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DR. John W. STEVENS calls attention to this ORGANIZATION MEETING.–The Committee subject as one of much importance to the on Organization of the proposed “Medical

general practitioner who Association of the Southwest,” has called a first

these cases meeting at Oklahoma City, for October 30 The Insane

(Med. Record, Aug. 18). and 31, at which time joint sessions will be Lovers.

They are not uncom. beld with the Tri-State Medical Society of

mon in asylums and in Texas, Oklahoma and Arkansas. Dr. F. H. neurological practice. The patient may seem Clark, temporary secretary, El Reno, Okla. clear and rational on all other subjects, so

SLEEPING SICKNESS. - For the sleeping that for some time she is considered entirely sane. The maniacal insane lovers differ in

sickness there is no remedy, declared Pro

fessor Koch in a recent lecture on his return certain prominent features from those of the

from a journey of investigation in Africa. paranoid class. In the former group the ori. gin of this love is always to be traced to

He hoped, however, that the infection might

be ended by the extermation of the insect the abnormal sexual excitement, increased sus. ceptibility to stimuli, facilitated release of (which propagates slowly), by burning the impulses, and the lack of the restraining in. undergrowth at its favorite home. fluence of the ethical sensibilities in the pres- THE GERMAN BIRTH-RATE..-A statistical reence of the elation and sense of well-being. At the beginning of this condition delusions ial chancellor is said to show that the birth

port recently presented to the German imperand hallucinations are nearly always absent.

rate Germany is receding rapidly at any rate In the paranoid case this love is only a part in in the towns. In 1904 the birth-rate was of progressive and systematized delusional

30.5 per 10,000 inhabitants against 30.9 in state. A strangely erotio element is not

1903, 32.1 in 1902, 33.4 in 1901, and 33.7 in necessarily present. The maniacal patient 1900. The decrease, therefore, is continuous, often recognizes the abnormal nature of

and has begun to cause anxiety. her impulses, while the paranoiac never does. The paranoiac is practically always monoga- MISSISSIPPI VALLEY MEDICAL ASSOCIAmous, the maniacal often polygamous. In TION.-The next meeting of the Mississippi the latter the lore disappears with the sub. Valley Medical Association will be held at sidence of the active syniptoms of the indi- Hot Springs, Arkansas, November 6, 7 and vidual attack, while in the former it remains 8, under the presidency of Dr. J. H. Carthroughout life. These patients should be stens, of Detroit, Mich. The annual ad. carefully looked out for, not only for their dresses will be delivered by Dr. Frank Par. own sake, but for the sake of their victims. sons Norbury, Jacksonville, Ill., in Medicine,

and by Dr Florus F. Lawrence, of Colum

bus, Ohio, in Surgery. Dr. Norbury has TRI-STATE MEETING. - The Tri-State Med

chosen for the subject of his address, "Clinical Association held its thirty-third annual

ical Psychology," and Dr. Lawrence will

discuss in his address, “Surgical Principles meeting at Put-in-Bay, Ohio, July 31 and

and Theories.” In addition to these ad. August 1 and 2. Dr. Charles D. Aaron, De.

dresses there will be the annual address of troit, Mich., was elected president; Dr. Theo.

Elaborate ardore F. Wood, Angola, Ind., vice-president; the President, Dr. Carstens. Dr. William F. Shumaker, Butler, Ind, sec

rangements have been made by the local proretary, and Dr. Joseph A. Weitz, Montpe- iting doctors and their wives, the meeting

fession of Hot Springs to entertain the vis. lier, Ohio, treasurer.

being held at the “Eastman” hotel, which THE AMERICAN ORTHOPEDIC ASSOCIATION. will be specially opened in advance of the -The twentieth annual meeting of the Amer- season to accommodate the Association. A ican Orthopedic Society was held in Toronto, cordial invitation is extended to every physi. Ontario, August 20-23. The Association cian in the valley to attend this meeting for elected the following officers for the coming which a large number of interesting and valyear: President, Dr. Joel E. Goldthwait, uable papers have been promised. Tbe Boston; vice-presidents, Dr. Henry Ling headquarters will be at the beautiful "ArTaylor, New York; and Dr. Ansel G. Cook, lington,” where reduced rates will be in efHartford, Conn.; secretary, Dr. Robert B. fect for the occasion. We would urge our Osgood, Boston; treasurer, Dr. E. G. Brack- readers to make early reservation of rooms, ett, Boston; executive committee, Dr. John and avoid the risk of being crowded out, as Ridlon, Chicago; Dr. D. R. Townsend, New the attendance is sure to be large. CommuniYork; Dr. H. Augustus Wilson, Philadel. cations regarding papers should be addressed phia; Dr. Goldthwait and Dr. Osgood, ex- to the secretary, Dr. Henry E. Tuley, 111 officio.

