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-results remarkable, even beyond my expectations.

ANEDEMIN is

truly a Medicinal Trocar in Dropsy from any cause."-From member State Board of Examiners.

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-gave tablets as last resort to man 78 years of age dying with a very weak, irregular heart, general oedema, dyspnea, etc., and he made complete recovery."-From member State Board of Health.

"physicians can push ANEDEMIN without fear if the patient can stand the loss of effusion quickly, and it is equally as valuable in the cause, as in dropsical effusion."-From prominent Kentucky physician.

-Anedemin tablets did everything you claimed for them. Seventeen days after I began using them I was able to leave the hospital where I had been for seven months. I am about ready to resume my practice."From a California physician.

Each physician may test it for himself. Clinical data, literature with exact formula, and samples sent on request.

ANEDEMIN CHEMICAL CO., Chattanooga, Tenn.

"MADE IN AMERICA"

בכתבתהבבבבב

Poems the Doctor Should Know

PATRIOTIC

A patriotic arm I own,

Said Jabez, spitting.

I fractured it, and now the bone

Is knitting.

-Detroit Free Fress.

A SUMMER DAWN roused me with the sun; the bough tops stirred, Touched by the tender fingers of the breeze, And from a grove I heard a hidden bird

Salute the dawn with golden melodies.

There was no other sound save chanticleer
With his sharp clarion note, although I know
Across the garden paths, in whispers clear,

The roses might be talking of the dew.

So perfect harmony ushered in the day,

And yet my spirit would not be at peace, Sensing demonic echoes far away,

Mad murmurs of red conflict without cease

The interminable roar of black-mouthed guns
Where brave men faced the onset of the Huns.

-Clinton Scollard in the New York Sun. Don't wait. Do it now. Buy War Savings Stamps.

AFTERWARD

When the last gun has long withheld
Its thunder, and its mouth is sealed,
Strong men shall drive the furrow straight
In some remembered battlefield.

Untroubled they shall hear the loud And gusty driving of the rains, And birds with immemorial voice Sing as of old in leafy lanes.

The stricken, tainted soil shall be
Again a flowery paradise-
Pure with the memory of the dead
And purer for their sacrifice.

-Eric Chapman in Poetry, London.

THE SOLDIER'S TOMB

Where shall I fall upon my battle ground
There may I rest-nor carry me away.
What holier hills could in these days be found
Than hills of France to hold a soldier's clay?
Nor need ye place a cross of wooden stuff

Over my head to mark my age and name;
This very ground is monument enough!

'Tis all I wish of show or outward fame. Deep in the hearts of fellow countrymen My fast immortal sepulcher shall be, Greater than all the tombs of ancient kings. What matter where my dust shall scatter then? I shall have served my country overseas And loved her-dying with a heart that sings.

-Ray Gauger in the Montreal Star.

The Medical Herald

Incorporating the

Kansas City Medical Index-Lancet

Subscription, $1.00 a year, in advance, including postage to any part of the United States, Alaska, the Philippines, Cuba and Mexico. Canada, 25 cents additional. Postage to foreign countries in the Universal Postal Union, including Newfoundland, 50 cents a year additional.

The Medical Herald aims to reflect the progress in the sciences of medicine and surgery, especially throughout the Missouri Valley and Southwest, the territory of its greatest distribution.

Concise and practical articles, news and reports of interesting cases invited, and should be typewritten.

The privilege of rejecting any communication is reserved, and all papers accepted must be for exclusive publication in this magazine, unless otherwise arranged.

To contributors of original articles a liberal number of copies of the Herald will be given (or mailed free of expense if addresses are furnished) and the publishers will furnish reprints at printers' cost, application for same to be made when proof is returned.

The editors are not responsible for the utterances of contributors or correspondents.

Illustrations will be furnished at reasonable rates, if drawings or photos are furnished.

Address all remittances, correspondence, articles for publication, books for review and exchanges to the Managing Editor.

Subscribers changing their addresses will please notify us promptly, as magazines cannot be forwarded without adding postage.

Advertising forms close on the 20th of each month. Time should be allowed for correction of proof.

Electrotypes and changes in advertising copy should be addressed to the Medical Herald, St. Joseph, Mo. Advertising rates on application to the Managing Editor.

