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The Medical Herald

Incorporating the kansas City Medical Inder-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.

One Hundred Percent American-It is a pleasur to announce to our readers that the Bayer Company manufacturers of the well known Bayer product was taken over some time ago by the Alien Propert Custodian and it is now a strictly American corpor tion with American officers and American board directors. The proceeds of the sale of the old Baye Company will be held by the Alien Property Custodia until the end of the war when Congress will decide a to the disposition of the money, but in the meantime full confidence can be accorded the Bayer Compan with a knowledge that it is an American compan from the president to the office boy.

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.

Auto Troubles—Doctor, let us presc

for your engine troubles. Use a box of "Speed-more" tablets and your carbon will disappear, as if by magic; your engine will quit knocking, and you will find your starting much easier these chilly mornings. Send 35c for a trial box. Your money returned if not entirely satisfactory. Is this not fair? Speedmore Tablet Mfg. Co., 328 W. 11th St., Kansas City, Mo.

CAUTION KWhenever the true merit of a preparation is authoritatively established, imitation is sure to make its pernicious appearancs. To counteract the injurious results of another of these fraudulent pro ceedings—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 ao ulcer of the defendant's product, which was palmed off as “just as good as Sander's Eucalyptol.” Sander & Sons had the satisfaction 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 be. fore, 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 preparation.

3. It is honored by royal patronage.

4. It always produces definite therapeutic 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.

A New Calcidin Preparation-Is there a doctor in the country who has not used Calcidin? This efficient iodine preparation is now probably more widely used for the treatment of coughs, colds and croup, and other infections of the respiratory tract, than any other remedy. To meet an insistent demand for an elegant and palatable preparation of Calcidin, the Abbott Laboratories, Chicago, Illinois, have put out a “Calcidin Troche,” which is a delicious, licorice flavored tablet, containing 13 grain of Calcidin, and intended to be dissolved in the mouth so that the iodine will be absorbed slowly and come in contact, as much as possible, with the mucous membrane. Not only is it efficient, but it is so pleasant to take that children and older people really love it. We advise every doctor to prescribe or dispense Calcidin Tablets and Calcidin Troches.

Pond's Extract

In the routine treatment of typhoid fever and other febrile

disorders, Pond's Extract and tepid water equal parts make a solution for sponge bathing that is most agreeable and efficient. It is cooling and refreshing, and through its action on the skin not only lowers the temperature and makes the patient more comfortable but often aids materially in raising bodily vitality. POND'S EXTRACT CO., New YORK AND LONDON

Fever Bathing

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GENERAL

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SPECIAL ARTICLE: THE PRESENT STATUS OF THE TUBERCULOSIS PROBLEM

POTTENGER, PAGE 307.

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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.

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Organized at Council Bluffs, Iowa, September 27, 1888. Objects: “The objects of this society shall be to foster, advance and disseminate medical knowledge; to uphold and maintain the dignity of the profession; and to encourage social and harmonious relations within its ranks."-Constitution.

* 78 Service Stars

MEDICA

THE MEDICAL SOCIETY OF
THE MISSOURI VALLEY

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SOCIETY

"Keep tho Home Fires Burning

MISSOURI

"Follow the Flag"
Annual Meeting Des Moines, Iowa, Sept. 18-19, 1919
OFFICERS
J. M. AIKEN .....Omaha, Neb.

Second Vice-President.
CHAS. WOOD FASSETT.. Kansas City

0. C. GEBHART..

. St. Joseph
President.

Treasurer.
E. J. WATSON..........Diagonal, Ia. S. GROVER BURNETT... Kansas City
First Vice-President.

Secretary.

Carry On" the work of the Society

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processes which they produce, has been greatly

extended. The causative microorganism and the Original Contributions

method of its transmission has now been proven (EXCLUSIVELY FOR THE MEDICAL HERALD.)

for most of our common infections. Resulting from this research, many diseases which for

merly seemed inevitable are now prevented and HE PRESENT STATUS OF THE TUBER

likewise many which were considered incurable

are now successfully treated. CULOSIS PROBLEM*

Of the many diseases which have been the FRANCIS M. POTTENGER, A. M., M. D., L. L. D., recipients of intensive study during this period, Monrovia, Cal.

none has received more attention than tubercu

losis. While we must acknowledge disappointThe past quarter of a century has witnessed

ment in not yet being able to announce simple ne almost complete revolutionizing of medical methods for its prevention and a positive specience. The development of clinical medicine

cific remedy for its cure, yet we are able to reas gone for the most part hand in hand with

port that very important progress has been he development of the laboratory. This has not

made. The knowledge so far gained, if propbeen due to the fact that all possible progress erly applied, will exert a gratifying influence utside of the laboratory has been made, but

both upon the morbidity and mortality of this rather to the fact that the immediate past has world-wide scourge. een so preeminently an age in which laboratory As a result of the intensive study of tuberesearch has predominated, that clinical medicine culosis during the past few years, many importas been more or less content to apply laboratory ant facts have been established which may be inacts to clinical disease instead of making the terpreted with varying degrees of optimism. The ainstaking study of the patient that it should. viability of the bacillus outside of its host; the

