cated them to others. Everyone of his students can testify to this fact. To the young man in medicine we would say, study the life of this great man, learn his simple principles of good living and practice in the art and science of medicine, all of this simple greatness, and your life will be worth while. You will give a fair deal to everybody, grow in strength and render good service for the talents given you in permitting you to become physicians. F.P.N. IF this day of hurried book-making when medical book publishers vie with each other in crowding new books Let There Be on the market (some of an Index. which "should have died in the bornin'") it is distressing from a bibliographical standpoint to find many supposedly complete products of the bookmakers art to be in need of a full index. Examples of this neglect are real, not apparent, and show haste and want of diligent foresight on the part of both publisher and author. Elaborate drawings, expensive drawings in fact are provided, handsome text is presented and superb paper with serviceable binding complete the art of book-making, but the utter and inexcusable absence of a working index impairs the usefulness of the book. Saunders recently published a very excellent book by Howard Kelley-both publisher and author are names known the world over, and yet the abridged index-the premature undeveloped index which goes with the volume is calculated to bottle up a lot of information that is in the book, but which will require the patience of Job to find it when it is wanted. We would suggest to book publishers, and to Saunders especially, in all kindness, to get busy in making an index worthy of the name to every excellent book published. An index is as much a necessity to a book as an eye piece is to a microscope, they both serve to open up the subject of inquiry. It is a pity that more care is not given to the minute detail of book-making. We once knew a man who worked over two years in making an index of a book, and that index is today used the world over, and will be used as long as the book is in print, which doubtless will be as long as gems of good literature are appreciated. Medical book publishers have a duty to their patrons in providing a good every day (and Sunday too) index which will stand the test of time. F.P.N. ARE you going to Portland? DR. ROBT. T. MORRIS says that although formerly he used to forbid morphine altogether his views on the subject have changed and he now gives it cautiously in cases in which there is great restlessness (Med. Record, May 27). The My Changes of View in Appendicitis Work. drug is still regarded as a double-edged sword, however. Both gauze packing and iodoform gauze have been abandoned altogether, as well as the use of buried sutures of silkworm gut. A standard length of one and one-half inches for the incision has been adopted for nearly all instances, including cases of abscess and peritonitis, and it has been found safer to deal with adhesions by touch than by sight. The time limit has also been greatly reduced, and now it is common to have the time from the first incision to the last suture occupy not more than seven to eight minutes. All patients are operated, even if moribund, a preliminary infusion of salt solution being given; adhesions are freely separated if necessary but not otherwise, and the idea of flushing out the abdomen has been dropped. After eliminating the features which seemed to have a special death rate of their own, viz., gauze packing, iodeform gauze, long incisions, and the expediture of time in unnecessary detail of work, one hundred consecutive operations were published with a two per cent death rate. The author does not favor the removal of the normal appendix in the course of other operative work, and he now uses a cigarette drain in all cases in which pus or spice debris have been left in the perioneal cavity. The dictum of operating as soon as the diagnosis is made holds good, with certain exceptions, but it is still a question what to do with patients who are covalescing from the attack. In interval cases it now seems best to operate only when on palpation the appendix is found to