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The Reviewer's Table.

Books, Reprints, and Instruments for this department, should be sent to the Editors, St. Louis

THIS is an old friend to many practitioners, and to those who are not familiar with its excellent features it is time they were making their acquaint

ance. It contains 32 pages of data needed by every practitioner, viz.: Tables on metric system; eruptive fevers; doses; therapeutic reminders; ligation of arteries, etc., and blanks for recording clinical and financial data. It is published in four styles, viz.: weekly, dated, for 30 patients; monthly, undated, for 120 patients per month; perpetual, undated, for 30 patients, weekly, and 60 patients, undated and without the preliminary data.

MEDICAL NEWS VISITING LIST-1901-LEA BROTHERS & CO, Philadelphia and New York. 1900. $1.25 net.

THIS new number among Saunders' Question Compends is a valuable ad

SAUNDERS' QUESTION COMPENDSESSENTIALS OF HISTOLOGY. By Louis Leroy, B. S., M. D., Professor of Histology and Pathology in Vanderbilt University; City Bacteriologist to Nashville, Tenn.; Bacteriologist to the State of Tennessee, etc. Arranged with questions following each chapter. 72 illustrations. Cloth, $1.00 net. Philadelphia, W. B. Saunders & Company, 1900.

dition to the series. The subjectmatter is ably handled, though neces sarily condensed the condensation has not been allowed to obscure the facts stated, or to cut off the side lights essential to their intelligibility. As a hand-book in connection with the work of the lecture-room it will largely obviate the taking of notes.

It will also be found a helpful preparatory work to the study of pathology. This will be appreciated by physicians as well as by students.

WE have used Gould's Dictionary as a desk companion for several years and have learned its value. It is the standard, and one which has won

recognition in England as well as in this country. Gould is the American authority on medical philology. He understands well the student's needs, and in this the eleventh edition of the Student's Dictionary, has incorporated all of the features of especial service to students. Pronunciation is one of the leading features, and the novel method used by Dr. Gould is of great help to both student and practitioner. It is simple, so that he who runs may read." In addition to the valuable and reliable service it renders as a dictionary, are the tables of bacilli, micrococci, leucomains and ptomains, weights and measures, etc., etc.; new table of eponymic terms and tests. This book, as now published, is one of the most complete ever issued, and truly meets the "lexicographic demands of the student and the practising physician."

THE STUDENT'S MEDICAL DICTIONARY, Including All the Words and Phrases Generally Used in Medicine, with Their Proper Pronunciation and Definitions, Based on Recent Medical Literature. By GEORGE M. GOULD, A. M., M. D., Author of "An Illustrated Dictionary of Medicine, Biology and Allied Sciences;" Editor "Philadelphia Medical Journal." Eleventh edition, enlarged, with many illustrations. Philadelphia: P. BLAKISTON'S SONS & COMPANY, 1012 Walnut street. 1900. $2.59.

F. P. N.

IN THE wide range of medical literature there is no publication in the English language comparable to this superb work, especially in completeness,

magnitude or in book construction. That it is a work of merit appreciated by the profession is attested by the fact, that since the publication of the first edition, in 1884, it has been the standard work of reference of the medical profession, and has had an enormous sale. For twelve years the reviewer has had the pleasure and profit of its service in his library, and has looked upon it as an indispensable companion. The new edition is, therefore, greatly welcomed, and it is superb. It has been thoroughly revised, as is shown by the method pursued by the editor, viz.: All the articles of the existing nine volumes were collected together in groups, each of which represented a special department of medical knowledge. Each group of articles was then entrusted to a competent specialist in that particular branch; he examined carefully his material, and when the finished reports came in, it was decided that over half of the text had to be rewritten. This fact, as the editor well says, "illustrates the changes that have occurred in medical knowledge during the past fifteen years." The editor is fortunate in bringing to his assistance such an array of notable contributors. Among those contributing to Volume I are some of the strongest medical writers and original investigators of modern times, men who have made American medicine what it is. The editor is to be congratulated in getting this help which gives to this work its high authority. It is fully illustrated, and Vol. I contains 498 half-tone and wood engravings and numerous chromo-lithographs. This edition of the Reference Handbook of the Medical Sciences will consist of eight splendid imperial octavo volumes, thoroughly illustrated. The pages are of large size, printed in double columns, and the type will be as small as can be comfortably read by a person of ordinary good eyesight. It will be seen from the foregoing that the volumes admit of the introduction of an enormous amount of reading matter, each page carrying by actual count as many words as are found upon three and one-half ordinary full octavo pages. It should also be noted that the concise, definite, terse style of composition, compulsory upon contributors to this work, immeasurably increases its value, both in the saving of the busy man's time, and also in the largely increased amount of matter thus made possible in the given space. Those who owned the original edition and learned by actual experience how much valuable information was to be gleaned from its pages in regard to a very great number of topics, will find that the list of these has been markedly increased, and that the information furnished is thoroughly up to date. On the other hand, those who now make their first acquaintance with the Handbook, and will take the trouble to use it habitually when they desire information upon any point, will soon come to realize that they possess a veritable library of reference. Prices at which this work will be sold per volume: In extra English muslin binding, $7.00; in fine leather, raised bands, $8.00; in extra Turkey Morocco, English cloth sides, $9.00.

