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portunities for public service. Money had headed thinker, the practical man who canno attraction for him save to promote scien not be led by mere authority and who will tific investigation and to discharge his obliga not lapse into routine. “The accumulation gations. Gross spoke of him as one equally of facts is simply prodigious, the style is eminent as a patriot, a philanthropist and a clear and admirably adapted, while the obvimedical author, and as the most forcible and ous sincerity of purpose and the philosophical eloquent medical teacher he had ever listened breadth of view impress you with a sense of to. The Free Library in Cincinnati, the Cin the permanent value of the work.” We trust cinnati College and the Museum of Science we have said enough to show that Drake was and Art were largely his creations. He la one of the great men of our country and that bored hard for them, secured grants for them his name should be honored, not only in the and personally solicited funds for their en valley where he labored, but throughout the dowinent and support.

land. We have to pass over his other writings and we can only briefly refer to the colossal An interesting discussion was held in the work" in two large volumes (“Diseases of the Section of Medicine of the British Medical Interior Valley of North America"), to which

Association at the recent he devoted the greater part of his life. From The Diphtheria meeting on this subject. his eaçliest years the future importance of Antitoxin. The question is how far the great Mississippi Valley impressed itself

the undoubted controlling upon him. He mastered its botany, meteor influence of antitoxin upon the lower aniology, geology and archeology. He person mals can be realized in the human being in ally explored the entire region, traveling the treatment of the actually existing disease, 30,000 miles in doing so. He instituted the diphtheria. Not all the evidence was favorfirst collective investigation known. It was able. Goodall, dealing only with cases in over thirty years after its announcement be which a bacteriological examination had been fore the first volume appeared and the second made, found it valuable especially in cases was not published until two years after his which were subjected to tracheotomy; but it death. Dr. Pepper analyzes thoroughly this did not diminish the frequency of albuminuwork, and shows in how many respects Drake ria, anuria and paralysis. Von Ranke's Gerwas ahead of his times. As early as 1832 he man experience was to the same purport, had arrived at the belief in the microbic laryngeal obstruction being much less serious nature of malaria, yellow fever and typhoid under it. Baginsky of Berlin had reduced fever. He anticipated Woodward in his at his hospital mortality from 41 per cent. to 15 tempt to establish a distinct" typho-malarial' per cent. Biggs of New York brought forfever. He denounced the excessive use of ward statistics to show its prophylactic effects the lancet and calomel, then almost universal. in children who have already been exposed or He urged the external use of cold water to who cannot be removed beyond the influence reduçe temperature in fevers, and advocated of the infection. On the other hand, Lennox an expectant plan with scrupulous attention Browne has witnessed little if any improveto hygienic details. He entertained natural ment. It was suggested in explanation of and judicious views on the subject of phthisis this discrepancy of results that it might be and the relation between its frequency and due to a difference in the mode of preparation ill-drained soil and damp and poorly venti or the dose used, the greater experience of lated buildings was clear to him, also its in the continental physicians giving them confifectiousness and its amenability to climatic dence to use the remedy more freely. treatment. He insisted that medical educa Experience teaches us to be very cautious tion should be placed under the supervision in accepting the first reports of new theraof the law. He recognzied the supreme im peutic agents and we cannot yet be said to portance of hygiene, both in preventive and have reached the point when we can feel seremedial medicine, more clearly than anyone cure regarding the value of antitoxin. The of his time. He held aloft the standard of prudent physician will be content still to scientific truth and professional dignity under “ labor and to wait,” carefully watching rethe most difficult conditions. Everywhere is sults and endeavoring to obtain the true esmanifest the accurate observer, the clear timate of its value.

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MEDICAL ITEMS.

The Syracuse University of New York is to

have a new building erected for its medical We are indebted to the Health Department school. This school was the third, in 1872, of Baltimore for the following statement of to adopt the three-year graded course and cases and deaths reported for the week end lengthened term. ing September 21, 1895.

Prof. Wm. H. Porter of the New York Post

Graduate Medical School pronounces the
Cases
Diseases.

Deaths
Reported

much-vaunted nuclein a total failure. He
says there is no evidence in its favor except

the bold assertions of its advocates. Smallpox... Pneumonia..

8

Dr. Richard Dey of Romulous, N. Y., lies Phthisis Pulmonalis.

