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PUBLIC SERVICE.

ent of Battle Creek Sanitarium, gives in this

comprehensive book the-results of his work OFFICIAL LIST OF CHANGES IN THE STATIONS

in this institution. The art of massage in AND DUTIES OF MEDICAL OFFICERS.

various diseases and conditions is here exUNITED STATES ARMY.

plained and plates and anatomical data are Week ending August 5, 1895.

supplied for the use of readers of this practiThe leave of absence for seven days granted cal work. After a brief sketch of the history Major C. K. Winne, Surgeon United States

of massage, and an outline of the parts especiArmy, is hereby extended twenty-three days. Captain W. Fitzhugh Carter, Assistant Sur

ally concerned in massage, the author gives geon United States Army, granted leave of in twenty pages an exceedingly lucid stateabsence for one month.

ment of the physiological effects of massage, UNITED STATES MARINE SERVICE.

in which the subject is brought up to the latFifteen days ending July 31, 1895.

est date. Many manipulations are described W. H. H. Hutton, Surgeon, to proceed from

and examples are given directing the nurse Washington, D. C., to Pensacola, Fla., on special duty July 18, 1895.

or attendant. Massage is an important and J. B. Hamilton, Surgeon, granted leave of

little used remedial agent, which just such absence for three days, July 30, 1895.

books as this one will help to bring into W. A. Wheeler, Surgeon, detailed Chair

prominence. It is not a cure-all as many enman Board for physical examination of candidate Revenue Cutter Service, July 23, 1895.

thusiasts would have us believe, but it is a D. A. Carmichael, Passed Assistant Surgeon,

means within the reach of all intelligent detailed to make physical examination of nurses and attendants who will give the subcandidate Revenue Cutter Service, July 26,

ject the attention it deserves.
1895.
L. L. Williams, Passed Assistant Surgeon,

The illustrations are numerous and in most granted leave of absence for ten days, July cases are of use. On the whole this subject is 20, 895.

one that can be best taught by practice and G. M. Magruder, Passed Assistant Surgeon,

any book, even one as good as this, can only to proceed from Galveston, Texas, to New Orleans, La., for temporary duty July 27, 1895,

be used as an aid to practical work. An inorder to proceed to New Orleans suspended teresting chapter is that on the rest cure. An and directed to proceed to Eagle Pass, Texas, appendix contains a long list of cases. Techfor special duty July 31, 1895.

nical terms have been avoided and as far as J. C. Perry, Passed Assistant Surgeon,

possible the directions are specific, even if in granted leave of absence for twenty days, July 16, 1895.

some places they are rather short. The book E. H. Sprague, Assistant Surgeon, to pro is well bound and clearly printed. ceed from Mobile, Alabama, to Key West, Florida, for temporary duty, upon completion REPRINTS, ETC., RECEIVED. of which to rejoin station at Mobile, July 18, 1895. A. R. Thomas, Assistant Surgeon, to pro

Albany Medical College, 1895-1896. ceed from Buffalo, New York, to New Or College of Physicians and Surgeons of Balleans, Louisiana, for temporary duty, July 20,

timore, 1895-1896. 1895.

H. S. Cummings, Assistant Surgeon, de Georgetown School of Medicine, Washingtailed as Recorder, Board for physical exam ton, D. C., 1895-1896. ination of candidates, Revenue Cutter Service, July 23, 1895.

The Richard Gundry Home (Harlem Lodge), J. B. Greene, Assistant Surgeon, to report Catonsville, Baltimore County, Maryland. at Bureau for temporary duty, July 16, 1895.

The History of Medicine and Surgery in

Georgia. By Luther B. Grandy, M. D., AtBOOK REVIEWS.

lanta. Reprint from the Atlanta Medical

and Surgical Journal. THE ART OF MASSAGE ; Its Physiological Ef A Curious Anomaly of the Female Genitalia fects and Therapeutic Applications. By..

with Striking Resemblance to some of the H. Kellogg, M. D., Member of the British Gynecological Society, etc. Modern Medi

External Male Elements Converted by Plastic cine Publishing Company, Battle Creek, Surgery into a Woman of Normal AppearMichigan. Price $3.00. Pp. 282.

ance. By W. A. H. Coop, M. D. LaurenceDr. Kellogg, who has gained a long and burg, Tennessee. Reprint from the Americarefully applied experience as superintend can Gynecological and Obstetrical Journal.