A REFERENCE HANDBOOK OF THE MEDICAL SCIENCES. Embracing the Entire Range of Scientific and Practical Medicine and Allied Science. By Various Writers. A new edition, completely revised and rewritten. Edited by ALBERT H. BUCK, M. D., New York: WILLIAM WOOD & CO. 1900.

Delivered at any regular express company's office in the United States at the above price. (Local or stage charges only to be paid by subscriber.) The publishers respectfully give notice to the medical profession that this work cannot be sold by them at less than the prices printed above, and consequently it will not be supplied by the trade, nor will the volumes be sold separately. From trustworthy subscribers, payment upon the instalment plan will be accepted.

MEDICAL DISEASES OF INFANCY AND CHILDHOOD, by DAWSON WILLIAMS, M. D., Fellow of the Royal College of Physicians of London and University College, London: Physician to East Indian Hospital for children. Second edition. revised with additions by FRANK S. CHURCHILL, M. D., Chicago, Instructor in Diseases of Children, Rush Medical College. Philadelphia: LEA BROTHERS & CO. 1900.

do.

WE find in consultation practice that the clinical study of children is one of the neglected branches of medicine. In the common practice of the day it comes to diagnosis of disease in a child "any old thing will This is wrong, and if we had more books like Williams there would be more familiarity with the child in disease and more real clinical interest shown in these helpless creatures. The author has fully carried out what the preface says he intended to do, viz., to indicate the special incidence of disease in childhood; to elucidate, as far as possible, the causes of this special incidence; to point out the peculiarities which the circumstauces of child-life impress upon familiar diseases and to detail the treatment rendered appropriate by the nature of the disease itself, and by the peculiar susceptibility of the growing organism. The American editor, Churchill of Chicago, has carefully revised the last edition to adapt it more clearly to the wants of this country, especial attention being given to infant-feeding. We believe this volume a valuable one for the young practitioner, to be studied thoughtfully, and then it is ready for reference when needed. F. P. N.

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THIS book is representative of the teachings in the newer pathology and bacteriology of today. It is a valuable book, well written, concise, and

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presents the practical_clinical features of pathology. The student finds what he needs without undue elaboration. Bacteriology is discussed in a chapter of about one hundred pages. In it

are discussed diseases of known bacteriological origin. With the multiplicity of recent good works on pathology Stengel will rank with the foremost, because of its excellent illustrations, practical clinical application of the facts of pathology; its excellent treatment of neuro-pathology (which, by the way, is the work of Dr. Jos. Sailer) and its chapter on bacteriology.

F. P. N.

PAPERS for the Original Department should be in hand one month in advance, and contributed to THE MEDICAL FORTNIGHTLY exclusively. A liberal number of extra copies will be furnished authors, and reprints may be obtained at reasonable rates, if request accompanies the manuscript. Engravings from photographs furnished free.

Contributions, and books for review, should be sent to the Editors, 312 Century Building, St. Louis.

Signature of contributor, for reproduction, should be sent with every article, on a separate slip; use heavy ink, and allow autograph to dry without applying blotter.

COLLABORATORS.

ALBERT ABRAMS, M. D., San Francisco.
LEWIS H. ADLER, Jr., M. D., Philadelphia.