be the definite seat of chronic infection or of adhesions which cause symptoms. But for the leucocytosis, the blood conditions would almost suggest pernicious anemia with their diminution of the erythrocytes and changes in their size and shape, the presence of erythroblasts, often in larger numbers than pernicious anemia, of polychromatophilic cells, and of cells undergoing protoplasmic granular degeneration. There is usually a notable increase of blood plaques and a leucocytosis is common, the increase, it is reported, being usually in the polymorphonuclear elements. In Stewart's cases, however, which were uncomplicated, three were 37 and 35 per cent, respectively, of lymphocytes. He thinks that possibly in other cases there might have been some complicating disease influencing the leucocytosis and the proportion of polymorphonuclears. Cabot's case, complicated with nasal carcinoma, while the blood had the characteristic chocolate hue, and the hemoglobin was therefore not estimable, there was a leucocythemia. Erythroblasts were lacking, methemoglobin was demonstrable in the blood and urine, and the patient's general condition was good in spite of the evident cyanosis. Such a case might superficially suggest, he says, the condition that has lately attracted considerable attention, chronic cyanosis with polycythemia and enlargement of the spleen. difficulty sometimes attending the diagnosis in these cases has been noted by others, and stress has been laid on the characteristic anemia, etc. In The In the apparent incongruous ideals possessed by most of the recent graduates in medicine, even after specific preparation of high technical skill, it is noticed that no adequate conception exists as to the true relationship they are to bear to medical organization in general Unfortu The True Association. and local societies in particular. nately, the educational value of events growing out of medical societies have not been made a part of their curriculum; there too, has been little enthusiasm engendered regarding their attitude to their fellow practitioners and rarely a mention made of how other than medical experience is a necessity in the full development of true professionalism. As a result of these coin bined conditions, incongruous ideals are apt to exist, the true principles which are to guide them through their professional lives are not developed and if so are largely the result of their own reflection and observation, even then they need cultivation to bring about full maturity. There is a kind of wisdom, which every young practitioner must possess, in order to broaden his life and make him useful. It is a wisdom which comes from contact with his fellow practitioners; a wisdom which dissents selfish, sordid greed, overcomes the anti-social, anarchistic spirit of the knocker and inculcates, by a larger grasp of principles and broader conception of conditions, an ideal which enables him to aim to discern the fundamental relations which come from a true conception of the practical activities of medical society organization. The young man must know sooner or later, (the sooner the batter) that while most of his fellows are willing to accord him the distinction of spontaneity in his inherent genius, yet, the conventional hard-fast rule of hard work is the only reliable and royal road to professional success. Technical skill, a full brain, like a full dinner pail, is good fodder, but after all these are exterior possessions and it is the fitting application of this knowledge which is to be the test of true greatness. The fitting of the tools to the material of the heart and to do this will require character, sincerity, truthfulness and brotherly love. It is therefore, to the young practitioner's advantage to realize that to have his success genuine, to command it and to keep it, he must be genuine himself and in the competition in which he is to engage he must realize that in addition to his advantage as a trained man, he must adjust himself to the inexorable laws of ethical conduct and to know that by living in accordance with these rules, the outgrowth of conditions studied long before he was born, he will