Poetic Reprints-Do not mutilate your Medical Herald by tearing out any piece of poetry that may strike your fancy. Write to the Managing Editor, and he will send you a reprint. Reprints are made of all verse appearing in this magazine.

FOOD WILL WIN THE WAR DON'T WASTE IT

Gonorrhea in Women-The application of an aqueous solution of iodine in connection with the administration of Sanmetto is recommended in the treatment of gonorrhea in women on account of its ability to penetrate the subepithelial structures and deeper glands. It is also a stimulant, a counterirritant, and an alterative. The aqueous solution (liquor iodi compositus) is used because of the pain caused by alcoholic tincture. The gonococci disappear early from the secretions, intrapelvic extension is far less frequent, and there is little pain. The entire course of treatment is comparatively short and causes but little trouble to either patient or physician. In acute and sub-acute cases, where vaginitis or vulvitis is present, the patient should be directed to use one teaspoonful of the solution to two quarts of warm water as a douche twice daily. In the chronic and mildly inflammatory cases the strength should be gradually raised from one to two teaspoonfuls, or until the patient begins to experience a burning or smarting sensation indicating

Pond's Extract

Sore Hands

the limit of increase, the Sanmetto to be adminis tered in teaspoonful doses four times daily throughout the treatment.

Another "Over the Top"

A negro sergeant, home on furlough, was the cynosure of all eyes-whatever that may meanin his neighborhood. The Birmingham darkies couldn't ask him enough questions. Finally one said to him: "Sergeant, dey's one thing Ah been layin' off to ax yo' an' dat is, whut does dey mean when dey says, 'Ovah de Top?' Dat 'spreshun sho' is got me pestered." And the sergeant replied: "Well, nigger, 'Ovah de Top's' jes' de same as sayin' 'Good Mawnin' St. Peter.'"-Woof Woof.

CAUTION!-Whenever the true merit of

a preparation is authoritatively established, imitation is sure to make its pernicious appearance. To counteract the injurious results of another of these fraudulent proceedings-in this instance affecting firm name and reputation-Sander & Sons have been compelled to appeal to law, and in the action tried before the Supreme Court of Victoria, the testimony of a sworn witness revealed the fact that this witness suffered intense irritation from the application to an ulcer of the defendant's product, which was palmed off as “just as good as Sander's Excalyptol." Sander & Sons had the satisfac tion to obtain a verdict with costs against this imitator, who is perpetually restrained from continuing his malpractice. Dr. Owen, in a report to the Medical Society of Victoria, and Dr. J. Benjamin, in the Lancet, London, both denounced, as others did before, on the strength of negative results, the application of unspecified eucalyptus products.

This forms convincing proof that only an authoritatively sanctioned article can be relied on.

SANDER & SONS' EUCALYPTOL
(Ecalypti Extract)

1. Has stood the test of Government investigation.

2. It was proved at the Supreme Court of Victoria by experts to be an absolutely pure and scientifically standardized prep

aration.

3. It is honored by royal patronage. 4. It always produces definite thera peutic results.

Therefore, to safegaurd the physicians' interest and to protect their patients, we earnestly request you to specify "Sander's Eucalyptol" when prescribing eucalyptus.

The Meyer Bros. Drug Co., St. Louis, Mo., agents, will forward one original package (1 oz.) on receipt on One Dollar.

Physicians who suffer from sore, chapped hands, due to frequent washing and the use of powerful antiseptics, will find that Pond's Extract, full strength, or diluted with glycerine, equal parts, is a most grateful lotion. It is mildly astringent and not only promotes rapid healing, but gives very prompt and satisfactory relief from the annoying pain and soreness.

POND'S EXTRACT CO., New York and London

0

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A course of Cystogen-Lithia is indicated in ambulatory patients.

Wherever Uric Acid is a possible Etiological Factor.
CYSTOGEN-LITHIA

is an effervescent tablet containing Cystogen and Lithium Tartrate, each grs. 3. Dose, one or two tablets, three or four times a day, dissolved in a glass of water.

Samples and Literature on Request

CYSTOGEN CHEMICAL CO.
ST. LOUIS, U. S. A.