M. V. BALL, M. D., Warren, Pa.

J. K. BAUDUY. M. D., St. Louis.

A. V. L. BROKAW, M. D., St. Louis.
DILLON BROWN, M. D., New York.
CHARLES W. BURR, M. D., Philadelphia.
HENRY T. BYFORD, M. D., Chicago.
MR. REGINALD HARRISON, London, Eng.
THOMAS LINN, M. D., Nice, France.
RICHARD T. HEWLETT, M. D., London,
ARCHIBALD CHURCH, M. D., Chicago.
W. T. CORLETT, M. D., Cleveland.

N. S. DAVIS, Jr., M. D., Chicago.

FRANK R. FRY, M. D., St. Louis.

J. N. HALL, M. D., Denver.
HOBART A. HARE, M. D., Philadelphia.
CHARLES JEWETT. M. D., Brooklyn.
F. J. LUTZ, M. D., St. Louis.
FRANKLIN H. MARTIN, M. D., Chicago.
J. M. MATHEWS, M. D., Louisville.
E. E. MONTGOMERY, M. D., Philadelphia.
NICHOLAS SENN, M. D., Chicago.
FERD. C. VALENTINE, M. D., New York.
EDWIN WALKER, M. D., Evansville.
REYNOLD W. WILCOX, M. D., New York.
W. E. WIRT, M. D., Cleveland.

H. M. WHELPLEY, M. D., St. Louis.

Observations Based on the Probable Mode of Formation of Urinary Stone Relative to its Recurrence and Prevention.

BY REGINALD HARRISON, F. R. C. S.,

LONDON, ENGLAND.

Surgeon to St. Peter's Hospi al.

In an article which appeared in the Lancet, Nov. 12, 1898, entitled "a further contribution to the Surgery of Stone in the Bladder," I endeavored to illustrate how progressive this work had been during the latter period of the expiring century, and how intimately this was associated with the general adoption of the method of operating which Bigelow originated in 1878 and has since been known by the name of litholapaxy.

I then purposely left for further consideraion the only feature connected with this class of operations which seemed to require. amendment or improvement. I refer to the liability to recurrence. after operation, which is admittedly larger after crushing as compared with other methods for removing stone from the bladder, though the mortality of the former is considerably less.

In the previous paper referred to there were 101 cases of stone operated upon by litholapaxy alone, in addition to other methods. Of this number there were 6 deaths, whilst in 23 recurrence in some degree happened. The average age of these 23 persons was a fraction over 63 years. Several of the recurrences only amounted to the formation of some phosphatic gravel mixed

with tenacious mucous which was readily removed by the washbottle and aspirator.

Seventeen of these persons had considerable enlargement of the prostate. Twelve had pouched bladders and the same number were more or less permanently dependent upon their catheters at the time of operation. In two instances it seemed probable that recurrence was due to fresh descents of stones from the kidney and their retention within the bladder by the large prostate. In one of the fatal instances recurrence was due to a pouched bladder complicated with a neglected urethral stricture and chronic suppurative nephritis.

From this statement it is clear that the class of cases where the tendency to recurrence is greatest and most difficult to deal with, subsequent to the primary operation, is that in which before. stone formed the bladder was more or less functionally and structurally spoilt by the obstruction it had been submitted to by enlargement of the prostate.

It is hardly necessary to enumerate atony or loss of muscular power to expel urine, saccing, pouching, trabeculation and cystitis, as being amongst these commoner effects.

It is in its application to this class of cases, with this liability, which seems in some degree to discredit the crushing operation in the eyes of the profession and public. Mr. Cadge in 1886, referred to this in the following terms: "This seems a heavy indictment to bring against lithotrity, but I am afraid there is no gainsaying it. Many of these relapses might be prevented if the patients would observe directions and perserve with treatment.'

I shall endeavor to show in detail, later on, how we may succeed in giving effect to the latter statement.

On the other hand in otherwise healthy persons without these prostatic and other defects the liability to recurrence of calculus in the bladder after operation is extremely small as also shown in the previous paper, and may usually be accounted for by the unexpected descent of a fresh nucleus from the kidney in the form of a small urate or oxalate stone. This is a cause for recurrence which applies equally to lithotomy as well as to lithotrity however performed.

The information we now mostly require relative to the removal of primary stone from the bladder under the conditions first. mentioned of more or less permanent catheter-dependence and prostatic obstruction, is not so much as to how quickly this operation can be effected, or how speedily convalescence follows, but as to what happens within the twelve months or thereabouts immediately succeeding it and concurrent with the abnormal states of the parts referred to.

*Hunterian Lectures. Royal College Surgeons.

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