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the prying and ignorant inspector, dangerous cases escape attention and spread dis


* * *

gery have been evolved in like manner by men who, without help, have been obliged to think for themselves. The city physician rarely thinks beyond a certain point, while his country colleague in his long and lonely drives or rides throughout the country is making the best of his resources and develops his mind far in excess of his city brother.

Thus when the country practitioner envies his professional colleague in the city, he must remember not only the advantages of city life, but also disadvantages, and the city physician, too, should thank his country brother for many original ideas and hints in the practice of medicine and surgery.

* * *

When the city physician has a difficult case which requires assistance, it is an easy matter

to call in a colleague and Country Surgery. have a consultation and this

exchange of opinion is usually for the patient's benefit. When the country physician, however,, has a difficult case he either has to work it out himself or send it away to the city and lose it altogether. When a man is in a puzzling position and has to rely on himself, he usually works it out and uses his brains and for this reason the country practitioner often has a better head on his shoulders than his city confrère.

The records of country surgeons who practice all specialties show ingenuity and skill and such work where self-dependence is all important brings out the best in a man. Dr. Henry E. Stafford of Salinas, California, has recorded some of his work in the Pacific Medical Journal and this he has written, he says, for the perusal of my humble country brethren who like myself are trying, or would like to try, eren under disadvantageous circumstances, to do their own surgical work instead of sending the most important and best paying part of their practice to the city surgeon.” Of course this writer does not mean that he would attempt to treat and operate on cases which he does not understand rather than have them properly treated in the cities.

His method of reducing an otherwise irre. ducible hernia is, as far as he knows, original with himself. He was called on two different occasions to reduce an enormous hernia and failing in the usual methods of taxis, he took an ordinary rubber bandage two and a half inches wide and three yards long, and winding it around the scrotum containing the hernia and with the penis, commencing below the center and drawing it tighter at the lowest part until all the parts were covered by the bandage, which exerted constant pressure. With each layer he drew it tighter and before half the bandage was used up the bowel had slipped back and the hernia was reduced. This was not as painful as taxis and was much more effective. This same method he used in reducing a prolapsed rectum in a boy.

This is the type of a man who thinks and many of our best ideas in medicine and sur.

Sudden death is ordinarily attributed to heart disease and the common expression

“ heart failure " shows the enSudden Death. deavor on the part of the pro

fession to find some term which shall be intelligible to the laity explaining sudden death. Dr. Thomas M. Durell, in his duties as medical examiner, in the Boston Medical and Surgical Journal, regrets that so many sudden deaths are not investigated and says that it is a popular belief among the laity, and the profession as well, that the cause of sudden death is either a disease of the heart or an apoplexy. He believes that a large number of sudden deaths occur each year from undetected pneumonia. He has found in many instances in post-mortem examinations small and even large patches of lung consolidation which had not at all been suspected during life and in so many cases added to this pneumonia was alcoholic excess and exposure to cold and wet. A man is arrested and put in a cell and in the morning is found dead. Or a

comes home feeling badly and chilly and the next morning she has passed away. Again edema of the brain from alcoholic excess may and often does cause sudden death.

There may be many other causes enumerated but the moral is, in the writer's opinion, that the making of an autopsy in sudden death is absolutely necessary and should be demanded by every physician.

If the coroner and city physician would take the work of Dr. Durell to heart and then urge the necessity of autopsies in all cases possible, they would add much to the statistical literature of medicine and indirectly prevent some of the many sudden deaths.


I 2



against the New York Sun, and $25000 against

the National Police Gazette. We are indebted to the Health Department

Professor Hering has been called from of Baltimore for the following statement of

Prague to succeed the late Professor Carl cases and deaths reported for the week end

Ludwig in the chair of Physiology at Leipsic. ing July 20, 1895.

A Clinic of Mental Diseases has been estab

lished in the University of Giessen. Kiel Diseases.


Deaths and Rostock are now the only German uniReported

versities which have no psychiatric clinic. Smallpox....

The following names of distinguished scienPneumonia.

6 tific and medical men will be given to differPhthisis Pulmonalis.

14 ent Paris streets : Trousseau, Charcot, David Measles...

25 3 Ulysse Trélat, Milne Edwards, Jean Baptiste Whooping Cough..

5 5

Dumas. Pseudo-membranous


4 Croup and Diphtheria

It is claimed by the Oriental Life Insurance Mumps.

Company of Calcutta that for the past Scarlet fever. Varioloid.

twenty-five years not a death has occurred Varicella.

which could be directly attributed to the use Typhoid fever.

6 of opium.

According to the census of 1890 there were It looks now as if the Index Medicus would

said to be at that time in the United States be continued.