16 Measles ...

in a critical condition as the result of an atWhooping Cough..

tack by a lunatic into whose sanity he was Pseudo-inembranous

} Croup and Diphtheria.

enquiring. The man suddenly became vio9

lent, seized a stone and struck him a blow on Mumps... Scarlet fever.

the head, felling him and producing concusVarioloid...

sion of the brain. Varicella.

It is said that the favorite book of the Typhoid ferer.

13

4

inmates of Portland Prison is Buchan's DoThe widow of Professor Huxley will re

miestic Medicine, and the reason why they ceive a pension of $1000 annually.

want it is to study the description of the sympDr. Emma Johnston Lucas has been ap

tonis of illness that they may know how suc. pointed Health Commissioner of Peoria, Illi

cessfully to sham disease, for a successful nois.

malingerer is relieved of his tasks and obtains

the coveted idle time while on sick-leave. Professor Shute has been made Dean of the Medical Department of Columbia University, 1392 cases were treated at the Institut Pasin Washington.

teur in 1894, of whom 12 died of hydrophobia; Illinois is about to try the experiment of an

5 of the fatal cases showed symptoms within industrial colony for epileptics on the plan of

a fortnight of the last inoculation and 3 dethe Craig Colony of New York.

veloped under treatment. Excluding these

there were 7 deaths, or 0.50 per cent. During The Board of Trustees of Barnes Medical

the 8 preceding years the mortality varied College, St. Louis, will commence the erec

from 0.22 per cent. in 1892, to 0.95 per cent. tion of a new building this month.

in 1886. Dr. L. Galassi, Dean of the Medical Faculty

Dr. J. C. Hearne, a prominent physician of of Rome and Professor of Special Pathology,

Northeast Missouri, formerly Secretary of the died August 31, after a long and painful car

State Board of Health, and his wife were indiac illness.

dicted August 18, by the Grand Jury at HanThe New York Post-Graduate Medical

nibal, Missouri, for the murder of Mr. Amos School and Hospital has received a bequest of

J. Stillwell several years ago. Mrs. Hearne $5000 from a gentlemen whose wife was inter

was the wife of Mr. Stillwell, who was murested in the charitable work of the institu

dered by a blow from an ax at the dead hour tion.

of night. Dr. Lusk's Midwifery is to receive the ex

The Homeopaths of the United States will ceptional honor of an official translation into

erect a statue of Hahnemann in Washington. Arabic for the use of the medical students and

It will cost $50,000 ; of this, $29,000 has been almidwives of the School of Medicine at Cairo,

ready subscribed and the site is being selected. Egypt.

For the Rush monument, also to cost $50,000, Thomas H. Chandler, M. D., D. M. D., less than one-tenth has been collected and Deau of the Harvard Dental School and Pro the committee point to the above as a motive fessor of Mechanical Dentistry there, died for more liberal contributions, which may be August 27. He had held the office of Dean sent to Dr. Rohé, Secretary, of Catonsville, for 21 years.

Md.

PUBLIC SERVICE.

UNITED STATES ARMY. Week ending September 23, 1895. Major Clarence Ewen, Surgeon, now on sick leave of absence, is relieved from further duty at Fort Walla Walla, Washington, and ordered to Fort Bliss, Texas, for duty, relieving Major Blair D. Taylor, Surgeon.

Major Taylor, on being thus relieved, is or. dered to Fort McPherson, Georgia, for duty at that post.

The following named officers are detailed to represent the Medical Department of the Army as delegates at the annual meeting of the American Public H alth Association to be held at Denver, Colorado, October 1 to 4, 1895: Lieutenant Colonel Alfred A. Woodhull, Deputy Surgeon General; Major Calvin De Witt, Surgeon ; Major Henry Ś. Turrill, Surgeon.

Leave of absence for one month, to take effect on or about October 6, 1895, is granted First Lieutenant Paul F. Straub, Assistant Surgeon, San Carlos, Arizona.

BOOK REVIEWS.

PRACTICAL DIETETICS ; with Special Refer

ence to Diet in Disease. By W. Gilman Thompson, M. D., Professor of Materia Medica, Therapeutics and Clinical Medicine in the University of the City of New York ; Visiting Physician to the Presbyterian and Bellevue Hospitals, New York. Large Octavo, Eight Hundred Pages, Illustrated Price, Cloth, $5.00 ; Sheep, $6.00. Sold by Subscription only. New York: D. Apple. ton & Co.