W. Kentucky street, Louisville, Ky.


THE REVIEWER'S TABLE certainty depend, yet each of its fellows is a Books, Reprints, and Instruments for this department, should work of great excellence. The book may be be sent to the Managing Editor, Century Building, St. Louis.

unqualifiedly recommended to students and

to physicians wishing a condensed bandTHE WORLD'S ANATOMISTS. Concise Biographies of book for speedy reference. It is accurate, upAnatomic Masters from 300 B C. to the Present Time, Whose Names have Adorned the Literature of the Medical to-date, and presented in an attractive form. Profession, By G. W. H Kemper, M. D., Professor of the History of Medicine, Medical College of Indiana, Indianapolis. Ind. With eleven illustrations. Philadelphia: P. Blakiston's Son & Co.


'”. This little booklet should be elaburated


chapters of A. E. W. Mason's new novel in into a book of greater size and detail. There is a definite call for books dealing with medi

The Century, "Running Water," tale cal history; these are days of increasing in

whose scenes so far are set chiefly in the terest in the historical aspect of things gon: Thesiger, the girl of elusive charm and

Alps, bring a bint as to the title. Sylvia erally and medicine is feeling the drift.


doubtful antecedents, is on her way to her Dr. Kemper has given us an admirable book, full of interest and artistically gotten

first mountain ascent, and there is a chance up, and the only suggestion that occurs to

meeting with Chayne, the fine, strong char

acter whose love of the Alps and Alpine us for its improvement is that it is too condensed for a work of its character.

climbing is his one passion. "I shall hardly know whether I sleep or wake, with the noise

of that stream rising through my window,'' A NON-SURGICAL TREATISE ON DISEASES OF Sylvia tells Chayne, "for so far back as I can THE PROSTATE AND ADNEXA. By Geo. W. Overall, A. B., M.D., Chicago. Chicago: The Rowe Publishing Co. remember, I always dream of running water.' The good things which are in this volume

The words laid bold upon Chayne's imaginaare so many that it seems not a little unfor- tion and fixed her in his memories. He knew tunate that there are some features which wthing of her really except just this one prevent giving it our unqualified approval. ourious fact-she dreamed of running water. We cannot advocate the treatment of varico- Somehow it was fitting that she should. cele by the immersion of the scrotum in a

There was a kind of resemblance; running medicated bath and passing an electrio cur- water was in a way an image of her. She rent through it, but we oan approve of a vast

seemed in her nature to be as clear and fresh; majority of the practical suggestions of the yet she was as elusive; and when she laughed, author, and we regret that be bas not been a her laugh bad a music as light and free. The little more conservative. Dr. Overall is un

fiction number will include also new chapters questionably a clever and ingenious man; be of Anne Warner's mirthful “Seeing France largely devises his own instruments and they with Uncle John,” and short stories from appear to be good if we may trust the illus- Edgar Jepson, Grace S. H. Tytus, Alice B. tration and description; however, from the Morrison, Dorothea Deakin, and Maurice contour of the bladder, as shown in these il- Francis Egan, who contributes another lustrations, we are not certain that the instru- *Sexton Maginnis" tale. ments are at all what they are pictured, the bladders though supposedly normal in con

MEDICINES BEST GIVEN ALONE.-Acetate tour, show an artistically perfect urachus

of lead, nitrate of silver, iodide of potassium, widely patulous to its apex at the umbilicus. If discriminatingly read in connection with

and bichloride of mercury are all best pre

scribed alone, being incompatible, or at least larger treatises on these subjects, a vast deal of practical information which is available for

ineligible, with almost everything, the ace

tate of lead and nitrate of silver may be preimmediate use will be found in the volume.

scribed with opium, and iodide of potassium

and bichloride of mercury with sarsaparilla, MATERIA MEDICA THERAPEU- or with each other. TICS AND PRESCRIPTION WRITING, WITH ESPECIAL REFERENCE TO THE PHYSIOLOGICAL ACTION OF DRUGS. By Samuel 0. L. Potter, M.D., M.R.C.P. (Lond.)

