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MARYLAND

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tically confined to early life, but others assume a peculiar type at this time. As the physical

Journal. and rational signs of disease differ widely from

PUBLISHED WEEKLY.

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TO CORRESPONDENTS.-Original articles are solicited from members of the profession throughout the world. Reprints will be furnished at cost of production if the author's wish is so stated. CORRESPONDENCE upon subjects of general or special interest, prompt intelligence of local matters of interest to the profession, items of news, etc., are respectfully solicited. Marked copies of other publications sent us should bear the notice "marked copy" on wrapper.

MARYLAND MEDICAL JOURNAL, Fidelity Building, Charles and Lexington Streets. BALTIMORE, MD.

WASHINGTON OFFICE:

Washington Loan and Trust Company Building.

BALTIMORE, MAY 21, 1898.

Instruction

IN the Medical Record of May 7, 1898, Dr. Henry Dwight Chapin of New York arraigns the medical colleges of the country for their neglect to in Pediatrics. give adequate instruction in diseases of children. The idea is combatted that pediatrics is to be classed upon the schedule with diseases of the eye and ear or of the nose and throat. While a knowledge of the extreme specialties is a desirable accomplishment, a proper training in the diseases of children forms a necessary and fundamental equipment for the average practitioner.

Dr. Chapin enters a vigorous protest against considering pediatrics a specialty. He classes it rather as one of the branches of general medicine. The statement is made that the lamented O'Dwyer, whose name will be longest remembered among the present workers in pediatrics for what he accomplished, was always a general practitioner. But even if pediatrics is not a true specialty, inasmuch as it deals with the whole organism, and not with any single organ, prolonged study is required to attain proper expertness in diagnosis and treatment. Not only are some diseases prac

adult life, a knowledge of the latter will not suffice.

The absence of a proper knowledge of diseases of children has been noticed by Dr. Chapin in examining recent graduates for hospital appointment, as well as in teaching postgraduate students. The blame for this state of affairs is placed with the undergraduate medical colleges. One clinical lecture a week, with possibly a little dispensary work during the last year, is not sufficient. A plea is made for a regular didactic course of instruction, fortified by thorough quizzing, as a foundation for a future clinical course. Now that four years are employed in most college courses, it would seem as if more time and thought might be expended upon pediatrics.

Dr. Chapin's article is to be commended to the authorities of all advanced medical schools. It does not seem right that young men on graduation should be sent out to cope with what will probably prove the largest part of their practice with such a small modicum of knowledge.

*

THE meeting of the American Medical Association and of the other societies which convene at Denver about The Denver Meeting. the same time will

give many physicians

an opportunity to visit that part of the United States for the first time. The transportation committee has completed arrangements and secured favorable rates, with stop-over privileges at other important places besides Denver. Of the other societies which meet at Denver the first week in June not the least important is the American Academy of Medicine, which has done so much for the advancement of medical education in this country. Another important meeting is that of the Association of American Medical Colleges, which will be held on June 6. Of the 116 regular medical colleges in this country sixty-five belong to this association and conform to its rules. Japan demands no examination from graduates of colleges belonging to this association, and several of the States grant similar courtesies. This association should be the foundation for a national examining board, and those licensed by it should be allowed to practice in any State in the Union.

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Dr. William T. Walker of Lynchburg is dead.

The Paris Academy of Medicine is about to erect a new building.

The Association of American Medical Colleges will meet in Denver, June 6, 1898.

Dr. S. B. Bond has removed from 23 West Chase street to 6 West Read street, Baltimore.

The West Virginia State Medical Society held its regular annual meeting during this past week.

The fiftieth annual session of the Pennsylvania State Medical Society was held at Lancaster this week.

The Indian Territory Medical Association will hold its semi-annual meeting at Wagoner, June 1 and 2, 1898.

Dr. J. M. Scandland is resident physician at the Maryland General Hospital, and the dispensary staff for the ensuing year has been appointed.

The State Examining Board of Maryland has just completed the examining of a number of applicants. The results of this work will be published later.

Dr. Charles A. Shure died at his home in Port Deposit, Cecil county, Maryland, this week, aged fifty-eight. Dr. Shure was a graduate of the University of Maryland in 1862.

