Page images

that we can ever expect to check the inva- Thus is the field of psycho-therapy so ably sion of nervous and mental disorders. Clin- presented by DuBois in bis very helpful ical psychology has shown in the neuro. book, "The Psyobic Treatment of Nervous patbic class (that product of heredity, plus Diseases, "of which Dejerine says is the work faulty living and lack of character educa- of a physician as well as a psychologist. In tion) that there is much that can be done no place in our therapeutic art do we find a by individual study of each case.

call for the very highest application of eduPerhaps, the personality of the physician cational means and methods than in the is a factor of greater importance in devel. treatment of nervous disorders as found in oping the so-called moral treatment, the the psychoneuroses which form such a large character development of the patient, than part of the nervous class of patients. It is any other therapeutio agency, excepting, of an appeal to the education of self, both in course, the nurse wbo sbares the responsibil. the patient and in the physician in order ity and exeoutes in her own tactful and

to lead the patient. It is the influence of trained ways the orders of the physician. We the mind over the body, of character, moral know that moral education precedes master- development against the evils which tor. ship in every act, because the training which dient the nervous invalid. Educational mastery involves reacts upon cbaracter, gives methods alone will not give the results is my it steadiness and solidity. In our profession, own experience, and I have faithfully, honwhen we are confronted with the probleme, estly and consistently endeavored in niy essentially psychological in our patients, own work to live up to the educational ideals growing out of their wanton, careless and ir. inspired by S. Weir Mitchell and other responsible ways of living, we are forcibly workers in this field. I have found, as you reminded that it is indeed in a good moral have all found, that fatigue, bodily, inteleducation that tbe surest prophylaxis of ner- lectual and emotional, are factors with their vous exhaustion is found.

attending physical depression, which must Again, it is by taking advantage of the op- first be intelligently met and overcome beportunities presented while the patient is fore we can hope to create optimism, hope under our care, to inculcate principles of and encouragement; it is by systematically right living, which may become an integral treating fatigue in its varied forms, building part of the individual's character, so that in up with good fat and blood tbat we lay the addition to the physical advantages to be foundation for good mental results. Then, gained in following the technique of treat- at the same time create that rational, helpful ment, whatever it may be, especially the rest desire, by true sincere interest in your patreatment, we develop a broader, more com- tient, which will remove the tempest of prehensive view of life itself for the patient, emotional feeling, create new ideals in char- . and that there may grow out of their ex- acter, unfolding and inspiring confidence in perience while under our care, a vital re- their own moral personality. Then, as Dulationship of the personality with all that Bois says in bis recent very happy and is deepest in human nature. We must re- belpful little work designed for the layman: member that these patients live imbued with "This work of self-education is less difficult auto-suggestions which they have created than one would tbink.. Often in some themselves and to lead them away from days, almost always in some weeks, they these suggestive influences requires an earn. (the patients) suoceed in altering the point of est endeavor on the part of the patient en- view, in seeing things from another angle. couraged and lead by a thoughtful and re- In proportion as they recover their mental sourceful physician. It is necessary for the calm under the empire of healthy reflection physician to individually study his patient, functional troubles disappear, sleep returns, and by the analytical psychological method, the appetite rises, the body becomes stronger so that he may know his mentality and lead and the success of this mental treatment him by the clearness of bis instructions to demonstrates the supremacy of mind

orer correct ways of seeing, believing and doing, the body. It is in this self-education that and thus be delivered from the thralldom the sick should find a cure and well people of his mental representations. Unfortu- will find a preservation against nervous disnately, there are physicians who have so little eases. They should begin in little things, in knowledge of the mentality of nervous peo- the good habit of overlooking trifles and ple, who have so little real working sympathy going bravely forward without troubling too that is constructive, in helping their patients, much about their own case. that they are more apt to do more barm than I believe in the educational growth of chargood in the task of the gradual destruction of acter, both in the patient and the physician, the agglomeration of fears, theories, etc., of and this involves discipline, self-denial, selfthe patient.