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CURRENT EDITORIAL COMMENT.

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 checkos 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 office 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.

NOTES.

For simple fever, give a cathartic and demand rest in bed. This is all that is necessary.

STRYCHNine is now used for all forms of uterine hemorrhage, and many reports are very favorable.

EQUAL parts of glycerine and castor oil, to which is added a little oil of cinnamon, make a pleasant purgative for children.

OPHTHALMIA NEONATORUM.

Archives of Pediatrics. PURULENT conjunctivitis of the newborn, although capable of inflicting one of the most terrible disasters which can befall a child, is practically a preventable disease. Prevention is not difficult. In few diseases is there greater unanimity of opinion as to the measures to be employed. There is little excuse for its occurrence on the ground that treatment is uncertain or difficult. Precautionary measures should be taken with every infant.

A NEGLECTED DUTY.

American Medico-Surgical Bulletin. “MEDICAL fraternity” is an expression widely employed even by physicians themselves. Possibly they have caught the term from the lay public, a body easily satisfied with things which do not directly concern it. Just how widely a brotherly sentiment is disseminated among practitioners of medicine is a matter of some uncertainty. There is a professional etiquette, more or less strictly observed, which is not so much an evidence of goodwill as it is that of an armed neutrality. In the active rivalry which exists today, when new men are continually entering the field, and when the lack of money is becoming, more and more, an obstacle to success, it is neither surprising nor unnatural that the struggle is one of great activity, where every one looks out for himself.

UNNECESSARY NOISES.

Medical Record. It is unnecessary to allude to the widespread evil effects of noise upon the public health. If the accumulated agony of irritability could find a common voice it would dangerously jar the equilibrium of the public peace. The only mercy is that it has so many different vents through the thousand channels of individual protests that a general explosion of wrath is thereby averted. Appeals are often made to the Health Board for the suppression of such noises as may be construed as prejudicial to health. Practically all unnecessary noises are such, although the police catalogue places many under the designation of disorderly ones. The difficulties in the way of deciding which is which are not few. The Health Department, with all its power, cannot seemingly make a politic distinction.

*

NITROGLYCERINE, three drops a day of a i per cent. solution, is a powerful anti-neuralgic, especially in persistent sciatica.

SULPHUR is recommended as an antiseptic wound dressing, especially in articular tuberculosis. It is extensively used in Guy's Hospital in this way.

STRONG lemonade, or the juice of lemon, is recommended for whooping-cough. It exerts a very favorable influence over the disease, and is also a prophylactic.

In gonorrhea, irrigation with warm water slightly alkaline is safe and good treatment. About one quart of water should be used once a day from a fountain syringe three or four feet above the patient's head, the patient standing

A PHYSICIAN reports that he has not failed for many years to quickly check every case of vomiting of pregnancy, neuralgic toothache and pruritus pudendi of the pregnant state, simply by a single vesication over the fourth and fifth dorsal vertebrae.

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ANTE-PARTUM HOUR-GLASS CONTRACTION. A REPORT OF A CASE, WITH SOME INCIDENTAL CONSIDERATIONS CONCERNING THE ABUSE OF ERGOT

IN PARTURITION. READ BEFORE THE ALLEGANY COUNTY ASSOCIATION OF PHYSICIANS AND SURGEONS,

JULY II, 1895, AND PUBLISHED BY THE ASSOCIATION.