Besides the United States hospital ship Solace, the government is fitting up a second hospital ship.

In spite of the war the International Congress of Hygiene held a very successful meeting at Madrid.

The medical societies of Toronto will likely be united under one organization and be called the Academy of Medicine. Such a plan was suggested in Baltimore to unite the work done in the various scattered medical societies.

A healthy man with a good appetite and average drinking capacity assimilates into his system during seventy years ninety-six and one-half tons of material, solid and liquid, or. putting it in another way, and assuming his weight to be twelve stones, he consumes over 1280 times his own weight of nourishment in the course of a lifetime.

Dr. H. L. E. Johnson of Washington, D. C., chairman of the Committee on Transportation of the American Medical Association, announces a reduction in rates to the meeting of the American Medical Association. The round trip from Baltimore or from Washington to Denver is about $50. Those desiring a special train or special trips should apply early.

Physicians in quest of light summer reading for neurasthenic patients are respectfully referred to the April number of the American Chemical Journal, in which Mr. P. R. Moale contributes two papers, one entitled "On Paramethoxyorthosulphobenzoic Acid and Some of Its Derivatives," the other on "The Decomposition of Paradiazoorthotoluenesulphonic Acid with. Absolute Alcohol in the Presence of Certain Substances," and Mr. Lyman C. Newell contributes an article entitled "Parabenzoyldiphenylsulphone and Related Com

pounds."

At the twenty-third annual meeting of the American Gynecological Society, to be held at Boston, May 24, 25 and 26, the following will read papers: Dr. B. B. Browne, on "Hernia of the Ovary, with Report of Two Cases Cured by Laparotomy;" Dr. J. Whitridge Williams, on "Bacteria of the Vagina and Their Practical Significance, Based upon the Examination of the Vaginal Secretion of One Hundred Pregnant Women;" Dr. Howard A. Kelly, on "The Treatment of Myomatous Uteri," and Dr. J. Wesley Bovée of Washington on "The Patency of the Stump After Salpingectomy."

Washington Notes.

The chemical and clinico-pathological societies have adjourned until fall.

The lady managers of Garfield Memorial Hospital gave a planked shad dinner at Marshall Hall Thursday.

A Mother Goose Carnival was given Friday afternoon at Columbia Theater for the benefit of Children's Hospital.

Dr. E. M. Hasbrouck has resigned his position of physician to the poor, and Dr. H. T. Harding has been appointed to fill the vacancy.

There is an epidemic of measles throughout the District. Thirty-two cases of diphtheria and forty-six cases of scarlet fever are under treatment.

The treatment of diphtheria was the subject for discussion before the Therapeutical Society Saturday evening; paper read by Dr. Thompson.

At the District Society Wednesday evening Drs. Johnson and Stewart extolled upon the necessity of accuracy and uniformity in chemical laboratory investigations.

Acting Assistant-Surgeons Francis Metcalf and Randolph M. Myers, U. S. A., have reported for duty to Major George H. Towney, surgeon in charge of hospital ship.

The Colonial Dames of America have organized a committee to raise an emergency fund to be used for supplying fresh fruit and vegetables and other delicacies to the sick and wounded of the army and navy.

Misses Margaret Schaffer of the Emergency Hospital, Agnes Lee of Baltimore, J. Sanger of Virginia and Alice Lyon of New York are regular nurses and have been appointed to represent the Daughters of the American Revolution in the war.

The National College of Pharmacy held its commencement exercises at Columbia Theater Tuesday evening. The evening address was delivered by Hon. Frank J. Cannon of Utah; valedictorian, Charles Griffith. There were fifteen members in the graduating class.

At the forty-ninth commencement of the Georgetown Medical School seventeen young men received diplomas. Dr. Wm. C. Gwynne delivered the valedictory and Professor La Place of Philadelphia the address to the graduates. After the exercises the class held a banquet at the Shoreham.

Book Reviews.

A TEXT-BOOK ON SURGERY, GENERAL, OPERATIVE AND MECHANICAL. By John A. Wyeth, M.D., Professor of Surgery in and President of the Faculty of the New York Polyclinic Medical School and Hospital; late Surgeon to Mt. Sinai and Consulting Surgeon to St. Elizabeth's Hospital, etc. Third edition, revised and enlarged. D. Appleton & Co., New York, 1898.