العاني

He Has Two Good Legs

BOTH MADE BY MARKS

Although a man may lose both his legs, he is not necessarily helpless. By using artificial legs of Marks Patent he can be restored to usefulness. One of these engravings is from an instantaneous photograph of a man ascending a ladder. He has two artificial legs substituting his natural ones, which were crushed in a railroad accident. With Marks Patent Rubber Feet with Spring Mattress he can ascend or descend a ladder, balance himself on the rungs, and have his hands at liberty. He can work at a bench and earn a good day's wages. He can walk and mingle with persons without betraying his loss; in fact, he is restored to himself for all practical purposes.

With the old method of complicated ankle joints, these results could not be so thoroughly attained.

Over 50,000 in use, scattered in all parts of the world.

Purchased by the United States Government and many Foreign Governments.

Send for MANUAL OF ARTIFICIAL LIMBS, containing 384 pages, with 674 cuts. Instructions are given how to take measurements and obtain artificial limbs without leaving home.

A. A. MARKS

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Incorporating

The Kansas City Medical Index-Lancet

An Independent Monthly Magazine

OCTOBER, 1918

No. 10

Original Contributions

[EXCLUSIVELY FOR THE MEDICAL HERALD.]

INDICATIONS FOR BLOOD TRANSFUSION*

H. S. FORGRAVE, M. D., St. Joseph, Mo. The idea of the transference of blood from the circulation of one individual to that of another through the agency of a carrying system, is not a new one by any means.

It appears to have originated in the minds of several shortly after the discovery of the circulation of the blood by Harvey.

The history of the development of transfusion offers nothing of particular interest and it is sufficient to state that since its first employment, early in the 17th century until the present time, it has attracted the attention of numerous investigators.

Increasing success in its use and the discovery of broader fields of application have been a stimulus to its development, until now, with perfected methods and simplified apparatus, it has become a recognized procedure with a field of application and usefulness that is not fully appreciated until we pause to consider its many indications.

A new impetus has been given its employment by the present crisis in France for many brilliant achievements have been reported from its use, especially in dealing with acute anemia from hemorrhage, surgical shock and sepsis.

The first transfusions of the seventeenth century were performed to combat the effects of severe hemorrhage and today it is likewise most frequently used for the same condition.

One may with some accuracy divide the indications for transfusion into three groups, as follows:

1. The anemias.

2. The hemorrhagic diseases.

3. Infective and toxic conditions.

*Read before the Buchanan County Medical Society, St. Joseph, Mo., May 15, 1918.

The Anemias

1. In acute anemia following hemorrhage, where the bleeding has been so severe as to endanger life, the first indication, of course, is to stop the flow of blood, if the source of hemorrhage is accessible, and follow this immediately by transfusion of whole or defibrinated blood. If the hemorrhage cannot be checked by direct. measures, as in gastric, or typhoid ulcers or ruptured extra-uterine pregnancy, one may still resort to transfusion, with the hope that the hemorrhage may cease spontaneously and that the blood introduced may serve in the meantime to prevent dangerous depletion or at least aid in coagulation.

In such cases great care should be taken not to introduce enough blood to raise the pressure to a degree which would tend to cause a continuation of the hemorrhage. It is desirable to introduce just enough blood to prevent the total. amount in the body falling to a dangerously low level.

Chronic secondary anemias are due to gastric or duodenal ulcer, epistaxis, hemorrhoids, metrorrhagia, etc. When of an extreme grade, transfusion may offer the only hope of bringing operative procedure to a successful issue. may be done before, during, or after operation,

It

or at all three times, as indicated in each particular case.

The

shown marked improvement by a series of trans3. In pernicious anemia selected cases have fusions at intervals of one or two weeks. red cells showing a rapid increase and at the same time the hemorrhagic tendency is lessened. While no permanent benefit has so far been seen, life is prolonged, the patient is made more comfortable, and the results on the whole are encouraging.

4. In the severe hemorrhages, occasionally seen in leukemia and spenic anemia, where serum injections will not control the bleeding, transfusions will usually stop the hemorrhage and relieve the anemia.

5. Before, during and after splenectomy, whenever that procedure is indicated, transfusion, according to Percy and others, does much. toward lessening the risk of operation and assists materially in the convalescence.

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