104,803 physicians and surgeons, that is, one The Dartmouth Medical School has raised

to every 600 population, 89,630 lawyers, 88,295 its standard of admission.

clergymen, 58,090 nurses and midwives and The movement to build a hospital for con 17,498 dentists. sumptives near Baltimore has been revived.

At a meeting of one of the large English According to the Chicago Tribune the phy insurance companies it was shown that more sicians of that city do not collect more than than six hundred thousand dollars had been one-half of their accounts.

paid out for deaths due to influenza. The reA physician in Berlin was recently impris. port of the Secretary showed that this disease oned for one month for writing a prescription

has cost the insurance companies more in the carelessly, thereby causing death.

last two years than in the previous forty-three The Metropolitan Telephone Company of

years. New York allows free use of its pay stations

The American Laryngological Society has to call a physician or ambulance.

decided to hold its next meeting at Pittsburg,

Pa. The following officers were elected for When a physician in Arkansas becomes an habitual drunkard the State Board of Health

the ensuing year : President, Dr. W. H. Daly, is by law enjoined to revoke his license.

Pittsburg; First Vice-President, Dr. Jona

than Wright, Brooklyn; Second Vice-PresiThe Monthly Retrospect of Medicine and

dent, Dr. A. W. de Roaldes, New Orleans ; Pharmacy is a new publication just received

Secretary and Treasurer, Dr. H. L. Swain, at this office. Its editor is Dr. E. H. Gingrich

New Haven; Librarian, Dr. J. H. Bryan, of Philadelphia.

Washington. We learn that Dr. F. Ferguson has been

At the meeting of the Medical Society of appointed visiting physician and pathologist,

New Jersey, the following officers were and Dr. George F. Shrady a visiting surgeon

elected: President, William Elmer; First to the Columbus Hospital of New York.

Vice-President, T. J. Smith ; Second ViceIt has been proposed in England to make President, D. C. English ; Third Vice-Presibutchers and fishmongers pass an examina dent, C. R. Fisher ; Corresponding Secretary, tion in the use of the microscope before be E. L. B. Godfrey ; Recording Secretary, Wiling granted a license.

liam Pierson ; Treasurer, Archibald Mercer. Two physicians of New York have recently The next meeting will be held at Asbury been awarded damages for libels on suits Park, the fourth Tuesday in June, 1896.


that many of the cases here recorded were

first observed by Mitchell, Morehouse and OFFICIAL LIST OF CHANGES IN THE STATIONS Keen, and published in 1864. Consequently AND DUTIES OF MEDICAL OFFICERS.

we have here the unique record of cases for a

period of more than thirty years. Chapter I UNITED STATES ARMY.

is devoted to the consideration of contusions Week ending July 22, 1895.

of nerves ; a number of cases are mentioned Leave of absence for one month with per showing the effect of injury near, but not dimission to apply for an extension of ten days,

rectly involving, the nerve itself. Especially to take effect on or about July 20, 1895, is granted Colonel Dallas Bache, Assistant Sur

interesting are the curious trophic effects regeon General, Medical Director Department sulting from apparently slight structural disof the Platte.

turbance, and lasting many years. Leave of absence for two months, to take

In Chapter II, Section of Nerves, attention effect on or about July 13, 1895, is granted Colonel Charles T. Alexander, Assistant Sur

is directed to the persistence of sensation, geon General.

and the possibility of the nerve not being enCaptain William H. Corbusier, Assistant tirely divided is suggested as an explanation. Surgeon, will in addition to his present duties

Of course in some instances anastomosis take charge of the Medical Supply Depot in New York City, during the absence on leave

might be more or less complete. In a few of Colonel Alexander.

cases motion was partly or wholly regained, UNITED STATES MARINE SERVICE.

while sensibility remained impaired. This is Fifteen days ending July 15, 1895.

certainly very rare. Among the curious after

effects may be mentioned exaggerated sensiP. H. Bailhache, Surgeon, to assume command of Camp Low Quarantine, July 5, 1895.

bility to heat and cold, and in some instances W. H. H. Hutton, Surgeon, to report at Bu

a higher local temperature on the injured reau for temporary duty, July 12, 1895.

side persisting years after the receipt of the W. A. Wheeler, Surgeon, relieved from

injury. command of Camp Low Quarantine, July 5, 1895.

