Science has laid before the world the cause of consumption with mathematical exactness, and has given such an insight into the life of the micro-organism which produces it that it is now possible to plan a campaign against the disease which is sure to end in victory for the human race.

Let every physician enlist in the army which is to fight this battle and prepare a crusade against the disease.

Our greatest thinkers have demonstrated that the cure of tuberculosis is a question of nutrition increasing the resistive power of the diseased cell; that tuberculosis can be successfully treated most anywhere. Flick says all that is necessary for the successful treatment is open air, proper food, rest and exercise.

The Ottawa Tent Company, conducted under the auspices of the Illinois State Medical Society, is taking a most commendable step in demonstrating that consumption can be cured in Illinois to influence the Legislature to establish sanatorio for the tubercular poor, and should have the endorsement and support of the profession.

E. S. A.

EDITORIAL NOTES.

We are always pleased to know that justice is done, and when manufacturers spend no end of time, trouble and money to keep an ethical product up to its proper standard they should be encouraged. The following is from the editorial columns of the Canada Journal or Medicine and Surgery, January, 1905 :

KRESS & OWEN VS. CRUTTENDEN.

On the 8th day of December Police Magistrate Denison, in the Police Court, registered a conviction against Thos. Cruttenden, Jr., who keeps two drug stores in Toronto-one at the corner of Howard and Sherbourne streets, and the other at the corner of Gerrard and Sumach streets-for infringement of the trade mark, duly registered in Canada, owned by Kress & Owen Co., 210 Fulton street, New York, "Glyco-Thymoline." The evidence conclusively showed that the defendant had put up a preparation under the name of "GlycoThymol" in bottles almost identical to those of Kress & Owen Co., and with labels worded verbatin et liberatim to those of the original manufacturers. The Magistrate, in rendering the conviction, gave the defendant's solicitor, who hinted at an appeal, to understand that if he entertained that he would not only fine but imprison his client as

the law provided. The case was adjourned for a week, at the end of which time Cruttenden, through his solicitor, gave an undertaking that he would stop all manufacture of Glyco-Thymol, and destroy all labels, bottles, etc., connected with the sale of that preparation. The firm of Kress & Owen Co. are deserving of congratulation over the result of of this case. They had every reason for prosecuting Cruttenden, as it was nothing short of dishonest, and entirely contrary to the law, that he should stoop to such practices and try to rob a firm, who, by strictly ethical advertising (solely to the profession) and the expenditure of about $175,000 per annum, have secured a large sale of GlycoThymoline, a preparation found valuable in catarrhal conditions of the mucous membrane.

Realizing the importance of a society in which clinical workers in ophthalmology may be able to report their interesting daily cases and enjoy full and free individual discussion upon the same, and present theoretical and statistical papers upon ophthalmic subjects, Dr. Oliver, of Philadelphia, has recently organized the " Association of Clinical Assistants of Wills' Hospital." Membership by ballot; is open to all those who have been or are connected with one or more of the clinical services in Wills' Hospital for a period of more than three months' time. Meetings are held at the hospital at 8-30 P. M., on the first and third Wednesdays of each month. All who are eligible are invited to attend and join.

The annual banquet of the Louisville Society of Physicians and Surgeons was held at Seelbach's Hotel, Thursday, January 12, 1905, with Dr. B. F. Zimmerman presiding as toastmaster. Drs. Koontz, Asman, Abell and Spears were put down for toasts and responded ably. A decided majority of those present were called on, however, during the evening, and showed their ability extemporaneously. Out of a membership of thirty about twenty-seven were present. The only business transacted at this meeting is the annual election of officers. Dunning S. Wilson was elected President, Bernard Asman Vice President, Sidney S. Meyers Treasurer (re-elected), and John B. Richardson, Jr., Secretary.

RECENT PROGRESS OF MEDICAL SCIENCE.

SURGERY.

UNDER THE CHARGE OF

F. W. SAMUEL, A. M., M.D.,

AND

W. O. ROBERTS, M.D.

The Association of Cancer and Tuberculosis.-W. A. Bastedo presents the following conclusions:

I. Cancer and tuberculosis not infrequently occur together in an active state, and may be intimately associated in the same tissue.

2. There is probably neither specific favoritism nor specific antagonism between the two types of disease.

3. There are a few reported cases in which one of the affections seems to have exerted a modifying influence on the course of the other. 4. Lupus favors the development of epithelioma.

5.

Cancer is more common among those with latent tuberculosis than among others at the cancer period of life.

