case. The price of the set, consisting of the book and case, postage paid, is $1.00. Subsequent books alone, 40 cents each, or three for $1.00. Under ordinary circumstances one case will last until three or four books are filled. Some persons will wear it out with the first one, as they would an ordinary leather bound book. Even in that case the book is far more economical than any other system that can be procured.

A Strictly Legal Form. The name of the person responsible for the account is written at the top of the page. Each charge against him is dated, entered in plain language, carried out into the money column, and each payment is duly credited. This book, then, besides its superior convenience, stands every legal test. Without any accompanying explanation whatever it

A. Enables the Doctor to prove his account in court against a debtor who disputes it.

B. Enables the Doctor to collect his account from a decedent's estate.

C. Enables the Doctor's widow or executor to collect from debtors after his

death.

When the page is filled the account may be continued on a subsequent page.

There are 144 pages of this form of accounts in the book. Unsettled balances are carried forward into the next book, which will require only a few minutes, there being 8 pages of a special form in the beginning of each book for that purpose. Thus you have in your pocket at all times the exact condition of all accounts, both past and current.

No Complicated Bookkeeping. This book requires no posting or reentry. Each account is separate and distinct on its own page. Once writing the charge or credit completes the transaction. Having it with you at all times, you can enter the charge during a moment of waiting, so that when you get back to the office your accounts are already entered, and at the very best time possible immediately after each transaction has occurred. In fact, it is often of great advantage, with persons who need such a

vivid impression, to ask them if they "wish to pay cash for the visit, or do they wish it to be charged?" and to make the entry accordingly in their presence. Thus they are reminded of the fact that your calling really has a business side to it as well as a scientific and humanitarian side. Many cash fees are obtained in this way that would otherwise be entered on slow accounts.

Of this principal form of accounts there are 144 pages. This is just the number of pages that you will find in other such books complete. But in addition there are many pages of other and very useful, necessary

forms, as follows:

sisting of only one service, or very few I. As many accounts are short, conat most, there are sixteen pages for short accounts, five on a page. This makes the total number of accounts provided for in the book 224.·

2. A copious alphabetic index of 8 double column pages provides for quick reference to all accounts.

3. A department of 8 pages of "Balances due brought from former book" provides for a transfer of all unpaid accounts of former years, leaving room for credits to be added.

4. The most perfect plan for instantly calculating the gestation period and finding the probable time of confinement ever each of obstetric cases, giving all infordevised, followed by 4 pages of 36 lines mation needed for return to the board of health and for clinical record. This, however, is not the financial record. Each confinement should be entered as a charge in the proper page of the account book.

5. Record of vaccinations, 2 pages of 36 lines each, clinical only. Charges should be made in the regular account pages.

6. Records of deaths, I page of 36 lines. 7. Cash-Book, 24 pages, 36 lines each, double column. Physicians with practical experience will appreciate this feature.

This full description is given here to answer the many inquiries that have been received and to enable any physician who contemplates adopting this system to have an intelligent idea of it beforehand. It may readily be seen that this book can be begun or ended at any time of the year, and continued until closed.

The most concise and practical account book for the physician we have ever seen. -Milwaukee Med. Journal.

It is very complete and compact and will be found very useful for the busy doctor and will probably save him many a dollar which would otherwise be forgotten and lost.-Atlanta Jour. Kecord of Med.

With this book in his pocket the physician can tell in a moment the exact amount of each person's bill upon inquiry.-Medical Standard.

A physician of some 35 or 40 years' practice, recently remarked in the hearing of the writer of this, that he would be worth $20,000 more than he was had he been prompt in sending out bills. Bookkeeping is disliked by most physicians, and many methods of easy keeping of accounts have been devised. Most of these involve the use of signs, which renders the account book of no value as evidence. The book under notice is one of the simplest, as well as the most efficient that has come under our notice. It is not as complete as a carefully kept set of books by double entry, but the physicians who will use truly scientific bookkeeping are rare, and this device is to be commended as requiring the minimum of time to use, and being available for every purpose for which account books are employed.-Bulletin American Academy of Medicine.

