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Defexting

located on Broad St., just

RMARY, opposite Stonewall Street,

in the highest, healthiest and most desirable portion of the city. BUILDINGS
roomy and well ventilated, home-like, free from institutional features, and devo-
ted exclusively to Surgical Cases. GROUNDS ample, and well arranged.
Surgical Operations done with the strictest Antiseptic and Aseptic precau-
tions, RATES REASONABLE.

[graphic]

The Physician of Many Years' Experience

Knows that, TO OBTAIN IMMEDIATE RESULTS there is no remedy like

Syr. Hypophos. Co., Fellows

Many MEDICAL JOURNALS specifically mention this Preparation as being of Sterling worth

TRY IT AND PROVE THESE FACTS

SPECIAL NOTE:-Fellows' Syrup is never sold in bulk. It can be obtained of Chemists and Pharmacists everywhere.

NOTICE-CAUTION

The success of Fellows' Syrup of Hypophosphites has tempted certain persons to offer imitations of it for sale. Mr. Fellows, who has examined samples of several of these, finds that no two of them are identical, and that all of them differ from the original in composition, in freedom from acid reaction, in susceptibility to the effects of oxygen when exposed to light or heat, in the property of retaining the strychnine in solution, and in the medicinal effects.

As these cheap and inefficient substitutes are frequently dispensed instead of the genuine preparation, physicians are earnestly requested, when prescribing the Syrup, to write "Syr. Hypophos. Fellows."

As a further precaution, it is advisable that the syrup should be ordered in the original bottles; the distinguishing marks which the bottles (and the wrappers surrounding them) bear, can then be examined, and the genuineness or otherwise-of the contents thereby proved.

where the heart has to combat the greatly increased arterial resistance, and particularly if accompanied with dyspepsia, Huchard recommends a milk-vegetable diet along with digitalis in small doses, and erythrol-tetranitrate (in tablets 0.06 gramme pro dosi). Small doses of morphia or codeine act favorably under certain circumstances in these cases.

Romberg draws attention to the occurrence of tachycardia in sclerosis of the coronary arteries, the treatment of which would conform to that of general arteriosclerosis. The tachycardia of aortic insufficiency merits separate discussion. Many patients afflicted with this disease show a persistently increased pulse-rate as a sign of the irritable weakness of the cardiac muscle. The danger underlying this condition is the degeneration of the muscle and the insufficient emptying of the ventricle, which may give occasion to formation of a thrombus. The long-continued use of small doses of digitalis is well adapted to such cases.

In contracted kidney the action of the heart may be very much accelerated, and then it is practically always accompanied with confused rhythm (galiprhythmus). Beside a strict kidney diet, the following are of advantage: Diuretin or theophylline, digitalis, camphor, caffeine, small doses of codeine or morphia, hot hand and foot baths and abstraction of blood.

The occurrence of pendulum rhythm, combined with tachycardia (embryocardia), is very important and always reveals a condition of serious cardiac muscular debility and demands the energetic use of digitalis, caffeine (injection of caffein-natriobenzoicum, 2 grammes; aq. dist., 8 grammes-a Pravaz's syringeful every two hours) and oil of camphor.-Folia Therapeutica.

A small, hard, irregularly nodular scalp tumor is very likely an endothelioma. A little section should be removed under local anesthesia for microscopical examination. If the diagnosis is corroborated, radical removal is necessary.-American Journal of Surgery.

PHYSICIANS, ATTENTION.-Drugstores and drugstore positions anywhere desired in United States, Canada, or Mexico.-F. V. Kniest, Omaha, Neb.

Editorial.

MISSISSIPPI VALLEY MEDICAL ASSOCIATION.

The thirty-fourth annual session of this, the second largest medical organization on this continent, was held in Louisville, Ky., October 13, 14 and 15, ult., an unusually large membership being present, at this its fourth meeting in this city. Addresses of welcome by Gov. A. E. Willson on behalf of the State, Mayor Grinstead on behalf of the city, and Dr. Lewis E. McMurtry representing the medical profession of Louisville, were responded to briefly by Dr. Arthur E. Elliott, of Chicago, president of the association.

Although the program was not as full as some other meetings of the association, it was marked by the high character of the papers presented and the discussion following, in both the medical and surgical sections. The symposium on diseases of the pancreas before the joint session of the medical and surgical sections, was one of the notable features of the meeting, the opening paper being by Dr. Wm. D. Haggard, of Nashville, Tenn., on the "Etiology and Pathogenesis of Pancreatitis," which was followed successively by papers on "Physiology and Chemical Pathology of the Pancreas in Pancreatitis," by J. Henry Schroeder, of Cincinnati; "Diagnosis of Pancreatitis," by Albert J. Ochsner, of Chicago; “Pancreatic Diabetes and Its Relation to Gall-stones," by Dr. Alfred C. Croftan, of Chicago; "Surgical Treatment of Pancreatitis," by Dr. Wm. J. Mayo, of Rochester, Minn.

The symposium was discussed by Drs. McCaskey, Wathen, Turck, Dock, Rosewater, Carstens, and in closing by Drs. Haggard, Schroeder, Croftan and Mayo.

At the General Session held on the evening of Tuesday, the President, Dr. Arthur R. Elliott, of Chicago, delivered his annual address, the title, "Currents and Counter-currents in Medical Advance," which was followed by the address in medicine, a most excellent presentation of "Tropical Diseases in the Mississippi Valley," by Dr. George Dock, of New Orleans, La., and the address in surgery by Dr. Arthur Dean Bevan, of Chicago, it being a most thorough and scientific consideration of the "Surgery of the Kidney." These papers, together with the others in the two sections, place the scientific work on a high plane, fully equalling that of any similar organization in America or elsewhere.

The social features consisted of a "smoker" at the Seelbach Hotel at the close of the first evening session; a musicale and dance at the same place on Wednesday evening, and the various private dinners given by leading members of the association in Louisville, were all quite in keep

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