6. The common age for cancer is not the common age for active tuberculosis. (Cruveilher, 1828.)

7. The common sites of cancerous involvement are mostly not those of tuberculous involvement, and vice versa. (Rokitansky, 1838.)

8. A family history of tuberculosis is more frequent in the cancerous than in the general community, and there may be some hereditary relation between the two.

9. A latent tuberculous process in a lymph node may become active when a cancer develops in the neighborhood.

10. Lymphnode enlargement in the vicinity of a cancer is not always cancerous (Claude, 1899), and may be solely tuberculous.Medical Record, December 24, 1904.

Intraperitoneal Injections of Serum and Salt Solution to Prevent Operative Infection of the Peritoneum.-Schmidt has devised a special apparatus by which it is possible to inject salt solution or horse serum into the human peritoneal cavity without danger of injury to the intestines. The skin and fascia down to the peritoneum are punctured

by a short, sharp trocar, which is prevented from touching the peritoneum by a flange which impinges against the skin. The needle, which has a close, rounded end, with lateral openings, is passed down to the peritoneum through the lumen of the trocar, and is then punched through the peritoneum by a quick push. In this way there is little risk of injury to the intestines unless adhesions have bound it to the abdominal wall, and even in this case the fluid would simply flow into the intestine. The author has employed the method in five cases, using as injection fluid 5 to 10 c.c. of sterile horse serum in 250-500 c.c. of physiological salt solution. The fluid was thrown into the abdomen seventeen to nineteen hours before the operation. On opening the abdomen the peritoneum was found congested, and but little free fluid remained. The leukocytes increased to about double their number up to the time of operation, after which they rose rapidly, in some cases up to four times the normal number. The increased resistance conferred by the treatment is shown in one case in which the wound burst open on the fifth day after a gastroenterostomy, and allowed the intestines to escape, but in spite of this secondary suture was followed by uncomplicated recovery. In another case, however, a considerable quantity of pus was evacuated from the stomach in an attempt to remove a carcinoma, and this patient did not survive the infection. The author considers that the procedure might also be found useful in cases in which peritonitis is threatened, as early appendicitis, salpingitis, etc., and that by increasing the natural resistance it would assist other internal or operative measures.-Medical Record, December 24, 1904.

Tuberculous Arthritis in Children-Treatment.-Hoffa (quoted in the Post Graduate, June, 1904) thus summarizes the treatment of tuberculous arthritis in children:

I. The treatment of this affection should be conservative; threefourths of the cases thus treated recover.

2. If treatment is become early some cases recover without loss of function; usually, however, ankylosis develops.

3. Ankylosis is often unavoidable in cases in which destruction. of the joint has occurred.

Marked contraction of the joint is always a result of inadequate treatment, particularly of deficient fixation of insufficient duration.

4.

Complete recovery from this disease under conservative treatment usually takes place within two or three years.

5. Whenever possible the child should be sent to the seashore for an entire year.

6. Soap inunctions (sapo kalinus Duverney) are an excellent adjuvant. Medicinally cod liver oil, arsenic and potassium iodide are worthy of trial.

7. The best local treatment consists of a combination of immobilization, permanent extension and the injection of ten cubic centimeters of a 10 per cent. iodoform-glycerin emulsion into the parenchyma of the joint or into the abscess cavity after evacuation if abscess be present.

8. During the florid stage of the disease, i. e., as long as there is pain or fever, the patient must be kept at rest.

9. In the absence of pain the ambulatory method of treatment is indicated.

IO. The ambulatory method of treatment is carried out by means of a suitable plaster of Paris bandage, or preferably in a portable apparatus.

II. Before applying the immobilization and extension bandages, existing contractures must be corrected.

12. The correction of deformities is accomplished slowly by means of weight extension or portable apparatus, or more readily under narcosis. Brisk total corrective procedures should never be employed; in severe cases correction of deformity should be performed at interrupted sittings ("Etappen "), followed each time by immobilization. with plaster bandages.

13. The mere presence of suppuration is no indication for immediate operation, nor is it a contraindication to the ambulatory method of treatment.

14. The existing abscesses are treated by puncture, evacuation and iodoform injections, every second or third week. The injection should not be repeated until all the disturbances (rise of temperature and pain) arising from the previous injection have completely disappeared. Injections are continned until exploratory puncture demonstrates complete disappearance of the abscess.

15. Incision of cold abscesses is deprecated, owing to the danger of fistular formation and septic infection. Wide incision should be made only in those cases in which (1) the abscess continues to give pain and fever notwithstanding repeated punctures and iodoform injections; (2) perforation threatens; or (3) the original diseased focus has healed.