The tients suffering with eye trouble steps into the foreground everywhere, and in some towns even the care of the teeth has been aimed at; and in spite of this the deaf play a more piti. able role in the process of mental development than the feeble-minded. Already being a step child of nature, should they remain a stepchild of human care and education. specialist must help, that is capable and experienced men. A child came to him that had been treated at a polyclinic for a year without result. After removal of adenoids the hearing returned. Even a pupil in the high school for a long time sat in first row on Removal of ceruaccount of the hearing. men effected a cure. But what shall be done with the incurable deaf? Bezold believes where there is present hearing for the whispered voice of six feet pupil can follow the normal classes. The association with normal children is of great importance and good affect for the partially deaf. But where hearing exists for only three feet pupils should be put in special classes on given individual instruction. In Berlin these classes were inaugurated several There are now three classes of years ago. ten pupils each among a school circuit of 23,000 children. The school physician determines that deafness exists, then on the recommendation of the principal these children are sent to a specialist. But the child ren are only removed from the normal school when it is found that they cannot keep up with the other pupils. In this way the members of these classes are recruited from the children that are unable to hear the whispered voice at less than three feet. Hartmann arrives at the following conclusions: 1. The management and the teaching corps of the normal school should make it a point to recognize those hard of hearing, have them examined and eventually treated. 2. Those hard of hearing should sit near the teacher, and facing the teacher. 3. The deaf child should be questioned of ten to see if it comprehends. 4. Poor work, oftentimes the fault of deafness, should not be harshly criticized. 5. The deaf child should be given the support of an intellectual child. 6. The parents should be instructed to talk frequently with the child. 7. When perception for whispered voice is less than three feet pupil should be put into a special class instructed by a teacher not necessarily a deaf mute teacher. For large towns a school for children hard of hearing is the best plan. Where such a school or classes for special instruction do not exist, it is best to place the deaf but intellectually normal children in deaf mute institutions, as their progress is so difficult in the normal classes. Disturbances of Hearing During Fever.L. Rugani, Archiv. Ital. di Otolgie.) This work speaks of the disturbances of hearing ceased by fever process, but regardless of the disease which causes the fever, excluding deep-seated middle ear conditions and with Consideration normal tympanic membrané. was first given to patients with 100.4 deg. to 103.1 deg F. and with normal sensorium. The affections were in part severe, ileotyphus, coli bacillus Puerperal infection, lung tuberculosis and articular rheumatism; partly mild as in bronchial catarrh, angina and gingivitus. In the cases examined the fever had existed in some for a long time, others for a short time and in some cases The examinations of the hearing were usually made during the fever attack, sometimes during convalescence or after recovery. Remedies affecting the hearing were not used as a general rule, excepting for experimental purposes. Tests were made with speech, are and tuning fork. Fifty cases examined were tabulated as follows: 1. During the fever the hearing is 2. The diminution of materially involved. hearing is not always bilateral. 3. The disturbances of hearing ear not in proportion to the degree of fever, but to the duration of the fever and the severity of the disease causing the same. simply a passing attack. 4. After continuous absence absence of fever or the periods of freedom from fever in chronic diseases the disturbances of hearing gradually decrease. 5. These disturbances are conditional upon the to us unknown cause of the fever, and the seat of the trouble or alteration in the organ of hearing is also unknown. A METHOD FOR THE STERILIZATION OF SEA TANGLE TENTS.-O. L. Mulot advises soaking sea tangle tents for seventy-two hours in tincture of iodine, and then immersing them in 95 per cent alcohol to remove the surplus iodine. Another method is to boil the tents and then dry them in sterile test tubes for a few days in an oven or hot-air chamber, which will cause them to shrink to their original size. Or the two methods may be combined, first boiling and shrinking them, and then soaking in iodine. The author believes that the tests furnish the most desirable means of dilating the cervix in some cases, and when prepared in this way their use is free from danger.