DISINFECTING CONFESSIONALS.-On the adSeventh Edition Revised and Enlarged. Cloth. Pages 292. vice of the Council of Hygiene, the Mexican Philadelphia: P. Bla kiston's Son & Co., 1912 Walnut street.

government has ordered that the confessionIt is probable that few of our readers are als in all three churches of the city of Mexico upacquainted with this book, having pos- must be regularly disinfected with the pursessed one or another of its earlier editions. pose of preventing the transmission of in. Revision has increased its value and made it fectious or contagious disease. They are without question the best condensation of used by crowds of persons of both sexes and the subject procurable. There is no other might easily become contaminated. Priests one of the Blakiston Compends upon which disobeying this order or showing negligence the popularity of the series could with such in carrying it out are liable to imprisonment.

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REPORTS ON PROGRESS Jaundice due to gall-stones is accompanied Comprising the Regular Contributions of the Fortnightly De

by colio. 2. Jaundice with colic is due to partment Staff.

gall-stones. 3. Chronic obstructive jaundice with an atrophied gall bladder is generally

due to gall-stones. 4. Cbronio obstructive INTERNAL MEDICINE.

jaundice with a dilated gall bladder is due to

causes other than gall-stones, usually a tumor 0. E. LADEMANN, M. D.

of the pancreas or the pylorus. 5. Repeated Jaundice, with Special Reference to its attacks of jaundice, in a patient who is well Diagnostic Value.-Hansel's (Medicine, July, in the intervals, point to gall-stones or gastro1906) paper discusses the clinical aspect of duodenal catarrh-painful when due to stones jaundice and for the purpose of description and painless when caused by the catarrh. 6. uses the terms direct and indirect as being Persistent jaundice with bile pigments in the more applicable than older classifications, as stools, accompanied by enlargement of the obstructive and non-obstructive or obstruc- liver and spleen and no ascites, indicates tive and toxemio, because in reality all jaun. biliary cirrhosis or passive congestion. 7. dice is obstructive, the toxemia variety de- Jaundice and ascites combined may be either pending upon increasing viscidity of the bile common cirrhosis or cancer of the liver. 8. or a swelling of the mucosa of the bile ducts Jaundice, ascites and enlargement of the liver which leads to obstruction. Under the head- are almost pathognomonic of cancer of the ing of direct jaundice he applies to cases in liver. which the original cause is within or imme- These conclusions are rather far fetched diately without the bile passages. All other (editor). jaundice due to causes originally remote from the liver and its bile passages, or in other The Occurrence of Occult Hemorrhage in words general conditions, may be classified Typhoid. Tileston (Boston Med, and Surgias indirect. The former inolude those con- cal Journal, July 12, 1996) examined the ditions wbioh directly impede the excretion stools in 68 cases of typhoid fever by means of bile, such as foreign bodies within the of the guaiac and aloin tests for blood pig. ducts consisting of gall stones, plugs of mu- ments. The technic employed was practically cous, infeotive concretions and particles from the method of Boas. The results of his exthe duodenum. These may cause a mechan. aminations were: eighteen cases out of the 68 ical obstruction, or secondarily set up a ohol- gave positive tests at some period during the angitis, which by swelling of the mucosa pro- course of the disease. One of these was coin. dnces a narrowed lumen and arrests the bili- plicated with enteritis to which the presence ury excretion. Gastroduodenitis by causing of blood was probably due, there remain 17 a swelling at the opening of the commun duct or 25 per cent which showed the presence of may produce jaundice directly. Stenosis of occult blood. In all, 422 stools were examthe duct from cicatrices due to uloeration fol. ined, of which 42 were positive, i.e., 10 per lowing biliary colic, stenosis from chronio cent. A division into groups, according to inflammation of the duct wall, and impacted the severity of the disease, gave the following gall stones, all act mechanically in producing resutls: fifteen mild cases, 3 positive, 20 per a direct icterus. Adhesions of adjacent cent. Thirty-nine moderately severe, 10 posstructures, tumors in close proximity, and en- itive, 26 per cent. Fourteen severe or fatal, larged glands in the transverse fissure of the 5 positive, 36 per cent. On the day of the liver cause obstruction by direct pressure. positive reactions the temperature in most Direct jaundice may also be caused by dis- cases, was considerably elevated; in five, how. eases of the liver, such as Weil's disease, acute ever, it had nearly or quite reached normal. yellow atrophy, passive congestion, cancer, In eleven cases diarrhea was present, while in biliary hypertrophy and common cirrhosis. six it was absent. From these examinations Rarely a direct jaundice occurs in syphilitio, and the work of others, the author deducts amyloid and fatty liver. Coming within the the following conclusions: 1. Oocult hemlatter class (indirect) may be placed the orrhages may be detected by the guaiac and slight and transitory jaundice due to fright, aloin tests in about 25 per cent of all cases anger, anxiety and concussion of the brain; of typhoid fever. 2. The application of these