This well-known text-book has now reached its third edition, which has been revised and brought fully up to date. The main features of the book remain the same, but there is an addition of more than 100 pages to its size. Wyeth's book is not intended to be encyclopedic in character, but to afford a concise and ready guide for the practitioner and student, and it fulfills this indication very well in the main. There are some subjects on which Wyeth is an especially good authority, such as operations on the blood vessels, bloodless amputations at the shoulder and hip, and operations on the bladder, and these matters are discussed fully. In looking the book over somewhat carefully we see many evidences of the careful revision it has undergone, many of the chapters have been almost entirely rewritten, and many illustrations, mostly original, have been introduced. A number of new procedures are described, such as osteoplastic resection of the malar bone and front wall of the antrum for the removal of a tumor, the introduction of a subcutaneous platinum support for restoring the normal outline of the nose, and the use of morphia narcosis as a general anesthetic as a substitute for chloroform or ether in certain cases, where these agents are contraindicated. The work has been greatly improved, and will command success.

A MANUAL OF INSTRUCTION IN THE PRINCIPLES OF PROMPT AID TO THE INJURED, including a Chapter on Hygiene and the Drill Regulations for the Hospital Corps, U. S. A. Designed for Military and Civil Use. By Alvah H. Doty, M.D., Health Officer of the Port of New York, etc. Second edition, revised and enlarged. New York: D. Appleton & Co., 1898. Pp. 302. The author of this little work is to be congratulated on the appearance of a new edition of such a valuable work. The illustrations make it of especial use to the non-medical person. The publishers have either made some errors in issuing this edition or they are attempting to reprint an old edition as if it had

been revised. It is called a second edition, and yet a second edition appeared in 1894. This 1898 edition seems to differ in no way from the one issued four years ago. There is apparently no addition or change in the reading matter from the book of four years ago except at the end of Chapter IX. There may be some errors, perhaps, in the figures, for, in turning at random to page 242 of the 1894 edition, Fig. 54. representing a strapped litter, is seen, while in the 1898 edition this figure is cut out, although it appears in the index. This, however, in no way militates against the excellence of the book, but calls for some explanation on the part of the publishers.

REPRINTS, ETC., RECEIVED. Roentgen Ray Skiagraphy. By DeForest Willard, M.D. Reprint from the Journal.

New Ophthalmic Operating Table. By L. Webster Fox, M.D. Reprint from the Archives of Ophthalmology.

Re

Anterior Displacements of the Hip (Congenital). By DeForest Willard, M.D. print from Pediatrics.

Nervous Diseases Simulating Peritonitis. By S. D. Hopkins, M. D. Reprint from the Colorado Medical Journal.

A Case of Hysteria Simulating Organic Disease of the Brain. By S. D. Hopkins, M.D. Reprint from the Medical Fortnightly.

The Climate of Atlantic City and its Usefulness in Disease. By William Edgar Darnall, M.D. Reprint from the Therapeutic Gazette. Respiratory Paralysis from Hemorrhage Around the Medulla. By S. D. Hopkins, Reprint from the Colorado Medical

M.D. Journal.

Typhoid Fever. By John Eliot Woodbridge, M.D., of Cleveland. Reprint from the Transactions of the Ohio State Medical Society.

Alcohol in Epilepsy. A Wrong Theory Misapplied to the Case of Arthur Duestrow. By C. H. Hughes, M.D. Reprint from the Alienist and Neurologist.

Epiphora or Watery Eye; Lachrymal Abscess; Necrosis of the Bony Walls of the Lachrymal Canal; Implantation of a Glass Ball for the Support of an Artificial Eye; Grattage for the Radical Cure of Granular Lids. By L. Webster Fox, M.D. Reprint from International Clinics.

Current Editorial Comment.

MEDICAL EXPERTS.

The Journal.

THE fact also that there has been no legal standard of medical expertness has been an important factor in the production of the miscarriages of justice in either direction; the opinion of the skilled alienist has counted for no more than that of any other medical witness however really unqualified he may have been in this particular specialty. The result has been to bring all expert medical testimony into discredit, and as a profession we have suffered.