In Chapter III there are a number of interC. E. Banks, Passed Assistant Surgeon, to

esting cases of injury to the cord. In some proceed to Detroit, Michigan, on special tem of these cases there was marked degeneration porary duty, July 5, 1895.

of the columns of the cord, curiously enough H. T. Goodwin, Passed Assistant Surgeon, granted leave of absence for thirty days, July

not always following the rule. In some of 12, 1895.

these cases polyuria was noted and also G. T. Vaughan, Passed Assistant Surgeon, marked increase of the sexual instinct. granted leave of absence for seven days, July Chapter IV illustrates the various ways in 6, 1895.

which the inflammatory process, originating J. B. Stoner, Passed Assistant Surgeon, to proceed to Detroit, Michigan, for temporary

in one nerve, may spread to others or even duty, July 12, 1895.

involve the cord. It is significant, in view J. M. Éager, Passed Assistant Surgeon, to of certain recent theories, to observe how proceed to Southport, N. C., and assume command of Quarantine Station, July 6, 1895.

rarely the cord becomes involved in neuritis. W. J. S. Stewart, Assistant Surgeon, granted

Under the heading “Miscellaneous Cases” leave of absence for nine days, July 5, 1895. are reported several interesting instances of

H. W. Wickes, Assistant Surgeon, granted tremor following nerve injury. The last two leave of absence for twenty-three days, July

chapters in the book are devoted to the con5, 1895.

sideration of nerve degeneration and repair, BOOK REVIEWS.

and to the treatment of nerve injury and in

flammation. The book is a valuable one and REMOTE CONSEQUENCES OF INJURIES OF will be read with interest not only by the

NERVES AND THEIR TREATMENT. By John specialist, but also by the general practiK. Mitchell, M. D., Physician to St. Agnes

tioner. Hospital, Assistant Physician to the Orthopedic Hospital, Lecturer on Physical Diagnosis University of Pennsylvania, etc.

BULLETIN OF THE MEDICAL SOCIETY OF THE Lea Brothers & Co., Philadelphia.

WOMAN'S MEDICAL COLLEGE OF BALTI. This little volume is not only an interesting and important contribution to neurology, The fourth number of this ulletin, under but it possesses an additional value in the fact the able editorial management of Dr. Eugene


F. Cordell, has just made its appearance. It CURRENT EDITORIAL COMMENT. is an index of the high character of the work done by that college, its alumnae and faculty.

LITERARY DEGENERATES. It contains many interesting articles and ab

Physician and Surgeon.

If there be any truth in Doctor Max Norstracts and is well printed. The alumnae would perhaps find greater enjoyment in it if

dau's telling indictment of modern literature there were not so many scientific articles and

and art, as presented in his entertaining work a few more personal notes and reports on the

on degeneration, the matter is one more for doings of graduates.

the attention of the physician than the moral. ist. The physician will be the one, if any,

who “recognizes at a glance, in the fin de REPRINTS, ETC., RECEIVED. siècle disposition, in the tendencies of con

temporary art and poetry, in the life and conThe Jefferson Medical College of Philadel.

duct of the men who write mystic, symbolic phia, 1895-I896.

and decadent works, and in the attitude taken

by their admirers, the confluence of two wellFifty-first Annual Announcement of the

defined conditions of disease with which he is Eclectic Medical Institute, Cincinnati.

quite familiar, degeneration and hysteria." The Murphy Button ; with Report of an

MEDICAL CENTERS. Unsuccessful Cholectystduodenostomy. By

New York Medical Journal. Aug. Schachner, M. D., Ph. G. • Reprint The degree of importance attained to by from the American Medico-Surgical Bulle any particular center of medical teaching is tin.

justly held to be dependent in great measure Some Points on the Technique of Kidney

on the excellence with which it does its work, Operations. By Charles S. Briggs, A. M.,

on the abundance of its clinical resources, M. D., Nashville, Tennessee. Reprint from and on the adequacy of its equipment in the the Nashville Journal of Medicine and Sur way of laboratories and the like. But this is gery.

by no means the whole story. A certain large Civil Service Reform in State Institutions ;

city becomes the medical center for a pretty Reorganization of the Medical Staff. By

definite area of country, and with little variaBoerne Bettman, M. D., Chicago. Reprint

tion continues for long periods of time to perfrom the Journal of the American Medical

form its function accordingly. It would be Association.

interesting to have the data so displayed as to

show graphically in detail the territories tribSuggestions for a Portable Instrument Bag ;

utary to the various great centers of medical Operating Overalls ; Bandage for Suprapu

teaching in the United States. bic Dressings ; a Blanket for Protection of

CONSERVATIVE GYNECOLOGY. Patients during Operations; a Table for the

The Journal. Trendelenburg Posture; the Sterilization of REGARDING the treatment of chronic disSponges ; an Antiseptic Soap Paste. By Aug. eases by radical measures, it is doubtful if any Schachner, M. D., of Louisville, Kentucky. advance, further than perfecting details, will Reprint from the Annals of Surgery.