By B. M. Cromwell, M. D.,

Eckhart Mines, Md. ON January 4, 1893, I was called at nate when her pains became active and eight o'clock in the morning to see Mrs. expulsive, I left her, to return again at c., who I found was in the first stage of 10 A. M. and again at 12 M., at which labor. An examination showed that time there was no change in the situathe vertex presented to the left, and tion except that the os was perfectly that the os was soft and yielding, and patulous, soft and yielding, and the was dilated about the size of a nickle vagina was well lubricated with mucus. five cent piece. The pains were the The pains however were of the same slow grinding pains of the first stage, character as at my first visit, slowly and were slight; she had felt them all recurring, slight and grinding. I left during the night. She called my atten- again, and returning at 2 P. M., found tion to the unusual size of the abdomen, the condition of things practically un-which indeed I had noticed myself - changed-pains just severe enough to and suggested she was going to give keep the woman in a state of anxious birth to twins. This caused me to make expectancy, but no advance of the head. a very careful external examination by I began to feel a little anxious myself ; which I assured myself that it was a for in her four previous confinements, in single pregnancy, and I reassured her all of which I attended her, her labors on that point. The head was plainly were not noticeably prolonged or severe, felt above the pubic arch, and following and in the one last preceding this the the contour of the spine, the nates could labor was of very short duration. But be felt in the right hyprochondriac re acting on the old and very wise maxim gion. I concluded her unusual size that "meddlesome midwifery was bad," was due either to a very large child or I made myself comfortable and awaited to an excessive quantity of water. It results. proved to be due chiefly to the latter At 4 P. M., the condition of things cause, although the child was above the being still unaltered, while the woman average size.

was growing more and more anxious After explaining to her that all was and despondent, at the, to her, unusual right and that her labor would termi. delay, and by her prolonged suffering,

and as the parts were in a state of thor- vigorous and determined effort until I ough preparation for immediate delivery became again thoroughly exhaused. if the pains could be aroused to activity Again it happened that as soon as the I determined to rupture the sac and traction force was suspended or relaxed allow the escape of the water, for I be the little advance made was lost, the lieved that the uterus was partially para. head would recede to its original posi. lyzed by over-distension. This I did, tion. seating her over a chamber and punc I then told the husband of the wo. turing the bag with a knitting needle. man that I felt myself physically unAfter the first gush of water I lifted the able to effect the delivery, and that head from its position on the brim of he must bring to my assistance another the pelvis and allowed the free discharge physician. In about a half hour Dr. of all the water, the chamber being McGann arrived and seemed surprised, about two-thirds full. At 5 P. M., the after a careful examination, that there pains had become but little if at all in should be any difficulty about effecting tensified, and there had been a slight delivery. So the woman was again descent of the head, enough to engage given chloroform, the forceps carefully it in the brim of the pelvis.

reapplied and handed to him for trial. The woman's fears for her safety were Dr. McGann was too polite to say so, but becoming fully aroused, and I deter I saw that he thought he was going to mined to administer a moderate dose of have a soft snap of it. He exerted all ergot, about ten drops of the fluid ex his strength until he in his turn became tract, but before doing so I introduced exhausted; when I relieved him and my hand into the vagina, and with my tried it again. But it was of no use; fingers swept freely round the present I was no more successful in this than in ing occiput, assuring myself in this way any of the previous efforts, and as a last there was no possible obstacle to the resort I handed the forceps, after seeing easy exit of the child when expulsive that they were properly adjusted, to the pains should set in. In about fifteen or woman's husband, a powerful miner, twenty minutes the uterus began to who was standing by me, and instructrespond to the ergot ; the pains became ing him how, told him to exert all his almost continuous and towards the

strength. The force he put forth was close, very severe, but except an addi that of a fresh and powerful young man, tional slight advance of the head with and I saw at once that the obstruction, out material effect. This advance seemed whatever it was, was overcome, and to respond to the first pains after giving taking the forceps from him completed the ergot, but afterwards, when the the delivery without difficulty. pains became really intense and almost The child, which was large but not continuous, I could discover no advance excessively so, was removed, and introwhatever.

ducing my hand, I removed the placenta These pains continued for about one by Credé's method, thus terminating hour and then completely gave out, the labor as quickly as possible ; for there being finally scarcely a semblance I was anxions for the condition of the of one. I then sent to my office for my mother after so much pulling and haul. forceps (Bedford's), determining to effect ing. On introducing iny hand into the delivery in that way. I had no diffi uterus I met with an hour-glass contracculty in applying them but with all the tion, a portion of the placenta being force I could use I could make no im in the lower, but the bulk of it was in pression on the delivery of the child.

the upper chamber. My hand passed The advance made during traction be

through the constriction with some difcame lost when the effort was relaxed. ficulty, and in a few minutes the delivI continued the effort until I became

ery was effected. quite exhausted, and after an interval The above is almost a literal tranof rest of about ten minutes, and after script of the notes of the case taken at readjusting the forceps, I made another the time of its occurrence.