DEVELOPING GIRLS.
Medical Record.

WHAT is required in the establishments for the education of girls is that more time should be allowed for health-giving, out-of-door exercise; if this were done the number of neurotic women would be greatly lessened and the services of the doctor could in most cases be dispensed with. In the words of Dr. Playfair: "It is not the work which, in my judgment, hurts, but the perseverance in work after nature has hung out its danger-signals; work in an unhealthy body; the attempt, in fact, to fight nature. Then, indeed, the careless, prejudiced or unwise mistress or parent may well find that 'over-pressure,' the very existence of which so many deny, is a stern reality and may shatter the whole future of the girl."

VALUE OF DISCOVERIES. American Medico-Surgical Bulletin. ONLY the narrow-minded now believe that great discoveries in any science are made by a direct hunt for them, prompted by our desire to make them. They all come to us through the patient plodding of a host of workers who receive little or nothing for their pains. The plowman and the sower must do their work long before there can be a harvest for the reaper. The unrequited toil of our Voltas, Aragoes, Franklins and Faradays must precede the husbandry of civilization through our Morses, Bells, Edisons and Thomsons. A million unremunerated workers had to plod along for years, adding up facts of no apparent commercial value, before organic chemistry could hold up a single aniline color or synthetic remedy. Look where we may and the same fact stares us in the face.

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AMERICAN NEUROLOGICAL ASSOCIATION. Annual meeting at Washington, D. C., May 4, 5 and 6, 1898. M. ALLEN STARR, M. D., President, 22 W. 48th St., New York City. GRAEME M. HAMMOND, M. D., Secretary, 58 W. 45th St., New York City.

AMERICAN GYNECOLOGICAL SOCIETY. Boston,
May 24, 1898. PAUL F. MUNDI, M. D., President,
New York. J. RIDDLE GOFFE, M. D., Secretary,
New York City.

AMERICAN LARYNGOLOGICAL ASSOCIATION.
Brooklyn, N. Y., May 16, 17 and 18, 1898. THOS. R.
FRENCH M. D., President, Brooklyn, N. Y. H. L.
SWAIN, M. D., Secretary, New Haven, Conn.
AMERICAN ORTHOPEDIC ASSOCIATION. Bos-
ton, Mass., May 17, 18 and 19, 1898. ROBERT W.
LOVETT, M. D., President, Boston, Mass. JOHN
RIDLON, M. D., Secretary, Chicago, Ill.
AMERICAN PEDRIATIC SOCIETY. Cincinnati, O.,
4th week in May, 1898. L. EMMETT HOLT, M. D.,
President, New York City. SAMUEL S. ADAMS,
M. D., Secretary, Washington, D. C.
THE AMERICAN LARYNGOLOGICAL, RHINO-
LOGICAL AND OTOLOGICAL SOCIETY. Pitts-
burg, Pa., May 11 and 12, 1898. WILLIAM H. DALY,
M. D., President, Pittsburg, Pa. ROBT. C. MYLES,
M. D., Secretary, New York City.
INTERNATIONAL ASSOCIATION OF RAILWAY
SURGEONS. Toronto, Canada, May, 1898. GEO.
Ross, M. D., President, Richmond, Va. LOUIS J.
MITCHELL, M. D., Secretary, Chicago, Ill.
AMERICAN

MEDICO-PSYCHOLOGICAL ASSO-
CIATION. St. Louis, May 10, 1898. R. M. BUCKE,
M. D., President, London, Ontario. C. B. BURR,
M. D., Secretary, Flint, Mich.

AMERICAN DERMATOLOGICAL ASSOCIATION.

Annual meeting near New York City, May 31, June 1 and 2, 1898. J. NEVINS HYDE, M. D., President, Chicago, Ill. JOHN T. BOWEN, M. D., Secretary, 14 Marlborough St., Boston, Mass.

June.