sacrifice, but it is the reward wbich the law of

[ocr errors]


excellence demands of us if we are to succeed in our work. I hold that in clinical psychology, in the synthetio analysis of character, which plays such an important Issued Tenth and Twenty-Fifth of Every, Month. role in the success or failure of results

THOMAS A. HOPKINS, achieved in treatment, ''we find that a man

Managing Editor. must give his character firmness and fibre

Editorial Staff : before he can make bis talent effective or

0. E. LADEMANN, Internal Medicine. fruitful." The connection between sane liv.


F. P. NORBURY, Nervous and Mental Diseases. ing and sound work is a physiological and R. B. H. GRADWOHL. Pathology and Bacteriology. psychclogical necessity, and if I can leave

W. H. VOGT, Obstetrics and Gynecology.

WALDEMAR FISCHER, Ophthalmology. just that one thought with you, you have A. LEVY, Pediatrics.

W. T. HIRSCHI, Therapeutics. the key to the manifold problems of clinical A. F. KOETTER, Otology. psoy hology.

HERMAN STOLTE, Laryngology and Rhinology.
T. A. HOPKINS, Genito-Urinary Diseases.

ROBERT H. DAVIS, Dermatology.
ALVARENGA PRIZE.—The College of Physi.

Editorial Rooms, Suite 319-321 Century Building, St. Louis. oians of Philadelphia announces that the next award of the Alvarenga prize, being the income of one year of the bequest of the late

EDITORIAL Senor Alvarenga and amounting to about $180, will be made on July 4, 1907, provided

A MEETING of the Medical Society of City that an essay deemed by the Committee of Award to be worthy of the prize shall have Hospital, hsld in this

city on October 18,

1906, will certainly be been offered. Essays intended for competi.

epoch-making in the tion may be upon any subject in Medicine, Prescribe the but cannot have been published. They must

way of a change in the National

way of prescribing on be typewritter and must be received by the Formulary

the part of the local pro. secretary of the college, Dr. Thomas R.


fession. On that date, Neilson, on or before May 1, 1907. Each

the medical men and essay must be sent without signature, but inust be plainly marked with a motto and

the pharmacists met together and listened to be accompanied by a sealed envelop having cists relating to the history, plan and scope

a number of papers by prominent pharmaon its outside the motto of the paper and

of the U. S. Pharamacopeia and the National within the name and address of the au

Formulary, a commentary thereon. Prof. thor. It is a condition of competition that the successful essay or a copy of it sball

Hemm, of the St. Louis College of Phar. remain in possesssion of the college; other

macy, gave a most interesting account of the essay will be returned upon application within

new preparations according to the third re

vision of the National Formulary. He three months after the award.

showed an elegant line of elixirs and syrups, MEDICAL ASSOCIATION OF THE SOUTHWEST.

emulsion and solutions, palatable and agree- Under the most favorable auspices, and able yet withal potent; moreover, the indi. with marked enthusiasm, this new society vidual pharmacist's guarantee of stability of was launched at Oklahoma City, on October composition goes with these preparations. 30th. The Tri-State Society of Oklahoma, They insisted that the widespread use of pro. Texas and Arkansas was merged with the prietary preparations, some of which are denew orgunization, thus removing a competi- cidedly fraudulent, is gradually depriving tor from the field, and insuring an open

the educated pharmacist of bis living and of field for the new society, which gives prom

his knowledge. It was claimed that there is ise of a most successful career. An excellent a "dis-use atrophy" of the functions of the scientifio program, divided into three sec- pharmacist relating to the compounding of tions, occupied two days, and afforded the scientific prescriptions, that the modern two hundred delegates in attendance an op- pharmacist is compelled by the wholesale portunity to judge the caliber of the men prescribing of patented articles on the part comprising the brain and brawn of the great of the physician to simply pour medicines Southwest. The election of officers resulted from one large bottle to another sinaller one, in the choice of Dr. Chas. M. Rosser, of Dal. label and hand over the counter. las, Texas, for president, and Dr. Fred. H. The medical man listened with attention Clark, of El Reno, who has been active in and “promised to be good,” promised to sin preliminary work of organization, as secre- no more, promised to always prescribe the tary-treasurer. The next meeting will be preparations of the National Formulary and held at Hot Springs, Ark., in the fall of 1907. that too, by their Latin names, as requested