. the icterus occurring in the course of infec- tests is of little value as a means of foretell. tious diseases, as scarlet-fever and the like, ing gross bemorrhages. 3. It is of very little and jaundice resulting from other sources, as value in diagnosis, owing to the inconstapoy snake bites, drugs, as chloroform, ether phos- and comparatively late appearance of positive phorus, etc. With a brief description of the reactions. It seems probable that more comdiseases associated with direct jaundice, the plicated chemical methods would show a writer summarizes his article as follows: 1. Targer percentage of positive results, for the


separation of sloughs must always be at- ing" the urine with a saturated solution of tended by some bemorrhage.

"salt." (sodium chloride), acidulating with The Present Status of the Bedbug in the

50 per cent acetic acid, and heating to boil. Transmission of Human Diseases. Girault's ing; this throws down all traces of serum-al(Journal A. M. A., July 14, 1906) paper is in

bumin and prevents a nucleo-albumin reac

tion. tended to point out what is now known regarding the carrying of disease germs by this insect, a question, he believes, should be

LEGAL PHASES OF MEDICINE. of interest to all, especially those who live in large crowded cities, where its presence is

E. S. MCKEE, M. D. becoming a serious factor. Scientists, med. ical men and entomologists have demonstrated The Legal Conditions of the Medical Use beyond doubt, that fleas, house flies and mos- of the Roentgen Rays.-Prof. Debove before quitoes carry and transmit certain dangerous the Academié de Médicine called attention in diseases. Fleas carry bubonic plague; house a valuable paper to the dangers to which man Aies, numerous pathogenio bacteria, includ. may be exposed through the use of the Roen. ing those of cholera, bubonic plague, tuber- tgen rays by persons not legally authorized culosis and typhoid fever, also myasis and to practice medicine.

A committee was apeven some of the parasitic worms that live in pointed which has made a very full report on the intestines of man; mosquitoes carry yel- the subject. The following conclusions of low fever and malaria and also that most hor. the commission were unanimously carried rible filarial disease known as elephantasis. by the Academié: “Considering that the Although the bed bug has been known for medical use of the Roentgen rays may cause centuries and its literature comprising as grave accidents, that certain practices may high as five hundred odd articles, but very create a social danger; that only doctors in little, at present, is really known concerning medicine, officers de sante and qualified denits habits and life bistory. On the contrary, tists (in so far as concerns odontology) are much has been conjectured. In addition to

In addition to capable of interpreting the results obtained this, its host relations are entirely unknown. from the point of view of diagnosis and of the If it is able to live on the blood of man only treatment of disease, the Academie is of the its scope in potential transmission of disease opinion that the medical application of is limited. But if it is able to subsist and Roentgen rays by persons not holding the breed also by attacking the small mammals above diplomas constitutes an illegal practice found associated with man, such as mice and of medicine." rats, its scope in potential transmission of

Anesthesia Before the Law. A recent trial disease is at once greatly enlarged. It is certain that blood comprises its only food, in

in France bas caused considerable interest on spite of wbat has been said to the contrary.

account of a man who was very much afraid The experiments of the author seem to prove

of an anesthetic, dying after the administra

tion of a few wbiffs (kind not mentioned). this question, as bed bugs were found feeding on dead mice. A closely related species, the

Action was brought by his relatives and the foul bug, which associates with pigeons and

doctor was condemned to pay 8,000 francs,

about $1500. chickens, which were found to be fond of hu

The judge ruled that the

anesthesia was not absolutely necessary, man blood, readily attacked living mice. It would seem from the literature the author re

as the man's life was not in danger. He views as if the bedbug could be the carrier of said it was the duty of the medical attend

ant to warn the patient of the dangers relapsing fever, leprosy, bubonic plague, anthrax, tuberculosis, even syphilis and typhoid.