-Med. Record. 460 and experience and careful investigation will THE MEDICAL FORTNIGHTLY always cure. A Cosmopolitan Biweekly for the General Practitioner The Medical Fortnightly is devoted to the progress of the Practice and Science of Medicine and Surgery. Its aim is to present topics of interest and importance to physicians, and to this end, in addition to a well-selected corps of Department Editors, it has secured correspondents in the leading medical centers of Europe and America. Contributions of a scientific nature, and original in character, solicited. News of Societies, and of interesting medical topics, cordially invited. Advertising forms close on the first and fifteenth of each month. 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Original articles should be as condensed as justice to the subject will allow. Editorial offices in St. Louis, Jacksonville, and St. Joseph, where specimen copies may be obtained, and subscriptions will be received. Contributions and books for review should be addressed to the editors, 319 and 320 Century Building, St. Louis, Mo. SOCIETY PROCEEDINGS MEDICAL SOCIETY OF THE MISSOURI VALLEY. This society held its annual meeting in Council Bluffs, Ia., on Thursday and Friday, August 24 and 25, with an attendance of one hundred. Dr. S. Grover Burnett in his presidential address, entitled "Oslerism Bearded, or a Study of Age in Relation to Work," called attention to the fact that Dr. George M. Beard was entitled to priority in suggesting the uselessness of men above forty years of age. Dr. Burnett claims that those who have done their best thinking before forty do their best mental externalizing afterwards. Beard has shown us that 70% of life's work is done by the 45th year, and 80% is finished by the 50th year. Also that only 25% more actual work is accomplished from thirty to forty years of age than is done between forty and fifty years of age, thus man's retirement at forty would mean a loss to the world of a sum equal to three-fourths of his work done from thirty to forty years of age, to say nothing of the auxiliary unfinished business accumulated before forty and requiring concentrated experience which comes after forty, to shape it into a thing of value. The last half of man's life is unquestionably the best and most favorable part of it, especially if he devotes the first half to thought. Faddism is the product of immature sentiment which age Papers were read by Drs. Leroy Crummer, A. J. Stokes, W. O. Bridges, A. P. Condon and J. P. Lord, of Omaha; Fenton B. Turck and W. P. Waugh, of Chicago; Daniel Morton. St. Joseph; J. W. Kime, Fort Dodge, Ia.; Herman E. Pearse and C. B. Hardin of Kansas City; T. M. Bogart, of Excelsior Springs, Mo.; F. P. Norbury, Jacksonville, Ill. On Thursday evening the society was entertained by the local profession at Lake Manawa. Resolutions were adopted on the death of Dr. R. M. Stone and extending sympathy to Dr. von Mansfelde on the loss of his only son. An amendment to the constitution was read changing the annual meeting to the first Thursday in September. The secretary's report showed a healthy condition of the society, 41 new members having been added during the year. The Buchanan County Medical Society extended an invitation to hold the next semiannual meeting in St. Joseph in March, 1906, which was accepted. The election of officers for the ensuing year resulted as follows: President-Dr. John E. Summers, Jr., Omaha. DEPENDABLE REMEDIES. With our last issue we had the pleasure of for the first time including in our advertising pages the card of Flint, Eaton & Company, who are calling the attention of our readers to their exceptionally, excellent specialties, methylated ammoium salicylate, emolient glycerine compound and eugenia cordial. Through other agencies Flint, Eaton & Company are already widely and favorably known to the profession, and the reliability of their products is a matter of established certainty. We believe that anything coming from them is worthy of investigation, in clinical trial and subsequent extended use. Look well to your prescriptions-a careless or dishonest pharmacist may ruin your reputation. Two Important Products FOR PHYSICIANS IODOFORMAL-Warner & Co. ANTISEPTIC SURGICAL DRESSING Possesses all the advantages of lodoform with added TANFORMAL-Warner & Co. AN ENERGETIC INTESTINAL ASTRINGENT AND ANTISEPTIC Branch Houses-New York, Chicago, New Orleans. SAMPLES TO PHYSICIANS ON REQUEST MEDICAL MEMORANDA. No more healthful, stimulating and generally beneficial application can be made to a diseased mucous membrane than Kennedy's pinus canadensis. Coca a Depurative as Well as Tonic.