[ocr errors]


by Prof. Hemm. The writer straightway be. to be undergone. You are not going to be gan the following day's prescription writing so foolish as to employ hypnotics and you by jotting down a formula calling for "elixir first undertake to subdue yourself by the digestivum compositum,” wbich, ahem, all employment of some of the forms of light of us recognize as an orthodox National gymnastics which have been highly recom. Formulary preparation. Within a few hours mended, you discard your pillow and later the telephone tinkled merrily and a voice get two, you count, you read dull books, you purporting to issue from the sanctum sanc. iry various unnatural and uncomfortable torum of a prominent down-town drug-store postures and still the nights pass without naively asked, “doctor, we have bere one of giving you more than a hint of the sleep your prescriptions calling for 'elixir diges which has been your due. By the end of a tivum compositum.? Will you kindly tell week you are ready to use alnıost any somni. us what house makes this proprietary?” facient and you have awakened in you a most Needless to say, this question was answered wonderful admiration for the sleeping sickwith a sharp admonition to read the National ness and a sympathy for anyone wbo bas ever Formulary and learn “wbich house makes been deprived of sleep. If you have not al. this preparation.”

ready too far abused your nerves you pres. The above experience shows conclusively ently find yourself sleeping again and the that this reform needs the conjoined action wonder of it is indelibly impressed on you for of both the pharmacal and the medical pro- it comes without explaining the why of its fessions; that perbaps the pharmacists coming, but you know that it came just in should call a meeting (and we understand time and that bad things been but slightly from Prof. Hemm that such a meeting will different the future would have been black in. shortly be called) and that every druggist and deed. You resolve to treat your body with drug-clerk as well as every physician should due deference from this on and perhaps you buy a copy of the National Formulary and do do it. study it diligently.

There is no joke in this sleeplessness busi. It was said at the meeting alluded to above

It is a condition which is especially that perhaps the medical student does not re- liable to be found in the medical camp and it ceive enough instruction in prescription. is worthy of serious contemplation, it is a writing. It is barely possible that per baps condition which should be anticipated and the pharmacists in the past have not been bindered. When you find the man who has well drilled in their learning of the official once experienced a season of it you will find preparations of the U. S. Pharmacopeia and one who will tell you that there is no physithe National Formulary. Or, does the aver- cal suffering in the same class. Most of the age drug-clerk fail to recognize the official therapy directed against it is irrational for preparations on a prescription blank because it is directed against the effect instead of the of the dis-use atrophy" brought on by ex.

cause and while it is necessary to give sest, cessive reading of proprietary prescriptions even though temporary, and without regard written by doctors with "proprietarietis hy. for the cause still the reason must be found pertrophica (apologies to Mr. Dooley). and overcome. This not infrequently means

R. B. 1. G. an absolute change in the manner of life,

and almost invariably in our cities it means

at least a considerable increase in time spent The balance between fatigue and rest is one out of doors and in play, these sleepless peoof the most wonderful of provisions in the ple have usually forgotten bow to play and

scheme for the continu. they simply have to learn again. We have

ance of animal life, to gotten a mighty distance from nature these Sleeplessness.

be healthily fatigued days and we know little of good old Mother and to sleep-can any.

Earth and the smell and feel of her soil and thing more beneficent be imagined? The we are having to pay penalties, that's what average busy man untbinkingly regrets that these people who cannot sleep are doing and he must spend so much of his valuable time it seems that their salvation lies in discoversleeping, and it is cnly when this privilege is ing their need before it is too late. denied him that he comes to properly appreciate the worth to him of the hours he has spent sleeping, for to be fatigued and be un- The local health physicians have lately able to sleep is hell; to be surrounded by completed their annual vaccination cam. all that should be conducive to rest, to be paign. There has been less objection to vacproperly wearied and ready for sleep and to cination this year than usual, and wbile it be unable to lose yourself to it is an experi. has been nicely effective there have been few ence which can be explained to no one, it has bad arms.