become a useful and successful practitioner in harmony with higher ideals and under their guidance his mind will open and his manly nature ripen. He will thus learn what is the true aim of the American Medical Association, to enable every medical man to attain his best, to show him that violation of the fundamental laws of true living, in his endeavor to gain reputation, practice or money, is immoral and that organization on the basis of applied principles of the American Medical Association is to develop the true man, to enable him to apply conscience in his work, fidelity to his purposes and to make his life's work in purpose and spirit the best that is within him. We believe in early education of the conscience and in order of natural selection of successful physicians; after all it is the heart as well as the hand which determines the earned position of the man in medicine. We further believe that the too widely accepted idea that a man needs nothing more than specific training to be a success, is wrong, it is a superficial conception of success and in the great railroad world, where organization is the most complete, it requires more than technical skill to insure promotion, it is the man's power to accomplish, to deal with men, to know character and to apply this knowledge. If success depends on these fundamentals in the commercial world, how equally important is it that we apply them in the profes. sional world. DR. L. S. MCMURTRY. Louisville, Here we deal direct with the frailties of mankind, and character above all things must be and is the test of supremacy in dealing with these problems. The American Medical Association fundamentally aims. to make character, and every physician must recognize this, in its evolution, as the great aim and purpose of medical organization. F.P.N. American Medical Portland, Oregon, July 11 to 14, 1905. GENERAL OFFICERS PRESIDENT John H. Musser, Philadelphia, Pa. Ky. SECOND VICE-PRESIDENT-James Hall Bell, San Antonio, Texas. THIRD VICE-PRESIDENT-F. C. Shattuck, Boston, Mass. FOURTH VICE-PRESIDENT-B. C. Pennington, Atlantic City, N. J. GENERAL SECRETARY AND EDITOR-George H Simmons, 103 Dearborn Ave., Chicago. TREASURER-Frank Billings, Chicago. CHAIRMAN COMMITTEE ON ARRANGEMENTS-K. A. J. Mackenzie, Portland, Ore. BOARD OF TRUSTEES-E. E. Montgomery, Philadelphia; 1905; H. L. E. Johnson, Washington, D. C., 1905; A. L. Wright, Carroll, Iowa, 1905; William W. Welch, Baltimore, 1906; Miles F. Porter, Ft. Wayne, Ind., 1906; M. L. Harris, Chicago, 1906; T. J. Happel, Trenton, Tenn., 1907; W. W. Grant, Denver, Colo., 1907; Philip Marvel, Atlantic City, N. J., 1907. JUDICIAL COUNCIL-P. Maxwell Foshay, Chicago, Ill., Chairman; F. H. Wiggin, New York City, Secretary; D. C. Peyton, Jeffersonville, Ind.; George Ben Johnson, Richmond, Va.; W. B. Russ, San Antonio, Texas. COUNCIL ON MEDICAL EDUCATION-Arthur D. Bevan, Chicago, Chairman; W. T. Councilman, Boston, Mass.; J. A. Witherspoon, Nashville, Tenn.; Charles H. Frazier, Philadelphia, Pa.; Victor C. Vaughn, Ann Arbor, Mich. ORATION ON MEDICINE Charles G. Stockton. Buffalo, N. Y. ORATION ON SURGERY-John Collins Warren, Boston, Mass. ORATION ON STATE MEDICINE-George Blumer, San Francisco, Cal. OFFICERS OF SECTIONS: PRACTICE OF MEDICINE-Chairman, Richard C. Cabot, 190 Marlboro St., Boston; Secretary, J. L. Miller, 100 State St., Chicago. Executive Committee Frank A. Jones, Memphis, Tenn.; W. S. Thayer, Baltimore; Alexander Lambert, New York City. OBSTETRICS AND DISEASES OF WOMENChairman, C. L. Bonifield, 432 West Fourth St., Cincinnati, Ohio; Vice-Chairman, F. F. Lawrence, Columbus, Ohio; Secretary, W. P. Manton, Detroit, Mich.; A. Palmer Dudley, Dew York City; L. H. Dunning, Indianopolis. SURGERY AND ANATOMY-Chairman, Maurice H. Richardson, 224 Beacon St., Boston; Secretary, Floyd W. McRea, Atlanta, Ga. Executive Committee-DeForest Willard, Philadelphia: James E. Moore, Minneapolis; Charles A. Powers, Denver, Colo. HYGIENE AND SANITARY SCIENCE-Chairman, John S. Fulton, 1809 St. Paul St., Baltimore; Secretary, M. L. Price, 1532 Linden Ave., Baltimore; Executive Committee-Arthur