-Coca is a depurative of the blood, freeing that current from the products of tissue waste, and thus enabling the blood stream to nourish every tissue of the body. Aside from this important action, it has a direct chemical action upon muscle through converting certain muscle ferments to create energy. These effects are best brought about by administering coca combined with a mild nutritious wine, as Vin Mariana.-Coca Leaf. The Council of Pharmacy.-The Dios Chemical Company has complied with the requirements of the Council of Pharmacy recently organized by the American Medical Association, having furnished said council complete formulae of their several preparations, namely, dioviburnia, neurosine and germiletum. These products are prepared exclusively for physicians to prescribe, and the formulae have been freely circulated to the doctors. The efficiency of dioviburnia, neurosine and germiletum is assured from the great care in the selection of fresh and pure drugs entering into their composition as well as the scientific manner of combining. No one knows so well as the doctor how important it is to obtain fresh, pure drugs and combine them in the most palatable and reliable manner, so that they will always give a uniform strength and potency. The doctor alone should know the composition of the products he prescribes. Substitution should never be permitted. Invariable results can only be obtained from the genuine specialty. Doctors will not be slow in recognizing the importance and justice of protecting chemical companies who have complied with the Council of Pharmacy. Intestinal Ulceration.-(By A. F. Foye, M.D.. Washington, D. C.).—The patient in this case was a woman 82 years old. Her trouble was for several years standing, during which time she had been unsuccessfully treated for various forms of gastro-intestinal affections, I found that there was a great deal of pain, at times very acute, in the region of the duodenum and a careful examination of the daily stools showed a number of black crusts which, with other symptoms, indicated an ulcer. As there was much acid fermentation and gastric disturbance, I thought the use of glyco-thymoline would be effective and began with tablespoonful doses every three hours. The results were wonderful. Not only were the gastric conditions corrected speedily, but the pain and soreness was lessened in the duodenal tract and the quantity of black crusts in the stools greatly lessened. I had the patient under the care of a trained nurse and told her to keep up the glyco-thymoline treatment and closely watch the stools and report to me daily. This was done and the improvement steadily continued until, after some three weeks' treatment, there was no pain nor soreness and no trace of the crusts. Her appetite had returned and she could digest and assimilate her food without any distress, something she had been unable to do for a number of years. After another week or so I found that every indication pointed to a cure and discontinued the treatment. That was over a year ago. She has not had the slightest return of the symptoms and her general condition is remarkably good for a woman of her age. She could not live six months had her trouble continued. As it is, she apparently has a number of years of life before her, and as glyco-thymoline alone was used, the inference that it saved her life is not over strong. I cannot say too much in its praise and shall use it wherever its use is indicated. Perfect Nutrition as a Vital Incipient in Temporary Asthenia.-As an agent for exciting cell activity and promoting the normal reconstructive functions in temporary stages of vital depression, following exhaustive fevers, acute infections or depressions from overwork, both mental and physical, bovinine, in my hand, has given the most excellent results. In many cases where no actual pathological lesion could be deducted, but where cell activity was below par, and some powerful incitant and nutriment was urgently needed to place the patient upon a good fighting basis, where he could resist infection and overcome the sequellae of cell exhaustion, the results obtained were both prompt and marked. The following brief case in point: Miss N., aged 29, stenographer, who had become anemic and physically depressed from close application to her vocation, came under my care March last. She had not menstruated for over two and one-half years, had lost nineteen and one half pounds in that time and suffered from a special hyperes. thesia and insomnia. On careful examination no distinct pathological condition could be induced except the blood impoverishment. She had been under treatment for two years and during that time had taken the various forms of iron, arsenic, hydropathy, electricity, etc., until she abhorred doctors and medicines and was in a fair way to become a ft subject for Christian Science. Her principal worry was that she would develop tuberculosis. She was put on bovinine in tablespoonful doses every two hours, being given in milk, and kept on this dosage for two weeks, when the quantity was increased to a wineglassful every two hours. Since then she has steadily improved and at the present time she shows a gain of twelve and one-half pounds, is rosy, cheerful and confident of the fuThough brief, this clinical citation. I think, has some points of genuine interest for the professional mind.