A MOVEMENT to assemble and make accessi. The consolidation of the Female and City ble the writings of members of the St. Louis Hospitals is being discussed by the daily profession has been in

press, and it seems worth To Assemble augurated by President

pulling for. Conditions Homan of the St. Louis

The Female the Literature

bave greatly changed Medical Society and is


during recent years, and of the Local worthy of the co-opera

there is not the reason Profession.

tion of all who have for a separate institution for females which

written on medical or once existed. The Female Hospital has beother scientific subjects. Dr. Homan issued come a lying-in institution, and is doing a the following call to members of the St. Louis work which does not justify so large a force Medical Society:

as is necessary to its administration us now While the maintenance of interest in the conducted; it's buildings are dilapidated and current scientific work of a medical body is must be renewed. Wisdom would point to of prime in portance and cannot safely be rebuilding as one of the City Hospital group neglected for a day, the collection and preser- and conducting both institutions under a sin. vation of the records of past or of this kind gle administration and with the one office by out members is also a function peculiarly force. appropriate to a body such as this one is, and which undertaking, if found workable, cannot The death of Dr. Sylvester L. Nidelet on but redound to the credit of this society and October 30th has removed anotber of the older prore an additional stimulus to scientific

and more pioturesque effort.

medical characters of It has occurred to me therefore, that a val.

Dr. Sylvester

St. Louis. Dr. Nidelet uable and interesting-if not unique-depart


was born in Philadel. ure could be made in beginning the forma

phia 77 years ago, bis tion of a collection of reprints—that is each parents were St. Louis people, and he always member who contributes papers on scientific considered himself a St. Louisan by birth. subjects for publication, would be requested He graduated in medicine here and went to donate to the society a complete set of such to Texas. There he entered the army as a reprints, or as nearly sc as possible-a mem- surgeon, and during the years spent on the orandum being inserted to show the date and frontier in that capacity, became well ao. place of publication of the papers that are quainted with the Indians, and learned sev. not inoluded in the collection-and this col. eral of their tongues. leotion to be preserved by the society and held When the civil war began he enteered the conveniently accessible to the entire member. Confederate service with Gen. Price, and ship.

later became chief surgeon of the department Comparatively few of our members have of the Gulf under Gen. Lee.

He was access to a medical library, and one advantage wounded at the capture of Mobile. The year of the proposed plan would be the ease of after the war, he was sent for by Gen. Sher

be consulting a production on any specific sub

man because of his knowledge of the Indians ject of which the seeker had heard or of and again became a surgeon in the United which his own copy was lost, particularly

copy was lost, particularly States army. He was stationed for five years those topics that are treated of by the various at the Whetstone Indian reservation. specialties—as the eye, ear, lungs, heart, etc. Later, he resigned his commission at the

No time would be lost in searching through request of his brother, Dr. James C. Nidelet, files of medioal journals, and this advantage and has practised in St. Louis since, except would appear nuore distinctly as suob a collec. for two intervals. For one year he was Intion grew in volume and value.

dian agent to the. Sioux and be disappeared There is in this suggestion also an appeal for several years, during which time he was to the natural pride of authorsbip, which in the Orient. should stimulate interest in the undertaking, Dr. Nidelet was elected coroner in 1882 and wbile the cost involved would be inconsidera- served two years. It was during this time ble, as self-binders of suitable size can be had that the dead body of Preller was found in a at wbolesale for fifty cents each, while an ap- trunk at the Southern Hotel, and it is due to propriate case for safe-keeping need not be of the persistence of Coroner Nidelet, and Dr. an expensive character.

J. C. Nidelet, who assisted his brother, that Later, if the project should be well received Maxwell was finally captured and convicted by the members, its scope could be enlarged, of a cold blooded murder.

а and all prominent medical writers could be

Dr. Nidelet was unmarried, and is survived invited to make contributions in kind to the by his sister, Mrs. Charles E. Michel, and his suggested special library or collection.

brothers, Jas. C. and Frank.

