nervous system; the second as those apparently resulting from pathological conditions remote from the nose-notably, the digestive tract.

The case it is my privilege to report before this society belongs to the first division, and may come to any practitioner as it came to me, by the merest accident.

Mrs. A. B., aged twenty-five years; married five years; housekeeper; no children. Had one pregnancy that terminated at the end of the fourth month. Patient could give no reasonable cause for the accident. Menstruation normal as to time and quantity of flow.

Since the miscarriage there had been occasionally a discharge of small clots during the flow. At such times there was slight increase of pain, though never at any time was menstrual pain severe. Slight leucorrhoea between periods. Function of bowels and stomach fairly good. Occasionally constipated, which at the time I first saw the patient seemed due to lowered vitality of the intestinal walls (large intestine). No history of venereal disease was obtainable. Patient complained of headache at times, dull in character, occurring mostly when she had a cold, was weary from a day's work about her house, or had been out in a cold wind.

I noticed the facial expression was greatly marred by expansion of the nasal bones, the alæ nasi participating in the widening, which gave the nose a flattened appearance, although the root of the nose was not depressed.

Pulse and temperature normal; urine normal as to specific gravity, sugar, albumin, and reaction; no lesion of heart or lungs.

The patient came seeking relief for "fits" or "falling spells," as she expressed it.

She stated that she had suffered from these attacks between two and three years. At first they were not very severe or frequent, but for the three or four months prior to her visit to me the "spells" had become more frequent and severe in character, occurring as often as once or twice a week.

She felt the attacks coming on, but was unable to describe the aura further than that she "felt queer."

The patient's sister, who came with her, and who had witnessed the attacks, gave a good description of epileptic seizures of grand-mal type.

That the patient was unconscious during the seizure was evidenced by the presence of a nearly healed eschar, the result of a burn received from a fall upon a hot stove.

The patient had been persuaded that the "spells" might be due to uterine disease, so came to me for a pelvic examination. I made the examination and found a non-purulent catarrhal endometritis (cervical) with a general venous congestion of all the pelvic organs and their surrounding tissues. Capillary circulation was generally poor, as the blueness of tongue, lips, finger nails, and general integument bore evidence. The pelvic conditions did not satisfy me as to the real cause for the epileptoid attacks.

From the history obtained I favored the diagnosis of true epilepsy, but withheld a diagnosis for the time, and advised treatment for the endometritis (cervical), which I hoped to relieve while making further study of the case.

During the patient's third visit, while lying upon the operating table, the light from the window fell upon her face so as to illuminate the anterior portion of nasal cavities. I noticed the mucous membrane was red and inflamed, and asked the patient if she ever had trouble with her nose. She replied: "No; not much. I used to have catarrh, but don't mind it much now." I examined the nose and found a deflected and ulcerating sæptum naris; the turbinated bodies, especially the lower, were enlarged and inflamed. Bands of tissue, probably adhesive in their origin, extended across the nasal cavities, from the inferior turbinated bodies to the sæptum. Three of these bands were on the left side. and two on the right. They were graduated in length from below upward, the lowest being the longest and most attenuated. The upper bands were short and broad, completing the occlusion of the passages. Above the bands were small bony protuberances projecting into the upper portion of the nasal cavity. The nasal cavities were thoroughly cleansed with a solution of boric acid and the bands severed. The ends and inflamed surfaces were touched with a drachm of Continued on page 202.

The Woman's Medical Journal.

Subscription Price $2.00 Per Annum.

Single Copy 20 Cts.

TO CONTRIBUTORS AND SUBSCRIBERS. Contributions, Books for Review, and all other cominunications relating solely The Woman's Medical Journal should be addressed to the Managing Editor Woman's Medical Journal, Toledo, Ohio.

to

The Editors and publishers are not responsible for the views of contributors. REPRINTS-Contributors desiring reprints should notify us when copy is sent. as to number desired. Seventy-five will be furnished gratis to those desiring them.

Address all Business Communicationsto MARGARET L. HACKEDORN, Business Manager.

THE TREATMENT OF CHILDREN.

O more persistent demand is made upon us professionally than the demands of the little people for

treatment. Each case is individual, each case is a "hurry up case," each case is set with a back ground of an anxious and frequently unwise father and mother. As has been said so many times pediatrics and gynecology are the specialties of women, and it is fortunate that this is so for we enter the field with a fundamental equipment of quick intuition, ready sympathy and good insight, and these three things mean much, added to a skilled treatment and sensible medication.

Because a child, is a child, does not mean that he should not have all the skill, science and attention that a being of twice or thrice his years should have. Because the child responds readily to treatment it does not follow that the best or the most judicious treatment is unnecessary.

Right here is where the average young physician fails-babies and children are so small, their ailments so trivial that he is bored by the presentations of the cases-and shows he is bored. The trivial ailment soon becomes serious, grave conditions present themselves and the little life is soon ushered into eternity, Divine Providence took himand we bow silently bow our heads in submission-but sometime, when we grow older, we know that instead of Divine Providence, it was gross ignorance that was the exciting cause of death.

A recent editorial writer directs attention to the lack of attention to pediatrics in our medical schools and sounds the alarm as to the evident lack of preparation in the average graduate. This may be true-so much time is taken up in considering the seemingly larger points in surgery, pathology and various other departments that the claims of the diseases of children are set aside for later consideration, and experience has proved that the task set for tomorrow is tardy in accomplishment.

There is no study that brings quicker returns than pediatrics. But the common error is in setting down the ailments of children either as trivial or as a whimsicality of the parent. This method means that many patients seek another physician, one who is willing to give more care and thought to the many conditions which present themselves.

The fault of all this lack of attention lies largely with our colleges and until this is remedied there should be constant effort for better teaching, better training in pediatrics.

THE PASSING OF GIRLS.

REAT interest has been aroused over the discoveries of Dr. Schenck and his specific for producing boys at will. This is arousing such intense interest that we are all wishing we had been born later, that we might

have participated in this wonderful discovery. The coming generation will doubless profit by Dr. Schenck's advice and the era will be one of the male sex exclusively. Vale women! Yet on the whole we are not sorry we are of the gender feminine, else we should have missed the delightful oppor tunities of our profession and position.

THE FIRST NATHAN LEWIS HATFIELD PRIZE FOR ORIGINAL RESEARCH IN MEDICINE.

The College of Physicians of Philadelphia announces through its Committee that the sum of Five Hundred Dollars will be awarded to the author of the best essay in competition for the above prize.

SUBJECT: "A Pathological and Clinical Study of Thymus Gland and its Relations."

Essays must be submitted on or before January 1st, 1900. Each essay must be typewritten, designated by a motto or device, and acompanied by a sealed envelope bearing the same motto or device and containing the name and address of the author. No envelope will be opened except that which accompanies the successful essay.

The Committee will return the unsuccessful essays if reclaimed by their respective writers or their agents within one year.

The Committee reserve the right not to make an award if no essay submitted is considered worthy of the prize.

The treatment of the subject must, in accordance with the conditions of the Trust, embody original observations or researches or original deductions.

The competition shall be open to members of the medi cal profession and men of science in the United States.

The original of the successful essay shall become the property of the College of Physicians.

The Trustees shall have full control of the publication of the memorial essay. It shall be published in the Transactions of the College, and also when expedient as a separate issue. Address J. C. Wilson, M. D., Chairman, College of Physi cians, 219 South Thirteenth Street, Philadelphia, Pa.