By this intensive specialization our knowl- general prevalence of the disease, both as an dge of the various diseases and the pathological infection and as a clinical entity; its chronicity,

Read by invitation before the thirty-first annual particularly after reaching the open stage; and meeting of the Medical Society of the Missouri Valley, maha, Neb., September 19-20, 1918.

the fact that it may be transmitted through milk, one of the most important articles of diet; make throw of the theory of heredity, and the the prevention of infection, for the present, a thronement, in its stead, of the idea of posta very difficult matter. These facts emphasize the infection, we emphasized the danger of conta necessity of controlling the morbidity as well to such an extent that it was assumed that t as mortality: first, by preventing tuberculous in danger in associating with those ill of tuber fection from becoming clinical tuberculosis; and, losis was great and universal. In the minds second, by curing as large a number as possible those who were least conversant with the nat of those who are suffering from the clinical dis- of the disease, even a casual association w ease.

one open case was considered sufficient for This presupposes a diagnosis of clinical fection to occur. This idea was the parent tuberculosis as early as it can be made, and the an unjust and unwarranted phthisiophob immediate intelligent application of those meas- which caused all kinds of injustices to be do ures which are helpful. To this end the patient to the tuberculous patient. We now believe ti who has the disease must be as carefully studied there is no danger in casual contact, and that as the disease which has the patient. While only time when considerable infection occurs is hoping for the laboratory to give us a remedy childhood. of similar specific action to antitoxin in diph- Pathologists had known for many ve theria, quinine in malaria, and arsenic and mer- that the glands of children, particularly the cury in syphilis, we must not remain idle. We who lived under bad conditions, were frequen can probably make most advancement during infected with tuberculosis. It was not until this time by carefully studying the patient and discovery of the cutaneous and ophthalmic learning how the disease affects him and how berculin tests, however, that we really had a these influences may be avoided or counter- definite idea of the universality of tuberculo acted.

infection in early childhood. These tests appli My work as a clinician has particularly led to large groups of children in many differe me into the study of the patient, although I have countries, revealed the surprising fact that not neglected the study of the disease in its body cells of from 50 to 100 per cent of child varied aspects. I was early convinced that bet- were sensitized to the tubercle virus before th ter methods of diagnosis and more successful were fifteen years of age; in other words, fro results in therapy were necessary if tuberculosis 50 to 100 per cent of the children tested, varyi was to be coped with; and now, after several according to the groups, had already been years of close observation and study, I believe fected with the tubercle bacillus. I am able to show a certain amount of definite We now were able for the first time to und progress which points the way to a better under- stand tuberculosis. It is a disease which ga standing of the patient who has tuberculosis, and access to the body during childhood, but whi offers an explanation of the manner in which the may remain quiescent for years and then ber disease affects him. Clinical tuberculosis which active and produce clinical tuberculosis. appears to be such a complex disease may be were aided in this understanding by the fa analyzed in such a manner as to satisfactorily ex- which were being coincidentally discovered plain nearly all of its many and varied symptoms. the field of serology and immunity. We the This knowledge facilitates diagnosis. It helps learned that an insection is followed by an us to appreciate the early signs of activity and creased resistance or relative immunity. to differentiate between activity and quiescence was made evident by studying groups of tube in borderline cases. It further is of aid in ap- culous patients. While nearly all children plying a rational therapy. Before entering upon infected, comparatively few become clinica this interesting and important discussion I wish tuberculosis during their early years. Those w to recall some of the more important phases of do during the first year or two of life, nearly the subject which have been studied during the die of acute forms of the disease. By the tin past few years, and to place before you what I the age of six or seven years is reached, resistan believe to be the best teaching at the present begins to be evident and there is a tendency f time; remembering that until the subject is the disease to become chronic; and after the ag thoroughly understood, all supposed facts are of fifteen years, tuberculosis shows itself pa subject to change.

ticularly as a chronic infection. It becomes mol

chronic in the later decades than in the earli Phthisiogenesis

ones, which demonstrates that resistance develop One of the most important and far-reaching with association with the bacillus. acquisitions to our knowledge of tuberculosis is It is now the concensus of opinion that th that with reference to the subject of phthisio- clinical tuberculosis which is found so often afte genesis. We had at the beginning of our in- the fifteenth year of life is produced by bacil tensive study of the subject, classed tuberculosis whose antecedents entered the body of the in among the chronic infections; but, in the over- dividual during its early years, and that they

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