The subject is one which does not receive proper attention either in medical colleges or in the standard works upon the Theory and Practice of Medicine; the directions given in the latter being of a very general and vague character, and in the former it is dismissed in one or two lectures. In hospitals and in the training of nurses too little attention is paid to the subject, while in works on food and dietetics the practical application of dietetics to disease receives but slight notice. This work is intended to remedy these shortcomings and to furnish to the practitioner a text-book containing instructions as to the appropriate diet in diseases which are influenced by right feeding

Beginning with the elementary composition of foods, the author next classifies them, and takes up in succession force production and energy; the force-producing value of the different classes ; stimulating foods; their eco

nomic value ; a comparison of the nutritive properties of animal and vegetable foods, and vegetarianism. The classes of foods are next considered, including water, salts, animal and vegetable foods, fats and oils. The author considers the general relations of food to special diseases ; those that are caused by dietetic errors and the administration of food for the sick, giving the necessary rules as to method, time, etc. The work abounds in analytical tables giving the percentages of ingredients in the various animal and vegetable foods ; standards for daily dietaries as influenced by age and occupation; the energy developed by a given quantity of certain foods, etc. The feeding of pregnant women, nursing mothers, infants and young children constitute a very important part of the work, and an appendix contains receipts for invalid food and beverages suitable for fevers and convalescence from acute illness. It is a book which will be found to be of great assistance to the practitioner in the dietetic treatment of diseases that are influenced by proper feeding, invaluable to the trained nurse in hospital and private nursing, and of inestimable service as a guide in the administration of proper food to infants and invalids in the home. THE HISTORY OF PROSTITUTION : Its Extent,

Causes and Effects Throughout the World, By William W. Sanger, M. D., Resident Physician Blackwell's Island, New York City; Member of the American Association for the Advancement of Science, etc. New York: The American Medical Press. 1895. Pp. 709. Cloth $4.00; full leather $5.00.

This volume is the result of a seven years' study on the part of its author, whose observations and researches were made both in this country and abroad. The numerous editorial notes and Appendix being the investigations down to the present date. No one can judge of the vast amount of instructive matter thus collected without a careful examination of the contents. The noble purpose which inspired the preparation of this volume should elicit for it a deep interest on the part of the law-maker, the physician and the humanitarian. Truly,“A vice which has been co-existent with the human race, which has preyed upon the morals as well the health of all peoples in all ages, which in the past has defied the edicts of despotism no less than at present it defies the mandate of repressive legislation — such a vice should not in any spirit of prudery be put aside as unfit for public consideration."

CURRENT EDITORIAL COMMENT. PUBLISHERS' DEPARTMENT.

All letters containing business communications or referring to the publication, subscription, or ad

vertising department of this Journal, should be adCHOLERA PREVENTION.

dressed as undersigned. Journal American Medical Association.

The safest mode of remittance is by bank check or

postal money order, drawn to the order of the We must repeat our lesson of a few weeks

Maryland Medical Journal; or by Registered letter.

The receipt of all money is immediately acknowlsince; we may not be able to shut out cholera edged. from our shores by quarantine ; but we can

Advertisements from reputable firms are respect

fully solicited. Advertisements also received from and should make our environment so whole all the leading advertising agents. Copy, to ensure some and cleanly as that it shall be fatal to

Insertion the same week, should be received at this

office not later than Monday. the cholera germ as well as to the germs of Physicians when communicating with advertisers all other filth diseases. And in this connec

concerning their articles will confer a favor by

mentioning this Journal. tion it is well to remind sanitary and civic Address:

MARYLAND MEDICAL JOURNAL, authorities that wherever typhoid fever exists

209 Park Avenue, Baltimore, Ma. and flourishes, there also may Asiatic cholera exist and flourish.

NOTES.
ERRORS OF AMBULANCE SURGEONS.
The Atlantic Medical Weekly.