R. Reynolds, Chicago; H. M. Bracken, Minneapolis; G. T. Swarts, Providence, R. I. OPHTHALMOLOGY-Chairman, C. R. Holmes, Cincinnatti, Ohio; Secretary, Albert E. Bulson, Jr.. 219 West Wayne St., Fort Wayne, Ind. Executive Committee Frank Allport, Chicago; John E. Weeks, New York City; Robert L. Randolph, Baltimore. DISEASES OF CHILDREN-Chairman, John Lovett Morse, 70 Bay-State Road, Boston; ViceChairman, W. E. Darnall, Atlantic City, N. J.; Secretary, J. Ross Snyder, Birmingham, Ala. Executive Committee-H. M. McClanahan, Omaha; John C. Cook, Chicago; Charles G. Kerley, New York City. STOMATOLOGY-Chairman, Vida A. Latham, Rogers Park, Ill.; Vice-Chairman, Edward C. Briggs, 129 Marlboro St., Boston; Secretary, Eugene S. Talbot, 103 State St., Chicago; Executive Committee, A. H. Peck, Chicago; M. L. Rhein, New York City; G. F. Eemas, Boston. NERVOUS AND MENTAL DISEASES-Chairman, J. H. McBride, Los Angelos, Cal.; Secretary, David I. Wolfstein, 22 West Seventh St., Cincinnatti. Executive Committee-Richard Dewey, Wauwatosa, Wis.; F. W. Langdon, Cincinnatti; H. T. Persing. Denver. CUTANEOUS MEDICINE AND SURGERYChairman, Douglas W. Montgomery, 1301 Van Ness Ave., San Francisco; Secretary, R. R. Campbell, 204 Dearborn St., Chicago. Executive CommitteeHenry W. Stelwagon, Philadelphia; John A. Fordyce, New York City; Henry G. Anthony, Chicago. LARYNGOLOGY AND OTOLOGY-Chairman, Robert C. Myles, 46 West Thirty-eighth St., Chicago. Executive Committee-G. Hudson Makuen, Philadelphia; George L. Richards, Fall River, Mass.; John F. Barnhill, Indianapolis. PHARMACOLOGY-Chairman, Heinrich Stern, 56 East Seventy-Sixth St., New York City; Secretary, C. S. N. Hallberg, 358 Dearborn St., Chicago. Executive Committee-George F. Butler, Chicago; Solomon Solis-Cohen, Philadelphia; O. T. Osborne, New Haven, Conn. PATHOLOGY AND PHYSIOLOGY-Chairman, Winfield S. Hall, 2421 Dearborn St., Chicago; Secretary, Henry A, Christian. Harvard Medical School, Boston. Executive Committee-Frank B. Wynn, Indianapolis; Vicort C. Vaughn, Ann Arbor, Mich.; Joseph McFarland, Philadelphia. HOTELS. The following hotels have been selected for accommodation as the best out of some 100 hotels and boarding and roomino hguses, listed by the Press Bureau of the Lewis & Clark Fair. Hotel Portland, Sixth and Morrison, European $5.00 to $7.00; two in room, $2.50 to $3.50 per person. The Calumet, Seventh and Alder, $1.50 to $2.00 per room. Eaton Hotel, Morrison and West Park, $1.50 to $3.00 per room. Elton Court, Eleventh and Yamhill, $1.50 to $2.00 per room. Imperial Hotel, Seventh and Washington, $1.50 to $3.00 per room. Lange Hotel, Sixth and Washington, $1.50 to $2.00 per room. The Oregon, Seventh and Washington, $2.00 to $3.00 per room. The Oxford, Sixth and Oak, $1.00 to $2.00 per person. The Perkins, Fifth and Washington, $1.50 to $3.00 per person. The Scott, Seventh and Ankeny, $1.00 to $2.00 per person. American Inn, Fair Grounds, European, $2.00 to $5.00 per day; American plan, $4.00 to $7.00 per day (includes admission to Fair grounds.) Belvedere, Fourth and Alder, $1.00 to $2.50. The Esmond, Front and Morrison, $1.00 to $2.00. Grand Central, Third and Flanders, $1.00 to $2.00. The Merchants, Third and Everett, $1.00 to $2.00. St. Charles, First and Morrison, $1.00 to $2.00. There are an abundance of restaurants where good meals may be obtained at from 25 cents up. A bureau of information will be maintained at the Union Depot for the convenience of members on arrival. FIFTEENTH INTERNATIONAL MEDICAL CONGRESS. To the Editor: Anticipating that a large number of American physicians will attend the Fifteenth International Medical Congress, to be held in Lisbon, Portugal, April 19 to 26, 1906, the undersigned has completed arrangements for the chartering of a first class vessel upon which the American delegation may sail as one party. In this way better accommodations can be secured at a more reasonable price, the social features of the trip will be enhanced, and each individual surrounded by those who are personally congenial. Additional security, and consequently added pleasure will be obtained as the party will be in charge of a traveling conductor who is thoroughly conversant with the language and the customs