An informal reception was given at the new and closing with a "Deutches Bumperfest" at Frisco Hospital in this city, on October 20th, the Park hotel on Thursday evening. A more

that institution being delightful series of entertainments has never The Frisco

thrown open to medical been enjoyed by this society.

and otber friends fur Railroad

A detailed report of the scientific proceedtheir inspection. The Hospital.

ings will appear in our next issue. building is beautifully The nominating committee reported as fol

constructed and is a lows the list of officers for the ensuing year: model of hospital architecture, embracing so President-H.Horace Grant, Louisville, Ky. much of that which is best in modern hospi. First Vice-President-G. A. Hebert, Hot tal construction that it seems to leave noth- Springs, Ark. ing to be desired. A feature unique to hos- Second VicePresident-T. C. Witherspoon, pitals in St. Louis is the location of kitchen St. Louis, Mo. and dining rooms on the top floor, a change Secretary-H. E. Tuley, Louisville, Ky. which appeals to us tremendously.

Treasurer-S. C. Stanton, Chicago, Ill. Dr. Geo. W. Cale, chief surgeon of the The next meeting will be held at Columbus, Fricso, bas removed his office from Spring- O., in the fall of 1907. field to the institution, and since October 22d patients have been received, and the work of the hospital moving in its normal groove.

DR. ALBERT ABRAMS of San Francisco is at present in Paris where he is devoting his

time to research work and to the completion THE thirty-second annual meeting of this as

of the manuscript of his work on Clinical sociation convened in Hot Springs, Ark., on

Medicine which is shortly to appear from the on Tuesday, November press of the Rebmans.

6, with an attendance of Mississippi

HOSPITAL SATURDAY AND SUNDAY COL. about one hundred. The Valley Medical sessions were held in the

LECTIONS. — The annual collections for the Association, Eastman Hotel, which is

benefit of St. Louis hospitals by the Hospi.

tal Saturday and Sunday Association will be admirably suited for the

made Deceni ber 1 and 2. The collection last purpose. Dr. J. H. Carstens, of Detroit,

year amounted to about $30,000. Considerpresided over the general sessions, while Drs. Frank P. Norbury and H. H. Grant occupied ably more is expected and needed this year. the chairs in the medical and surgical sections. DR. WILLIAM K. OTIS, of New York, a The small attendance is partially accounted

graduate of the College of Physicians and for by the fact that the date conflicted with

Surgeons in 1885, died at his home after å State elections in all parts of the country-a short illness of peumonia, September 22, 1906, mistake which should be guarded against in

aged 36 years. He was a son of Dr. Fessen. the future.

den N. Otis and was following the general The first evening was devoted to the ad

line of practice pursued by his distinguisbed dress of the president, the orations on medi

father, and in which he bimself was achiev. cine and surgery, and later a reception and

ing fame. He was a member of many local ball at the Arlington Hotel —all of which were and other societies and was professor of thoroughly enjoyed by those in attendance. The address on Medicine, by Dr.Frank Parsons School of Clinical Medicine.

genito-urinary diseases at the New York

He also bad Norbury, and that on Surgery, by Dr. Florus service in several hospitals. F. Lawrence, reflected the progress being made along the lines of psychical therapeutics and SALICYLIC ACID FOOD AS A PRESERVATIVE. surgical principles, and will both be found -As a result of observations on a poison printed in full in this issue of the FORTNIGHT- squad" of twelve young government clerks, LY. Dr. Carsten's presidential address was Dr. Harvey W. Wiley, Chief Chemist of the a forceful argument in favor of unity and fra- Department of Agriculture, has announced ternalism, in which he paid a glowing tribute that while salicylio acid is not as barmful to the medical profession of the period. as a food preservative as has been generally

The profession of Hot Springs spared no supposed, its use for this purpose is reprepains to make the event a success, both so- hensible. Its administration was found to cially and scientifically, and the program in- be temporarily stimulating to the digestive cluded a trolley ride to the Alligator and Os. organs, but in the course of time the protrich farms, coach rides up the mountain side, cesses of nutrition were interfered with, and receptions at the residences and institutions, a loss of weight was noted in the members of an inspection of the Army and Navy hospital, the squad.

« PreviousContinue »