ever be made in the gynecology of the future Messrs. P. Blakiston, Son & Co., of Phila but in reviewing the field we must acknowl. delphia, announce that they have in prepara edge that little has been done toward curing tion for early issue an authorized translation the poor woman who has jnst reached her by Dr. Albert B. Hale of Chicago, of a Hand couch of suffering with the first attack. The book of Diseases of the Eye, by Dr. A. Eugen hot poultice, or the douche, or the drug, does Fick of the University of Zurich. This is not seem to have materially lessened the one of the most complete, thorough and com number of our unfortunate sufferers, so that pact of text-books. Among its other merits in retracing their footsteps back to the methit contains a number of very handsome colored ods of the elder Simpson, and bending their illustrations, not of rare or unusual cases, but energies to the development of conservative of practical matters that will greatly aid the and prophylactic work, gynecologists are putstudent and be of much service to the practi- ting themselves in line with co-workers in tioner. The retail price will be from $3.00 to other specialties and showing commendable $4.00.

scientific courage.


PUBLISHERS' DEPARTMENT. All letters containing business communications, or referring to the publication, subscription, or advertising department of this Journal, should be addressed as undersigned.

The safest mode of remittance is by bank check or postal money order, drawn to the order of the Maryland Medical Journal; or by Registered letter. The receipt of all money is immediately acknowledged.

Advertisements from reputable firms are respectfully solicited. Advertisements also received from all the leading advertising agents. Copy, to ensure insertion the same week, should be received at this omce not later than Monday.

Physicians when communicating with advertisers concerning their articles will confer a favor by mentioning this Journal. Address: MARYLAND MEDICAL JOURNAL,

209 Park Avenue, Baltimore, Md.

IF YOUR patient is already thin, and still losing in weight, he is suffering from malnutrition, and is on the road to phthisis. Stop this condition at once by aduintstering two or more teaspoonsful of Seng before each meal.

The Elixir Six Iodides, Elixir Six Bromides, Elixir Six Hypophosphites and Elixir Six Aperiens (Walker Green's), have been made uniform in price, viz.: $8.00 per dozen. These Elixirs are rapidly gaining the confidence of the profession. The latest circular can be obtained upon request.

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GREAT RELIEF.-J. Ringwood, L. R. C. P. I. and L. M. L. R. C. S. I., Kells, County Meath, Ireland, writes : “I have had the most satisfactory results from the use of Lilly's Glycones. Besides their certain gentle action on the bowels, they give the greatest relief in all cases of pelvic congestion, pruritus and internal hemorrhoids."


THERE is perhaps no remedy which is so efficient in all cases of asthma, regardless of their source, as sodium iodide.


Successive crops of boils in gouty patients may be prevented by the use of colchicum in doses of from a half to two-thirds of a grain a day.

The latest remedy for the vomiting of pregnancy is a twenty per cent. solution of menthol in olive oil. The dose is ten drops on sugar when the nausea appears.

DEPILATORIES are always in demand. The popular product is barium sulphide, made into a paste with zinc oxide, amylum and water; applied for half an hour and removed by washing.

ANTISEPTIC surgery has revolutionized obstetrics and gynecology and it would be useless to here reiterate what every member of the medical profession knows regarding the role of septic infection in obstetrical gynecological cases. In the practice of these special" ties Borine has a very broad field, having proved itself an antiseptic and deodorizer par excellence. It can be applied pure or in solution to the mucous membrane in all forms of vaginitis. It can be applied pure to the cervix in all forms of endocervicitis. Borine in the form of a douche composed of one to two tablespoonsful with a pint of warm water is an excellent remedy for the treatment of vaginal catarrh, leucorrhea and other inflammatory conditions of the vagina and uterus, cleansing the inflamed membrane from all irritating and ill-smelling discharges, stimulating and toning it to a normal condition. Tampons soaked in a 50 per cent. solution of Borine in glycerine will be found to be effective for the relief of congestion and the diminution of the discharge and pain in metritis. In urethritis pure Borine applied to the inflamed urethra wi quickly subdue inflammation and establish a cure.


HEDDERICH, says Medicine, contributes to the Munchener med. Wochenschrift an account of a new and powerful hemostatic which he calls ferripyrine. It is a double salt of chloride of iron and antipyrine, an orange-red powder, easily soluble, and is used in solutions of a strength of 18 or 20 per cent. It can, however, be used as a powder. Caustic action has not been noticed even after prolonged contact with the mucous membrane of the nose. It will stop hemorrhages from very vascular growths.

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