DR. Cassatt finds that a couple of ounces It is unfortunately true that there have of yeast at meal times are very useful in diabeen reported numerous instances where am betes. bulance surgeons have erred in their diagnosis

In cases of shock, Professor Hare says that of alcoholic coma and patients have been refused admittance to hospitals, or have been

twenty drops of the tincture of digitalis

should be given hypodermically, and repeated sent to the police cell as a case of drunken

in an hour if the pulse does not show its inness, who were suffering from a much more

fluence. serious disorder. ... While in most instances the error is one of ignorance and the IN Dr. Cantrell's experience, ichthyol ap. ambulance surgeon thinks he is doing right, plied early to a carbuncle in process of formathere is fault to be found with any institution ation will often greatly modify the process and which delegates to a young and inexperienced sometimes prevent the further extension of interne the power of rejecting a case of coma the lesion. as unsuitable for admission to the hospital without consultation with men of more expe PROFESSOR HARE says the best treatment rience.

for vomiting occurring in remittent fever is

the administering of small doses of morphine PATENT MEDICINES.

or three to five drops of spirits of chloroform Bulletin of Pharmacy.

in half a drachw of cherry laurel water. The truth is that no druggist is any longer prompted by either principle or policy to en GEORGE COHEN, M. B., in the Lancet, courage the demand for patent medicines. thinks he has discovered a way of preventing On principle the drug trade despise and con the catarrh consequent on the use of iodide demn the great majority of nostrums because of potassium. It is by the addition of 5 of the exaggerations, downright falsehoods minims of tincture belladonna to each dose, and sensationalism, by dint of which they are the object being to reduce salivary secretion, exploited amoug the iguorant and credulous, which sets free the iodine. as also on account of their injury to public health. As a matter of selfish policy the retail DR. POLAKOFF recommends bromide of drug trade are opposed to patent medicines, lithium in Bright's disease, acute and chronic. since their sale has been stripped of all profit Employing it in 22 cases he found it a cerby the “cutter.” The nostrums now sold by tain and powerful diuretic. He used it thus : the druggist are sold under supposed compul two parts bromide of lithium and four parts sion; there is no profit in the traffic, but the of bicarbonate of soda in 240 parts of distilled public look to the druggist for supplies and water flavored with peppermint ; 3 or 4 tablehe thinks he must perforce fill the demand. spoonfuls of this a day.

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MEDICAL JOURNAL

A Weekly Journal of Medicine and Surgery.

Vol. XXXIII.-No. 25. BALTIMORE, OCTOBER 5, 1895.

WHOLE No. 758

ORIGINAL ARTICLES.

REMARKS ON THE SURGICAL TREATMENT OF

CHOLELITHIASIS. DELIVERED BEFORE RICHMOND ACADEMY OF MEDICINE AND SURGERY, AUGUST 29, 1895.

By Hugh M. Taylor, M. D., Professor of Practice of Surgery in University College of Medicine, Surgeon to Virginia Hospital, etc.,

Richmond, Va. The surgery of the gall-tract is per the past ten or twelve years all the haps claiming a professional interest marked advance in its study has been second only to that accorded to appen- made and while already yet in its indicitis. The one morbid condition is fancy, the field of operative procedure as essentially surgical as the other, and has been immensely widened and many both are equally responsible for ill-health of its morbid conditions have been and death. The evolution of the subject brought within the scope of legitimate of appendicitis received an impetus ear conservative surgery, with untold benelier. It followed close upon the concen. fit to mankind. Viewed in the light of tration of thought on the pelvic phleg- recent knowledge, we appreciate the mons, but in view of its importance gall- fact that few of us have failed to treat tract surgery is receiving its merited as gastralgia, indigestion, diaphragmatic share of attention. Few of us can review pleurisy, enlargement of the liver, maour professional work and not be con larial fever, bilious fever, etc., cases scious of having treated operable cases of which should have been diagnosed and cholelithiasis and its consequences unrec

treated as cholelithiasis and its conse. ognized as such. The credit of increas

quences. In my own early professional ing our diagnostic acumen in this field work I can recall at least a half dozen belongs, in a great measure, to the sur clearly operable cases which were algical clinic. In the medical clinic, per lowed to go from bad to worse and die cussion, palpation, etc., revealed but without operative aid. Enough has little tangible information. In the sur been ascertained to prove that the sogical clinic, on the other hand, the ex called medical treatment offers but a ploratory incision revealed the correct small chance of benefiting the condition anatomico-pathological condition, asso of impacted gall-stone or stones and cerciated the symptoms manifested with tainly no possible chance of curing a the morbid conditions found and it is cholangitis or empyema or cystitis of the now defining on logical lines the limita- gall-bladder. Experience shows that tions and technique of operative inter the solution of gall-stones by medication ference for the relief of the various pro is a myth, and that whenever they have ducts of cholelithiasis. The evolution attained to any size, or are present in of the subject has been rapid. Within considerable numbers and are producing

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