Possessing the following unique features: First. It is the only single book system on the market. No posting into a ledger is required, as each account is originally made in ledger form. Second. There being plenty of room to write the name and address of the party responsible for the account, and also of the person or persons to whom each service is rendered and to describe the exact service, with columns for charges and credits, the book will stand every legal test.—International Jour. Surgery.

No posting into a ledger is required, as each account is originally made in ledger form. Spaces are nicely ruled for the name, etc., of the party responsible for the account, the person to whom each service is rendered, and to describe the exact service rendered, with columns for charges and credits-thus enabling the book to stand every

legal test. It thus enables the doctor to collect from a decedent's estate, or the doctor's executors to collect from debtors. It also enables the doctor to prove his account in court. The sign system of visiting list are valueless in some States for all these purposes. They serve simply as memoranda for the physician, but cannot be introduced in court as evidence. The system adopted in this "Physician's Pocket Account Book" requires only one book at a time, and can be begun at any time and closed at any time.-Virginia Med. SemiMonthly.

This is really a very elegant, simple and complete account book and physicians will find it valuable.-Southern Calif. Practitioner.

It should be a money saver as well as a labor saver.-St. Paul Medical Journal.

This book offers a unique system for keeping physicians' accounts, enabling the doctor to have his business office in his pocket. It is arranged in such a manner as to be admissible in court whenever it becomes necessary to prove the charges according to law. Its many features are ingeniously as well as practically arranged, and this new system of bookkeeping makes appeal to such physicians who do not employ an accountant or secretary to attend to the business part of their offices. Especially does it seem to us that the system is adapted to the needs of the country physician, who through its means can always carry with him the information necessary to effect a prompt settlement of accounts when miles away from his office.-Buffalo Medical Journal.

Dr. J. J. Taylor, editor of THE MEDICAL COUNCIL, has gotten out a very compact, substantial and convenient account book for physicians, which only needs to be seen to be appreciated. It requires no posting or double entry. Each account is separate and distinct on its own page. Once writing the charge or credit completes the transaction. Quite a boon to doctors who appreciate a simple but correct method of keeping their books.Southern Practitioner.

This book is especially adapted to the wants of the busy physician and only the single book is required. There is no posting or transferring necessary. This book and a fountain pen will enable

one to have his account with him at all times, ready for settlement. Many a bill is lost or its payment delayed because it is not ready when asked for. Only one book at a time is necessary, and it can be begun or closed at any time. This book is surpassing and surprisingly simple and useful. It is convenient, uncomplicated, legal, pocket size. No signs, no bother, no worry. Try it for 1902.-Eclectic Medical Gleaner.

It is a book which enables the physician to make an original entry directly a service is rendered, and it is so arranged as to stand the test of the law. It is a very practical book which will teach physicians who use it business methods, and also enable them to realize more upon their work. One advantage of this book is that a physician's heirs are enabled, by its methods, to collect bills after his death-a most important thing in many instances. We can heartily commend it to those who have a credit practice.-St. Louis Med. & D. Surgical Journal.

We have been using for the past month with entire satisfaction one of Dr. J. J. Taylor's Physician's Pocket Account Books. The book is well arranged, made of good paper and is altogether the most convenient pocket account book that we have yet met with.-Chicago Clinic.

Physician's accounts and how to keep them are notoriously the bane of the physician's life. Not educated as a business man, his work carried on in a way not common to other pursuits, the feeling that his vocation is not a business one, all tend to make him careless in keeping records of his work, of the pay he receives and of the fees delayed. The result is that he loses much money during his lifetime and after his death the administrator of his estate finds the assets represented by unpaid accounts scarcely worth the paper they are noted on. The ordinary visiting list has much to recommend it to favor. In certain ways it is exceedingly convenient; on the other hand it is absolutely worthless in the settlement of a disputed account. It is kept in such a way that it cannot be introduced into court as legal evidence. That is not the case with the book before us. Each account is kept separately, the exact nature of the services rendered and the special charge therefor are specified and the book can be introduced into court as one of original entry and of perfectly legal value. In addition to this characteristic it is very conveniently arranged.-The Colorado Medical Journal.