AMERICAN ASSOCIATION OF GENITO-URINARY SURGEONS. Annual meeting at West Point, N. Y., June, 1898. J. WILLIAM WHITE, M. D., President, Philadelphia, Pa. W. K. OTIS, M. D., Secretary, 5 W. 50th St., New York City. THE ASSOCIATON OF MILITARY SURGEONS OF THE UNITED STATES. Annual meeting at Kansas City, Mo., June 1, 2 and 3, 1898. J. D. GRIFFITH, M. D., President, Ninth and Grand Ave., Kansas City, Mo. JAMES E. PILCHER, M. D., Secretary, Fort Crook, Neb.

AMERICAN ACADEMY OF MEDICINE. Annual meeting at Denver Col., June 4, 6, 1898. L. DUNCAN BULKLEY, M. D., President, New York City. CHARLES MCINTIRE, M.D., Secretary, Easton, Pa. AMERICAN MEDICAL PUBLISHERS' ASSOCIATION. Annual meeting at Denver, Col., June 6, 1898. WM. WARREN POTTER, M. D., President, Buffalo, N. Y. CHAS. WOOD FASSETT, Secretary, St. Joseph, Mo.

AMERICAN MEDICAL ASSOCIATION.

meeting at Denver, Col., June 7, 1898.

Annual GEORGE

M. STERNBERG, M. D., President, Washington, D. C. W. B. ATKINSON, M. D., Secretary, 1400 Pine St., Philadelphia, Pa.

July.

AMERICAN OTOLOGICAL SOCIETY. Annual meeting at New London, Conn., July 19, 1898. ARTHUR MATTHEWSON, M. D., President, 139 Montague St., Brooklyn, N. Y. J. J. B. VERMYNE, M. D., Secretary, 2 Orchard St., New Bedford, Mass.

SOCIETY.

AMERICAN OPHTHALMOLOGICAL Annual meeting at New London, Conn., July 20, 1898. GEO. C. HARLAN, M. D., President, Philadelphia, Pa. S. B. ST. JOHN, M. D. Secretary, 26 Pratt St., Hartford, Conn.

State Societies.

May.

THE MEDICAL SOCIETY OF WEST VIRGINIA. Martinsburg, May, 1898. C. F. ULRICH, M. D., President, Wheeling, W. Va. G. A. ASCHMAN, M. D., Secretary, Wheeling, W. Va. MEDICAL SOCIETY OF THE STATE OF NORTH CAROLINA. Annual meeting at Charlotte, May, 1898. FRANCIS DUFFY, M. D., President, Newbern, N. C. R. D. JEWETT, M. D., Secretary, Wilmington, N. C.

MICHIGAN STATE MEDICAL SOCIETY. Annual meeting at Detroit, May, 1898. JOSEPH B. GRISWOLD, M. D., President, Grand Rapids, Mich. C. H. JOHNSTON, M. D., Secretary, Grand Rapids, Mich.

THE OHIO STATE MEDICAL SOCIETY.

Annual WM.

meeting at Columbus, May 4, 5 and 6, 1898.
H. HUMISTON, M. D., President, 122 Euclid Ave.,
Cleveland, O. JOHN A. THOMPSON, M. D., Sec-
retary, 628 Elm St., Cincinnati, O.

THE MEDICAL SOCIETY OF THE STATE OF
PENNSYLVANIA. Lancaster, May 17, 18 and 19,
1898. W. MURRAY WEIDMAN, M. D., President,
Reading, Pa. C. L. STEPHENS, M. D., Secretary,
Athens, Pa.

MISSOURI STATE MEDICAL ASSOCIATION. Annual meeting at Excelsior Springs, May 17, 18 and 19, 1898. JACOB GEIGER, M. D., President, St. Joseph, Mo. JABEZ N. JACKSON. M. D., Secretary, Kansas City, Mo. KENTUCKY STATE MEDICAL SOCIETY. Annual meeting at Maysville, May 18, 1898. Jos. M. MATHEWS, M. D., President, Louisville, Ky. STEELE BAILEY, M. D., Secretary, Stanford, Ky. MEDICAL ASSOCIATION OF MONTANA. Annual meeting at Missoula, May 25, 1898. G. T. McCULLOUGH, M. D., President, Missoula, Mont. B. C. BROOKE, M. D., Secretary, Helena, Mont.

(Continued on page xvi.)

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