which he was incurring in taking an anes

thetic, but to assure him in proper cases Albumin: Recognition of the Albumin that he can continue to live for a long time Bodies in the Urine.-Hastings (Med. Rec., in partial comfort as he is. The patient bad July 7, 1906) says that many of the ablumin- a tendency to syncope and to alcoholism. bodies which theoretically might occur in the As it is well recognized that fear may cause urine may be excluded from consideration death it may be well be imagined that the for various reasons: serum-albumin, nucleo. emphatic warning recommended by the judge albumin, serum-globulin, and Bence-Jones might of itself cause deatb, in fact cases have albumose should be considered. For purposes occurred where the patient bas died at the of excluding false reactions due to bacterial approach of the anesthetist. Velpeau addressdisintegration the urine should be examined ing the judge in a similar trial shortly after within six hours after voiding, unless the re- the introduction of chloroform said: "You action is massive. The most reliable test for hold in your hands the future of surgery. serum-albumin in the urine is that of “salt. The question concerns the publio more than the medical practitioner. If you condemn wife sued the electric light company and obthe surgeon who uses chloroform none will tained judgment for $40,000. The case was ever use it again. No practitioner knowing appealed and the Supreme Court affirms the that for an accident impossible to foresee he decision of the lower court.

It says it does will be held accountable, will ever administer not think this amount excessive, it appearing it. It is for you to maintain the abolition that the dentist was 37 years of age at the of pain or to restore it."

time of his death; that his income from his The Examination of Prostitutes not Privi

dental profession had been from $17,000 to leged. Before the French Society of Legal children, the eldest being 11 years of age,


per annum, and that he left three Medicine M. Butte argued that no violation

besides a posthumous child born six months existed. The medical men who are attached

after his death. It would be interesting to to that particular department in question of

learn how much of this, finally, the lawyers the State are not, so far as these duties go,

allow the widow and orphans. practising medical men. They act simply as experts and as delegates of the police, just in Prescription Not Competent Evidence of the same way as do other inspectors. The Insanity.—The case of Ames vs. Ames the woman who comes to him does not confide in

Supreme Court of Nebraska holds that the him, she comes because she must. This be

fact that the attending physician prescribed ing so there is no secrecy about the matter, for the patient certain drugs which are ad. and consequently no violation. It is claimed ministered to the insane is not competent evi. by some objectors to the police examination dence tending to establish the insanity of the of prostitutes that the medical man whose patient. Assuming that the patient was duty it is to carry out the examinations can.

under treatment, as indicated by the prescripnot without violating his oath of professional tion for some disease affecting the mind the secrecy, legally fulfill such duties.

court ruled that it only reflected the opinion The Signs of Death by Drowning - Vieira

of the prescribing physician at the time the before the International Congress at Lisbon scription addressed to the pharmacist the

prescription was given. If instead of a preconsidered when a body is found in the water was death due (1) to asphyxia consequent he expressed the opinion that he was insane,

physician had written him a letter in which upon immersion, or (2) to some other cause. Most writers believed death from other

will it be claimed that such a letter would be

from other admissible in evidence on the question of the reasons than asphyxia to be rare. Vieira on the contrary, thought it relatively frequent.

patient's sanity? The prescription certainly

stands on no better footing. When death was not due to asphyxia, that is took place so suddenly that the person had The Man Who Snores.-The Supreme no time either to draw water into the lungs Court of Alabama says that sleeping cars are or to swallow it, the post-mortem appearances not obliged to admit persons of gross and due to this must be absent. There are at vulgar habits, the insane or persons suffering present, he said, hardly any evidences to de. from contagious diseases. How about the termine whether death under such circum. man who snores? stances is due to respiratory syncope, to cardiac syncope, or to meningeo-encephalio con

Reciprocity.-Dr. William Warren Potter, gestion or hemorrhage. To illustrate, he

of Buffalo, editor of the Buffalo Medical and described the following case: The body of Surgical Journal, wrote for that most excelan infant was found in a well. The parents lent series of prize essays in the N. Y. Medwhen brought to trial said that the body ical Journal, on the subject of Reciprocity. of the infant was not thrown into the well


His essay very justly took the prize. until it had died a natural death in their

thinks that when the preliminary or entrance arms. The body was that of a healthy in- requirement, the length of term and method fant, there were no signs of strangulation.

of collegiate training, and licensing examinaand post-mortem appearances did not war

tions are placed upon an uniform basis rant the making of a mora definite statement

throughout the country, the problem of reihan that the death might have been due to

ciprocity in medical licensure will be solved. respiratory syncope. The parents were there.

This, he thinks, to be the only equitable sofore acquitted.

lution of the perplexing question: Of what

vail is reciprocity unless founded on justice? Damages for Death of a Dentist.-A dent. Surely an enforced interchange of licensing ist, an acqaintance of the writer, by name of courtesies would be worse than none; it Morbard, residing in New York, went into would be irritating, unfair and ephemeral; the cellar to see what was wrong with the whereas if founded upon uniformity of standelectric lights and was electrocuted. His ards, it would be pleasing, just and enduring.

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