of the countries to be visited enroute. As there will doubtless be some diversion as to the choice of the routes, depending on individual inclination and previous opportunities for foreign travel, a number of returning routes have been selected, the itineraries of which, although separate from the journey proper, have been arranged so that the principal points may be visited together. Those who desire may include a Mediterranean excursion, Madrid, Corunna, Vigo, Aporti, the Escorial, Toledo, Seville and Cordova may be visited, as well as an opportunity to return leisurely through Italy, France and Great Britain. Hotel reservations for the party have also been arranged for in the best hosteries of Lisbon, and in addition a number of "floating hotels" will be anchored in the Tagus during the entire session of the congress, thus enabling visitors who desire, to enjoy all the comforts of a superb hotel system on the water. Round trip rates from New York, will run from $275 up, according to the tour selected, including all expenses. Itineraries of the various tours are being prepared and will soon be ready for distribution. It is important that all who contemplate taking this trip should register at once, so that no disappointment in hotel reservation may be experienced. The final arrangements will, as heretofore, be in the hands of the well known conductors, Thos. Cook & Sons, which insures perfect and complete service for the trip, and relieving the passenger from all annoying details incident to the voyage. Those delegates who attended the last Congress in Madrid, sailing from New York on the "Princess Irene' will remember the excellent service afforded them. Dr. John H. Musser, Philadelphia, is chairman of the National American Committee, and Dr. Ramon Guiteras, 75 West 55th Street, New York City, is the secretary, to who all applications for membership and communications in regard to the presentation of papers should be addressed. Further information, reservations, and copies of itinerary may be obtained by addressing the last named undersigned. Lewis S. McMurtry, M.D., Louisville. J. D. Griffith, M.D., Kansas City, Mo. Jas. E. Moore., M. D., Minneapolis, Minn. Chas. Wood Fassett, Krug Park Place, St. Joseph, Mo. TO FIGHT MOSQUITOES.-Dr. Doty, Health Officer of New York, will attempt to exterminate mosquitoes on Staten Island. $1,000 has been appropriated for this work. CRIMINAL ABORTIONS IN PARIS.-It is said by those in authority that the Paris Hospitals are being crowded with cases of infection due to criminal abortion; mostly autoabortion. THE REVIEWER'S TABLE Books, Reprints, and Instruments for this department, should be sent to the Editors, St. Louis. STUDIES IN THE PSYCHOLOGY OF SEX-SEXUAL SELECTION IN MAN. I Touch. II. Smell. III. HearIng. IV. Vision. By Havelock Ellis. Pages 2:0. Sold only by subscription to Physicians. Lawyers and Scientists. Philadelphia: F. A. Davis Company, Publishers, 1914-16 Cherry street. (Extra Cloth, $2.00 net) In this, the fourth volume of the series, Dr. Ellis continues his very interesting study of the psychological side of the sexual sense. His reasoning and deductions are somewhat advanced for the reader who is not deeply versed in psychological study, and many readers who have read the previous volumes understandingly will find that this requires considerably, more study. But study bears out the author's conclusions and gives a convincing appreciation of the possibilities of this line of research. The end and aim of the medical practitioner is the maintenance of health and its recovery, no diseases are less understood than those associated with the sexual sense and it is to such work as Dr. Ellis is doing that we must look for increased light in a field where dense darkness now prevails. Aside from the interest which this volume must have with all students of nervous phenomena and specialists it has a definite value for daily work with those who meet with medico-legal cases, the medical expert and the lawyer should be familiar with the subject as here presented. If the purpose of the author and publishers in limiting the sale of the volume and series to physicians, lawvers