I say this

was

to show that after the lapse of over two worth incorporating in full did time years I have not trusted to my memory and space permit. I must content myfor the facts and incidents that make up self by giving as brief a synopsis of it as the history of this interesting case. possible. The woman

thoroughly ex Dr. Miltenberger was called to meet hausted by the severe ordeal through and assist Dr. Wilson in an obstetrical which she passed, and excited my anx case, a primipara of 27 or 28 years of iety for the result, but her recovery was age. The membranes had ruptured five uninterrupted and complete and without days before, and when the woman was any serious after-consequences.

taken in labor everything proceeded The child was with some difficulty regularly but so slowly that Dr. Wilson resuscitated. At first I was sure its determined, after satisfying himself neck had been broken or dislocated by that the os was well dilated and yielding, the severe and prolonged traction it un to apply the forceps and terminate a derwent. If left unsupported the head slow and exhausting, but not otherwise fell in any direction exactly as in an abnormal labor. He applie

He applied first a adult whose neck has been broken. He Simpson's forceps and finding that inefis now, however, a well grown boy. fectual he applied a Tarnier. With this

This case was a puzzle to me for he could bring the head down to the many days. I could not imagine what vulva but on relaxing his effort the head the difficulty was or where the obstruc- immediately receded to its former position came in. I knew there was no im- tion.

tion. Being, like myself, unable to unpediment in front of the child, and I derstand what the difficulty was inasfailed entirely to appreciate the signifi- much as it was positively not in front of cance of the hour-glass contraction I the presenting head, he sent for Dr. encountered when I delivered the pla. Miltenberger who, on arriving, found centa. But I had done one thing I do the woman in articulo mortis. After not remember ever to have done before, her death, which occurred in a few moand which was opposed to a cardinal ments, he, Dr. Miltenberger, was remaxim with me in my obstetrical prac- quested to deliver the child, which he tice ; I had given a dose of ergot for proceeded to do by turning, having satthe sole purpose of arousing a sluggish isfied himself, by Dr. Wilson's failure, uterus and so to terminate a tedious and that it could not be accomplished by the exasperating labor; and I could not use of the forceps. The following is his divest myself of the belief that the account of the operation : ergot was directly or indirectly the “The os was perfectly soft and dilatcause of the trouble. The case weighed able, not offering the slightest resistance, on my mind the more, because I had head movable, cervix soft and relaxed, a dim consciousness all the time that I not thinped nor distended, no strain had seen some report of a case similar upon the structure whatever. With the to it, but where I saw it or when I external hand I found nearly up to the could not recall, until I suddenly re umbilicus of the mother a deep furrow membered (unconscious cerebration !

upon the external surface of the uterus reading a most instructive article in the corresponding to the so-called ring of MARYLAND MEDICAL JOURNAL by Dr. Bandi, the contraction ring of Schroeder, G. W. Miltenberger, giving an account the retraction of Lusk, the organ above of a case in which he was called in con this line being firmly contracted and resultation with Dr. H. M. Wilson. The tracted. The internal hand, readily article was called “ Tetanoid Falciform passing the head, met with a ring or Contraction of the Uterus, or Ante-par- constriction corresponding to the extertum Hour-glass Contraction of the nal furrow, entirely too high for the inUterus,” and is to be found in the Journal ternal os uteri, surrounding most closely for January 12, 1889. The article is so

and tenaciously the neck of the child, interesting in its details and so instruc the head below in the soft, relaxed and tive in every way, that it would be well not distended or stretched lower seg

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