-Dr. F. N. Pampinella, Philadelphia, Pa. ture.. Vol. XXVIII (Absorbed the Morgan County (Ill.) Medical Journal. January 1, 1903.) ST. LOUIS, SEPTEMBER 25, 1905. Papers for the original department must be contributed exelusively to this magazine, and should be in hand at least one month in advance. French and German articles will be translated free of charge, if accepted. A liberal number of extra copies will be furnished authors, and reprints may be obtained at cost, if request accompanies the proof. Engravings from photographs or pen drawings will be furnished when necessary to elucidate the text. Rejected manuscript will be returned if stamps are enclosed for this purpose. COLLABORATORS. ALBERT ABRAMS, M. D., San Francisco. ARTHUR R EDWARDS, M. D., Chicago, Ill. Mr. REGINALD HARRISON, London, England. HOBART A. HARE. M. D., Philadelphia. THOMAS LINN, M. D., Nice, France. LEADING ARTICLES No. 6 three minutes. 3. The patient lying in the dorsal position, with the knees tightly drawn together, is told to resist while the knees are drawn apart, and with the knees widely separated, he resists while they are drawn together. The same resistant adduction and abduction movements are carried out with the legs; these movements occupying about two minutes. 4. The patient, standing against a wall or door, crosses and recrosses one thigh over the other for a period of five minutes. 5. The patient is next taken across the knee and with the side of the hand the lumbar and sacral regions are sharply tapped very frequently, thus giving vibratory sensation. I have been unable to follow these points out completely in private practice, and do not especially approve of the majority of these movements, but a simple device which can be tried is to elevate the foot of the bed so that the child sleeps with his pelvis higher than his head. The fear in regard to Ullman's movements has been the fear that it may induce bad habits in children. I have never found it to do so in hospital or dispensary cases where I could follow the practice out SOLVING PROBLEMS IN DISEASES OF freely. WM. WORMLEY, M. D. PHILADELPHIA, PA. THE physician is watched more closely in treating children than in treating adults. His success in practice often depends on his success with children. Hence it behooves him to study well pediatrics. A puzzling unpleasant symptom is enuresis. Ullman, a German writer, has given me some points as follows: Make a solution of atropin, one grain to two ounces of water, five drops to be given at 4, 7 and 10 p.m., together with hygienic and suggestive methods to which he refers, usually gives excellent results in the treatment of purely neurotic cases. He also uses movements as follows: 1. The rectum being freed of feces. massage is applied to the sphincter vesicae by means of the index finger; the child lies in the lithotomy position, and with index finger in the rectum, the sphincter vescae is gently tapped for from one-half to one minute. 2. Deep circular massage is applied over the hypogastric region for from two to The prophylaxis of purulent inflammation of the eyes in new-born children is always vital to the practitioner. I will describe some methods wtth reference to Crede's treatment by silver nitrate solution, 2%, and the more recent silver salts. There is a difference between patients as met with in clinics and in private practice, and obstetricians must attribute the vast majority of cases of the ophthalmia of the new-born children to Neisser's gonococcus and the secret of the prevention consists in an immediate cleansing of the eyes after birth with sterile water followed by the instillation of the selected remedy in some cases the lochial secretion will not show the characteristic gonococci, but every mother whose vaginal secretion appears in the slightest degree suspicious should be placed at once on prophylactic douche and the eye of the child treated. some year previously Zweiel has employed a 3% solution of boric acid as an eye-wash and had obtained very satisfactory results, while in another group of cases he employed a 1% solution of formalin, one drop being instilled into each eye at birth; of 120 children so treated, but four presented inflammatory For |