoplastic flap (horse shoe shape) with soft tissues adherent, the base being just above the zygoma was made with a chisel. A nick in the base of the bone flap was made at right angles to each end of the curved in cision to facilitate fracture. Dura mater exposed and detached from base of skull in middle fossa, and brain elevated by a flat, rather thin retractor. Somewhat 'Read before the St. Louis Medical Society, Saturday evening, February 18, 1899. There was some oozing from veins of the dura which was punctured at one point allowing the escape of con siderable cerebro spinal fluid. One pair of forceps was left on one of the veins of the dura. Gauze drain. Anesthesia, operation, and dressing consumed about two hours. The specimen was unfortunately lost. After-Treatment.-At 3:40 P.M., temperature 99°, pulse 118; 5 P.M., patient vomited freely; 7:30 P.M., temperature 102°, pulse 136, morphine sulph., gr. given; 9:55 P.M. morphine sulph., gr., strychnine sulph., gr. 1/2. November 29. Temperature continued all day in the neighborhood of 102°, pulse 130. Patient was semiconscious and very restless all night except when under the influence of the narcotic. At 8:45 A M., there occurred twitching of the right arm and leg with occa. sional transitory spasm of the entire body. Forceps and gauze drain removed. Gauze pack moist with bloody serum. Another gauze drain was introduced to the opening in the bone through which the forceps had protruded. November 30. Patient was very restless, at times delirious, talked a great deal. Temperature receded to 100° during the day. December 1. Slept fairly well. Complained of headache. Temperature 100°. December 2. Slept better than previous night. At 7 P.M., temperature reached 98.8°. December 3 and 4. Temperature went up to 100°. From this point the temperature gradually decreased reaching normal December 9. The rest of the conva lescence was uneventful. Wound healed by first intention, without suppuration Patient discharged well December 19. The following are extracts from notes made by the patient December 13, 14, 15 and 16, two weeks subse |