ical women by Medical men. Another thing this agitation did was to bring before the people in Philadelphia the fact that they had a Woman's Medical College and a Woman's Hospital conducted by women. Many women within six blocks of the Woman's Hospital and College did not know of their existence, as I verified on Sunday following "the event" when I went to visit a patient, after seeing the child, I was invited into the parlor and introduced to some four or five women that had never seen a woman physician and who had never heard of the College or Hospital. Several years later, as I entered my office I found a traveling man in some special line waiting for me. After introducing himself, he remarked, pointing to my diploma, "You were a member of the class of 1869 in the Woman's Medical College of Pennsylvania?" I assented and then he informed me he was one of the students that had conducted themselves so shamefully on the day above referred to. I expressed my astonishment, when he replied: "I have always been surprised, too," and added, "If it would be any satisfaction to you to know it, sixty-five of us were fined Monday morning in police court $75 each." That fact had been carefully kept from the papers at that time.

MISSIONARY FIELDS.

The various Missionary Boards have sent out large numbers of the Alumnae of the Woman's Medical College of Pennsylvania to India, China, Burmah, Persia, Syria, Congo Free State and Egypt. To-day women physicians are to be found in every part of the civilized globe. A Missionary writes: "Women missionary physicians are working in harmony with their associates in the Zenanos of the east, and crowded abodes of China and Japan, are accomplishing a silent revolution in the condition of women, of which the world at large little dreams." We are occasionally told that it is still an experiment and much doubt exists as to the success of women physicians. Considering the short time she has had good opportunities for obtaining a first-class medical education, we think she has shown an aptitude for the study, and great adaptibility in practicing the science. She is occupying positions of importance and responsibility in the medical profession. They are Professors in Co-educational and Post Graduate Medical Colleges, physicians in

public institutions, especially for the insane, resident physicians in and consulting physicians to hospitals, City physiWOMEN IN JOURNALISM.

cians, Presidents of Medical Societies, etc. A Woman's Medical Journal is published in Toledo, Ohio, by women. The editor, contributors and business manager are women. The sixth volume has just been completed, it is a success and is on the exchange list of many of the best Medical Journals published. The American Medical Surgical Bulletin, N. Y., says of it: "It is one among our many welcome exchanges. Its contents are always spicy and brilliant. The June number was a particularly fine one and contained a large amount of useful and interesting information, etc.) The Medical Sentinel of Portland, Oregon says: "The journal has shown a substantial growth since it began publication. It has demonstrated what women can do, not only in Medicine but in journalism." I could quote many more editorials to show its standing but the journal is its own best recommendation, as all successful journals are.

SUMMING UP.

It is the exception rather than the rule that men refuse to consult with woman practitioners. Could the contrast be greater between the facilities for education women in medicine fifty years ago and today, or the number of women in the profession then and now? Then one lone woman student had been received into a Medical College through the kindness, courtesy and generonsity of the Faculty and studentsNow co-educational and special Medical Colleges for women are to be found in many countries where a thousand women are studying for the Medical profession. There are at least a thousand women physicians graduates of some good Medical College scattered over the world engaged in the practice of medicine. Some confine themselves exclusively to private practice, some to specialties, while others are in public institutions and missionary fields doing great service to humanity, by helping the women to a better knowledge of themselves and their childrens needs. The contrast would appall us if we had not been familiar with the progress as year after year has past along with its increased opportunities.

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CONCERNING THE HOSPITAL QUESTION.

URING the past six months the subject of hospitals and free clinics-one of the outgrowth of hospitalshas been a subject which like Bauquo's ghost, would not down.

That there is a wide range of sentiment is evident, and to tell the truth the pendulum of public sentiment swings persistently to extremes. One gentleman says they tend to pauperise the profession and lessen the self respect of the people they do, in one or two centers of population-but may not we ourselves be at fault for this very condition in our anxiety and ambition to figure as one of the staff of metropolitan hospitals. Every graduate is desirous for a years hospital work and so he uses every effort to attain his ambition, and attaining it must needs find an object upon which to pursue his profession. He wants practice more than he wants money-it is worth more to him, and there is the cause, the corner stone of a lot of this eleemosynary business. There are always two sides to every question. Because there is an unpleasant side; and a resulting undesirable con

dition, there is a cry going up from us for the total extirpation of hospitals and clinics, holding that each are cancerous growths eating into the life of the profession, and holding the knife as the only remedy.

It is, perhaps, just as well to be fair-we need the hospital just as much as the hospital needs us. We are each outgrowths of XIXth century civilization and progress.

Hospital treatment is superceding more and more home treatment, and these extremes of sentiment will soon, of their own accord, adjust themselves to a more moderate range.

We are all willing to give the best of what we have, because we have been hood-winked once, we should not go to the extreme of calling all men our enemies.

JUST A DECIMAL POINT.

IME which brings many changes to the world at large is not inclined to pass the medical profession by in the allotment of its gifts. True the largesse may remind us of Pandora's box and the resultant amount of good things gained may be open to question, but we are certainly gaining.

The science of medicine is rapidly becoming all that its name implys-a science. That this is a fact, a glance at our literature will demonstrate beyond a doubt. Where uncertainty reigned and chaos presented itself; certainty reigns and order is apparent.

As an example, look at the precision in diagnosing diphtheria and the decision in the attack upon it by means of antitoxin; the result in the prevention of death being most gratifying. To be sure charlatanry promises much, and does little; but science promises much and performs what it promises. Therein lies the difference.

Again note the present treatment of typhoid fever, again precision, and again desirable results, and so on down the

list. Dr. Stowell the esteemed editor of Practical Medicine says tersely that all the difference in the old and new treatment of typhoid fever is a decimal point. The old mortality was 17.56, the new 1.75; that's all! But in the saving of life what a gain!

A UNIQUE CASE OF COMPLETE REMOVAL OF THE ESOPHAGO-ENTER

STOMACH-SUCCESSFUL

OSTOMY-RECOVERY.

By Carl Schlatter, M. D., Private-Docent at the University of Zurich, and Associate-Surgeon to the Surgical Clinic.

HE History of the Case, by Carl Schlatter, M. D., the Operator. The personal observation forming the subject of this paper, relates to a woman 56 years old. In her case I completely excised the stomach, even beyond its cardiac extremity, and then restored the continuity of the alimentary canal by stitching a loop of small intestine into the lower end of the esophagus, i. e., esophago-enterostomy.

HISTORY OF THE PRESENT CASE.

Anna Landis, aged 56 years, silk weaver by occupation, claims that cancer is hereditary in her family. As a child she recalls having had frequent attacks of abdominal pain. According to her own notion these attacks were due to the poor quality of food at the orphan asylum where she was brought up. Later on she often complained of severe pains in the stomach, accompanied or followed by vomiting. She never saw bloody admixtures in the ejected matter, but large quantities of bile often came up. Medical treatment had never afforded her any relief. Ever since the spring of 1897 the attacks of vomiting were of daily occurence. Progressive emaciation alsó ensued. Several weeks before her admission to the hospital a physician told her that she had a tumor of the stomach.

I first saw the patient at the surgical polyclinic on August 26, 1897. An inspection of the abdomen revealed a marked bulging between the left hypochondriac region and the umbilicus. The abdominal parietes were flabby and