This account book is at once the most convenient, practical and labor-saving account book we have ever seen, and it is also definite and legal in its record

of service, charges and credits. It can be produced in court to prove an account against a decedent's estate, or to prove for the estate of the deceased physician himself the several accounts against those who employed him in his practice. This is because it provides for the complete entry of services in plain language and not in hieroglyphics. The physician who has had experience in the courts will appreciate this fact. No posting into a ledger or any other book is required. The condition of each account is always shown at a glance.Hom. Jour. Qbstet. Gynecol. & Pedology.

This is a very convenient pocket ledger for a physician who is not employing his own bookkeeper. All his accounts are accessible at any time and the amount due is always in plain view.Canadian Pract.

This account book is devised especially for the busy practitioner. It contains an index for 576 names, also departments for confinement cases, vaccination and deaths. It is far superior to the "old-time bookkeeping" or to the large and cumbersome ledger so commonly used. For its simplicity and cheapness it cannot be excelled.-Okla. Med. News.

This is a pocket account book of original entry which, besides convenient, is believed to be fitted to stand all legal tests. Doubtless many doctor's bills are lost because they are not recorded in a form which the law requires. This is of special importance after the death of the physician when his heirs try to collect, or after the death of the patient, when he himself may need to go to court to collect.-Annals of Gynecology.

This account book has been prepared by a physician of large experience and admirably meets the needs of the physician in this direction. Moreover, it is so arranged that while the system is simple and concise, it at the same time meets all legal requirements, and will stand in a court of law. So far as is known, it is the only single book system on the market that meets such requirements. This plan of keeping accounts will enable the physician to collect his accounts from a decedent's estate; it enables the physician to prove his account in court against a debtor who disputes it; it will enable the doctor's widow or executor to collect from debtors after his death. If the due bill form (furnished at the bottom of each page) is used either at the close of protracted service, or at a time of settlement, or when an account begins to grow old, it will prevent all future dispute of the account. The book is durably bound, is tasty in appearance, and the price places it in the reach of all.—Jour. of Med, and Science.

mortality has been about three per cent. I have tried all treatments, from carbolic acid, tincture of iodine, calomel, and intestinal antiseptics, down to the Woodbridge treatment, and have found one about as beneficial as the other. Consequently, I have discarded all drugs, unless for special symptoms, and I do not believe that there is any known treatment equal to this when strictly carried

out.

I have both tubs made of heavy rubber duck, seven feet long, two feet wide, and eighteen inches deep. This makes a good bath tub, and the patient can be well covered in water. I bathe them every three hours when the temperature is

about 1022. The duration of the bath varies from fifteen to thirty minutes. After the bath, I rub the body well, put them to bed, and use hot applications if they are very chilly. Some will have rigors and shakes, and the extremities turn purple, but this all passes off soon after they are placed in bed with hot applications.

The kind of a bath I think the most beneficial, is the full cool bath, temperature about 76, but there are some who object to a cool bath, and I use the grad

uated bath with them.

This treatment was used with the patient above reported until the first part of

the third week, when the fever began to decline, singultus set up, and tympanitis grew worse, and the treatment was then changed. For the tympanitis, high up rectal enemas of turpentine water and glycerine were used, and for the hiccoughs, hot baths, chloral, bromides, and morphia hypodermatically. But I wish to impress the fact that the most important part was the hot baths. Nothing would stop the hiccough until we put him in a hot bath, and as soon as he was placed in a bath of a temperature 103 to 105, they would stop immediately, but would return after coming out. I continued these baths every three hours, lasting from twenty to sixty minutes, and I think there is nothing that will equal them in the singultus of typhoid fever. Patient is making a good but slow recovery. Hiccoughs lasted twelve days and nights.

Strangulated Herina; Operation; Re

covery.