and scientists can be continued the work can accomplish nothing but good, it is intended only for the student and should be kept from the young and impressionable. H. EYE. EAR, NOSE, AND THROAT NURSING. By A. Edward Davis, A.M., M.D., Professor of Diseases of the Eye in the New York Post-Graduate Medical School and Hospital, and Beaman Douglass, M.D., Professor of Diseases of the Nose and Throat in the New York Post-Graduate Medical School and Hospital. With 32 Illustrations Pages 318. Extra Cloth. Philadelphia, F. A. Davis Co.,Publishers, 1914-16 Cherry Street. (Price, $1.25 net.) This book, probably the first of its kind published in this country, is devoted exclusively nursing in ear, eye, nose and throat affections. Special attention is given to the preparation of solutions, points of application for anesthesia and the putting on of bandages. The position of patient during operation, sterilization of instruments, nursing and care of patient after operation are given in detail. Asepsis and antiseptics are given special attention. A short review of the anatomy and physiology of the eye, ear, nose and throat is also given. This little book is especially to be recommended to nurses and general practitioners and should receive a cordial support at the hands of the profession. THE MEDICAL EPITOME SERIES.-CLINICAL DIAGNOSIS AND URINALYSIS. A Manual for Students and Practitioners. By James Rae Arneill, A.B., M.D., Professor Medicine and Clinical Medicine in the University of Colorado, etc. Series edited by Victor C. Pedersen, A.M. M.D Ilustrated with 79 engravings add 1 colored plate. Philadelphia and New York: Lea Brothers & Co. (Cloth, $1.00 net.) This brief volume presents a clear and accurate conception of the modern laboratory methods, a knowledge of which is so essential at our present time in making a correct diagnosis. The author keeps in view the practical side of laboratory work in its relation to diagnosis of disease, omitting entirely, or merely mentioning the more cumbersome quantitative tests. The book is well adapted for the needs of the medical student and serves as an inestimable guide to the doctor in his daily practice. O.E.L. A TEXT-BOOK OF THE PRACTICE OF MEDICINE. For Students and Practitioners. By H. A. Hare, M.D.. Professor of Therapeutics and Materia Medica in the Jefferson Medical College of Philadelphia, etc. In one handsome octavo volume of 1120 pages, with 129 engravings and 10 plates in colors and monochrome. Philadelphia and New York: Lea Brothers & Co. (Cloth, $5.00 net.) Prof. Hare has repeatedly demonstrated his ability as a clinician and writer in his previous works; "A Text-Book of Practical Therapeutics;" "A Text-Book of Practical Diagnosis," etc. The text-book in question, attractively bound and profusely illustrated, is the latest on the subject, and a valuable addition to the already extensive list of one volume systems of medicine The volume em. bodies the experience of more than twenty years of active hospital and private practice, and is notable for its originality, accuracy, clearness and completeness to date. A special feature is the section on tropical diseases written by Dr. Chas. Kiffer U.S.A. major and surgeon, who has had extensive experience with these conditions in our newly acquired territorial possessions. The book is highly commendable and in every respect most gratifying. O.E.L. GRAY'S ANATOMY.-Messrs. Lea Brothers & Co. have pleasure in announcing a new edition of Gray's Anatomy, to be published about midsummer, and embodying nearly two years of labor on the part of the editor, J. Chalmers DaCosta, M.D., of Philadelphia, and a corps of special assistants. Commen. surately with the importance of the largest selling medical work ever published, this new edition will present a revision so thorough and searching that the entire book has been reset in new type. In addition to the changes necessary to bring it abreast of the most modern knowledge of its subject, several important alterations have been made with the view of adapting it still more closely to presentday teaching methods, and in fact to anticipate the trend of anatomical work and study. |