Second Case.--This patient is of interest both from a medical and surgical standpoint. B., aged 40, male, single; has been dissipated; been under my care for the last two years. DiagnosisBright's disease, cirrhosis of the liver, ascites, and an old umbilical herina. He has been tapped about ten times in the two years. On the night of September 28th, this hernia became strangulated. He made efforts to reduce it, but failed, and suffered considerable pain. Two physicians were called, and anesthized I saw him him, but failed to reduce it. at about 4 P. M. on the same day, and sent back for three physicians, but one failed to come as he had advised him to go to the city and be operated upon. We proceeded to do the operation under very unfavorable surroundings, making it impossible to adhere to antiseptic surgery and we worked by lamplight, etc. prepared the patient; made an incision about four inches long; let out a gallon or more of fluid; found one loop of intestine strangulated; divided the old ring; dissected and removed the greater part of the sack; pared the edges of the old ring; and, after cleansing, took six

We

deep silk sutures through the skin, fascia, muscle, and peritoneum. There was union by first intention. Temperature on the following day was 101. Recovery was quick and complete.

Fatal Puerperal Septicemia.

TO THE Medical COUNCIL.

Is there a specific toxine that produces puerperal septicemia gravidarum, the variety that, if you have a case in your practice, you will almost invariably infect everyone of your labor cases with regardless of your precautions, antiseptics, etc., and those infected prove uniformly fatal? It has been my privilege to watch some disastrous results in this line, and I believe that the general practitioner in every field who has done service has some experience that he does not rush into print with.

In 1891 I observed the course of one infection. I was then a druggist. A A physician, a conscientious, hard-working, consecrated man, had a patient who gave him quite a lot of trouble, with all kinds of symptoms before her pregnancy, and, during it, and at labor developed a virulent septicemia. His practice being extensive, before he realized "where he was at," he had ten cases of puerperal septicemia, nine of whom died. The first case showed every indication of an extra uterine or tubal pregnancy preceding her pregnancy, and her labor was premature. At that time we did not know as much about tubal pregnancy as we do at present, and every cross-roads doctor was not expected to do an abdominal section. Since 1894 I have had two rounds of virulent puerperal septicemia in my own practice that were only kept from reaching the gravity of the one related by my absolutely refusing to attend a labor case while waiting on those affected. The first case showed every indication of a ruptured tubal or extra uterine pregnancy, with normal pregnancy supervening.

On Sept. 17th, last, I was summoned to see Mrs. She had been visited the night before by another physician, who told her that she was threatened with miscarriage. He left her what she needed, and enjoined rest, and went to attend another case of labor. Not being able to visit the case next morning, her attendants became alarmed and summoned me. I found her condi

tion as stated by the physician, having strong labor pains, with unusual strong muscular contractions of the abdomen.

The husband not being at home and the other physician being detained, after

careful disinfection I made a careful ex

amination. The os uteri was very high and to the left side of the vagina. There

There was a

was no dilitation and I could not touch any part of the fetus, even with pronounced counter pressure on the fundus. There was a pronounced tumor high up on the right side of the vagina, and very perceptible on external palpation, extending up the right iliac region to two inches above the bony prominence. The growth was adherent to the abdominal muscles, but the uterus was not attached to it above the symphisis and could be well outlined on the abdomen, and showed nothing out of the ordinary except that it was very high up, reaching almost to the ensiform cartilage. white granular viscid secretion on the examining hand, and the patient stated that she had been passing that character of matter with shreds and pieces of white to slate colored membrane ever since her last menstruation. Pieces of membrane were at times as large as an ordinary No. 5 envelope. Her menstruation in March was accompanied by some purulent clots of mucus, shreds, etc. of mucus, shreds, etc. She had been irregular in her menstruation from December to March. Had tumor in right side, and continued pains, cramps, paroxOne day ysm of extreme nervousness. she felt a giving way in the right side, became prostrated, with extreme shock and the tumor disappeared. She slowly recovered from shock and got able to travel in a wagon to visit relatives. The tumor gradually returned in the right side. She felt movements of the child about August 1st, which was the first time pregnancy was suspected. She had labor pains at irregular intervals all the time since August 1st.

This is the history to Sept. 17th, the time of examination, when I predicted an awful time, and suggesting waiting her husband's arrival as they had contemplated employing another physician other than the one called in or myself,